Jia Yong, Xu Gang, He Chunqing, Zhang Fei, Liu Jian, Wang Pengbo
Department of Orthopaedics, Urumqi General Hospital of Military, Urumqi Xinjiang, 830000, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Oct 15;34(10):1238-1242. doi: 10.7507/1002-1892.202003132.
To investigate the effectiveness of arthroscopic all-inside combined with outside-in "suture loop" repair for meniscus bucket-handle tear (BHT).
Between August 2016 and May 2019, 44 case of meniscus BHT were treated with arthroscopic all-inside combined outside-in "suture loop". There were 29 males and 15 females with an average age of 26.6 years (range, 18-42 years). The causes of injury included sports injury in 31 cases, falling injury in 7 cases, and sprain in 6 cases. There were 32 cases of medial meniscus posterior horn tears and 12 cases of lateral meniscus posterior horn tears. The disease duration ranged from 6 weeks to 3 months. Thirty-three cases were complicated with anterior cruciate ligament rupture. All patients had normal lower limb alignment. The preoperative Lysholm score was 42.1±9.1. According to the evaluation criteria of MRI and Barrett ., the healing of meniscus was evaluated, and the effectiveness was evaluated by Lysholm score.
All the 44 patients were followed up 8-36 months with an average of 16.8 months. At last follow-up, according to the evaluation criteria of Barrett , 39 cases were clinically healed, 5 cases were not healed, the clinical healing rate was 88.6%; according to MRI evaluation, 32 cases were completely healed, 7 cases were partially healed, and 5 cases were not healed, the total healing rate was 88.6%, and the complete healing rate was 72.7%. Lysholm score was 87.8±4.8, which was significantly different from that before operation ( =31.060, =0.000).
Arthroscopic all-inside combined with outside-in "suture loop" repair is a reliable and effective method for the meniscus BHT, which can obtain good joint function.
探讨关节镜下全关节内联合由外向内“缝线环”修复半月板桶柄状撕裂（BHT）的有效性。
2016年8月至2019年5月，对44例半月板BHT患者采用关节镜下全关节内联合由外向内“缝线环”治疗。其中男性29例，女性15例，平均年龄26.6岁（18 - 42岁）。损伤原因包括运动损伤31例，坠落伤7例，扭伤6例。内侧半月板后角撕裂32例，外侧半月板后角撕裂12例。病程6周至3个月。33例合并前交叉韧带断裂。所有患者下肢力线正常。术前Lysholm评分为42.1±9.1。根据MRI及Barrett等的评估标准评估半月板愈合情况，采用Lysholm评分评估疗效。
44例患者均获随访，随访时间8 - 36个月，平均16.8个月。末次随访时，根据Barrett评估标准，临床愈合39例，未愈合5例，临床愈合率为88.6%；根据MRI评估，完全愈合32例，部分愈合7例，未愈合5例，总愈合率为88.6%，完全愈合率为72.7%。Lysholm评分为87.8±4.8，与术前比较差异有统计学意义（ =31.060， =0.000）。
关节镜下全关节内联合由外向内“缝线环”修复半月板BHT是一种可靠、有效的方法，可获得良好的关节功能。
