Peng Qi, Li Xiao-Dong, Cao Guang-Jie, Hu Zhi-Xu, Zheng Shi-Qiang, Shi Cong-Fa
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China;
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China.
Zhongguo Gu Shang. 2019 Dec 25;32(12):1090-1093. doi: 10.3969/j.issn.1003-0034.2019.12.004.
To explore the clinical effect of arthroscopic combined with small needle knife in the treatment of degenerative medial meniscus (MM) injury of knee joint by releasing the superficial layer of medial collateral ligament (SMCL).
From February 2016 to November 2018, 56 patients (56 knees) with limited pain, strangulation and flexion in medial knee joint space were selected. X-ray Kellgren-Lawrence grading was I-II. MRI showed medial meniscus injury(III degree) of knee joint. There were 30 males(30 knees) and 26 females(26 knees). Arthroscopic MM plasty and small needle knife were used to release SMCL. The Lysholm knee score was used to evaluate the effect of operation.
All 56 patients were followed up, and the duration ranged from 3 to 24 months, with an average of 10 months. According to the Lysholm knee score standard, the final follow-up was compared with that of before operation. The results showed that the preoperative knee score was 37.24±1.32, the latest follow-up knee score was 85.72±5.28, the knee score was higher than that before the operation(<0.05).
Arthroscopy combined with small needle knife release of superficial medial collateral ligament in the treatment of degenerative medial knee meniscus injury can effectively improve the mechanical balance of the knee joint, improve Lysholm knee score in patients with knee meniscus injury, and promote the recovery of knee joint function, which has clinical value.
探讨关节镜联合小针刀松解内侧副韧带浅层治疗膝关节退行性内侧半月板（MM）损伤的临床效果。
选取2016年2月至2018年11月膝关节内侧间隙疼痛、绞锁及屈伸受限的患者56例（56膝）。X线Kellgren-Lawrence分级为I-II级。MRI显示膝关节内侧半月板损伤（III度）。男30例（30膝），女26例（26膝）。采用关节镜下MM成形术及小针刀松解内侧副韧带浅层。采用Lysholm膝关节评分评估手术效果。
56例患者均获随访，随访时间3～24个月，平均10个月。按照Lysholm膝关节评分标准，将末次随访与术前比较。结果显示，术前膝关节评分为37.24±1.32，末次随访膝关节评分为85.72±5.28，膝关节评分高于术前（<0.05）。
关节镜联合小针刀松解内侧副韧带浅层治疗膝关节退行性内侧半月板损伤可有效改善膝关节力学平衡，提高膝关节半月板损伤患者的Lysholm膝关节评分，促进膝关节功能恢复，具有临床应用价值。
