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在娱乐性运动参与者中,使用内翻技术修复桶柄状内侧半月板撕裂后重返运动。

Return to sports after bucket handle medial meniscus tear repair using inside out technique in recreational sports players.

出版信息

Acta Orthop Belg. 2022 Sep;88(3):533-540. doi: 10.52628/88.3.7226.

Abstract

The main purpose of our study is to determine the outcomes of bucket handle medial meniscus tears repaired with the inside out technique in recreational sports players, and the return of these to pre-injury sports levels. 41 athletes with medial meniscus bucket handle tear were included in the study. 28 cases were associated with ACL tear while rest were isolated tears. Medial meniscus repair was done exclusively with arthroscopy assisted inside out technique. Lysholm score, IKDC score and Tegner staging were used to evaluate functional status of patients with minimum 1-year follow-up. Data was analyzed using Wilcoxon Matched pairs test, and Friedman test. All patients were examined clinically at regular intervals. Lysholm score and IKDC score showed significant increase in their values. Tegner staging showed no significant change compared to their preinjury game level. On VAS pain scale, there was significant decrease in their pain at regular follow up intervals. 2 patients had re-tears of the repaired medial meniscus. Repairing bucket handle tears of the medial meniscus in recreational sports players with the inside out technique yields good results in terms of clinical and functional outcomes. It successfully allows them to return to sports at 1 year.

摘要

我们研究的主要目的是确定使用内翻技术修复的娱乐性运动参与者的半月板桶柄状撕裂的结果,以及他们恢复到受伤前运动水平的情况。研究纳入了 41 名内侧半月板桶柄状撕裂的运动员。其中 28 例与 ACL 撕裂有关,其余为单纯撕裂。内侧半月板修复仅采用关节镜辅助内翻技术完成。Lysholm 评分、IKDC 评分和 Tegner 分期用于评估至少 1 年随访的患者的功能状况。使用 Wilcoxon 配对检验和 Friedman 检验对数据进行分析。所有患者均定期进行临床检查。Lysholm 评分和 IKDC 评分显示其分值显著增加。与受伤前的运动水平相比,Tegner 分期没有显著变化。在 VAS 疼痛量表上,他们的疼痛在定期随访间隔显著下降。2 名患者的修复内侧半月板再次撕裂。使用内翻技术修复娱乐性运动参与者的半月板桶柄状撕裂在临床和功能结果方面取得了良好的效果。它成功地使他们在 1 年内恢复运动。

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