使用Fast-Fix装置通过全内技术进行半月板修复。
Meniscal repair by all-inside technique with Fast-Fix device.
作者信息
Albertoni Leonardo José Bernardes, Schumacher Felipe Conrado, Ventura Matheus Henrique Araújo, da Silveira Franciozi Carlos Eduardo, Debieux Pedro, Kubota Marcelo Seiji, de Mello Granata Geraldo Sérgio, Luzo Marcus Vinícius Malheiros, de Queiroz Antônio Altenor Bessa, Filho Mario Carneiro
机构信息
MSc, Physician in the Knee Group, Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil.
Third-year Resident Physician in the Department of Orthopedics and Traumatology, EPM-UNIFESP, São Paulo, SP, Brazil.
出版信息
Rev Bras Ortop. 2013 Oct 19;48(5):448-454. doi: 10.1016/j.rboe.2012.08.010. eCollection 2013 Sep-Oct.
OBJECTIVE
The objective of this study is to evaluate the results and effectiveness of the technique of meniscal repair type all-inside using Fast-Fix device.
METHODS
A retrospective cohort study evaluating 22 patients with meniscal surgery between January 2004 and December 2010 underwent meniscal repair technique for all-inside with the Fast-Fix device with or without ACL reconstruction. Function and quality of life outcomes were chosen by the IKDC and Lysholm score, before and postoperatively, and reoperation rates, relying to the time of final follow-up. Statistical analysis was performed using the Student's test.
RESULTS
The mean follow-up was 59 months (16-84). The Lysholm score showed 72% (16 patients) of excellent and good results (84-100 points), 27% (6 patients) fair (65-83 points) and no cases classified as poor (<64 points). According to the IKDC: 81% (18 patients) of excellent and good results (75-100 points), 18% of cases regular (50-75 points) and no patient had poor results (<50 points). There were no failures or complications.
CONCLUSION
The technique of meniscal repair type all-inside using the Fast-Fix device is safe and effective for the treatment of meniscal lesions in the red zone or red-white with or without simultaneous ACL reconstruction, with good and excellent results in most patients Level 4 Study.
目的
本研究的目的是评估使用Fast-Fix装置进行全内半月板修复技术的结果和有效性。
方法
一项回顾性队列研究，评估了2004年1月至2010年12月期间接受半月板手术的22例患者，这些患者使用Fast-Fix装置进行了全内半月板修复技术，有或没有同时进行前交叉韧带重建。通过IKDC和Lysholm评分在术前和术后选择功能和生活质量结果，并根据最终随访时间确定再次手术率。使用学生t检验进行统计分析。
结果
平均随访时间为59个月（16 - 84个月）。Lysholm评分显示72%（16例患者）为优和良（84 - 100分），27%（6例患者）为中（65 - 83分），无病例分类为差（<64分）。根据IKDC：81%（18例患者）为优和良（75 - 100分），18%的病例为一般（50 - 75分），无患者结果为差（<50分）。没有失败或并发症。
结论
使用Fast-Fix装置进行全内半月板修复技术对于治疗红区或红白区半月板损伤，无论是否同时进行前交叉韧带重建都是安全有效的，大多数患者的结果为优和良。4级研究。
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