经双胫骨隧道关节镜下内侧半月板后根部撕裂的拉出缝合修复术
[Arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels].
作者信息
Liu Xiao-Ning, Yu Hai-Chi, Li Ying-Zhi, Xue Pan, Huang Bing-Zhe, Zhang Wei
机构信息
Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China.
Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China;
出版信息
Zhongguo Gu Shang. 2019 Dec 25;32(12):1094-1096. doi: 10.3969/j.issn.1003-0034.2019.12.005.
OBJECTIVE
To evaluate the surgical technique and clinical effect of arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels.
METHODS
From May 2014 to May 2017, 22 patients with posterior root tear of medial meniscus were treated by pullout suture repair via the double tibial tunnels, including 8 males and 14 females, aged 34 to 53 years old, with a mean of averaged(45.7±4.7) years old. The patients were followed up for 12 to 24 months, with a mean of (16.4±5.2) months.
RESULTS
The Lysholm score of knee joint before operation was 61.8±4.3, IKDC score before operation was 59.9±2.9, Lysholm score at the latest follow-up was 89.1±3.0, and IKDC score was 89.0±2.5. The difference was statistically significant.
CONCLUSIONS
Arthroscopic pullout suture repair via the double tibial tunnelsis an effective treatment for symptomatic posterior root tear of medial meniscus, and it can significantly improve the knee functional outcome.
目的
评估经双胫骨隧道关节镜下半月板后根撕裂拉出缝合修复术的手术技术及临床效果。
方法
2014年5月至2017年5月，对22例半月板后根撕裂患者采用经双胫骨隧道拉出缝合修复术治疗，其中男性8例，女性14例，年龄34～53岁，平均（45.7±4.7）岁。患者随访12～24个月，平均（16.4±5.2）个月。
结果
术前膝关节Lysholm评分为61.8±4.3，IKDC评分为59.9±2.9；末次随访时Lysholm评分为89.1±3.0，IKDC评分为89.0±2.5。差异有统计学意义。
结论
经双胫骨隧道关节镜下拉出缝合修复术是治疗有症状的半月板后根撕裂的有效方法，能显著改善膝关节功能预后。
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