桶柄状半月板撕裂的内外联合与全内技术
COMBINED INSIDE-OUT AND ALL-INSIDE TECHNIQUE IN BUCKET-HANDLE MENISCUS TEARS.
作者信息
Yılmaz Serdar, Cankaya Deniz, Fırat Ahmet, Devecı Alper, Ozkurt Bulent, Bozkurt Murat
机构信息
. Ankara Numune Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
. Ankara Ataturk Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
出版信息
Acta Ortop Bras. 2016 Jul-Aug;24(4):179-183. doi: 10.1590/1413-785220162404156575.
OBJECTIVE
To determine the outcomes after combined inside-out and all-inside repair technique of bucket-handle meniscus tears
METHODS
A retrospective review was made of patients with bucket-handle meniscus tears repaired with combined techniques, using the all-inside technique in posterior meniscal tears and the inside-out technique in the middle part of the meniscal tears. Meniscal healing was assessed clinically using Barrett's criteria and MRI
RESULTS
The study comprised 52 patients with a mean age of 28.4 years old (range, 19-52 years old). The mean follow-up period was 31.3 months (range, 24-59 months). Two patients had ACL re-rupture, and complete meniscal healing was achieved in all but one patient. Although improved from preoperative status, Tegner and Lysholm scores were lower in the ACL reconstructed patients than in the intact ACL patients
CONCLUSION
Combined inside-out and all-inside meniscal repair technique is a successful and cost-effective treatment method in bucket-handle meniscus tears.
目的
确定联合内外侧半月板桶柄样撕裂修复技术后的疗效
方法
对采用联合技术修复桶柄样半月板撕裂的患者进行回顾性研究，后外侧半月板撕裂采用全内技术，半月板中部撕裂采用内外侧联合技术。采用巴雷特标准和MRI对半月板愈合情况进行临床评估
结果
该研究纳入52例患者，平均年龄28.4岁（范围19 - 52岁）。平均随访时间为31.3个月（范围24 - 59个月）。2例患者ACL再次断裂，除1例患者外所有患者半月板均完全愈合。虽然与术前状态相比有所改善，但ACL重建患者的Tegner和Lysholm评分低于ACL完整的患者
结论
联合内外侧半月板修复技术是治疗桶柄样半月板撕裂的一种成功且具有成本效益的治疗方法。
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