Zhang Ming-Tao, Yang Zhi-Tao, Liu Tao, Zhang Bo-Rong, Tan Xiao-Yi, Jiang Jin, An Li-Ping, Yun Xiang-Dong
Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China.
Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China; The Key Laboratory of Bone and Joint Diseases Research of Gansu Provincial, Lanzhou 730030, Gansu, China.
Zhongguo Gu Shang. 2024 Jul 25;37(7):713-7. doi: 10.12200/j.issn.1003-0034.20221094.
To investigate the mid-term effect and complications of arthroscopic popliteal tendon suture in the treatment of lateral meniscus injury.
From January 2016 to December 2020, the data of 57 patients with lateral meniscus popliteal tendon injury treated by arthroscopic popliteal tendon suture fixation were retrospectively analyzed, including 35 males and 22 females, aged from 18 to 47 years old with an average of (32.9±7.9) years old. Knee function was evaluated using the International Knee Documentation Committee (IKDC) and Lysholm scores both before the operation and at the final follow-up. Meniscus healing was evaluated according to the postoperative Barrett standard. Wound healing complications, such as vascular injury, nerve injury, and lower extremity venous thrombosis, were recorded.
All 57 patients were followed up for 12 to 58 months with an average of (38.1±14.9) months.The incisions of the patients after the operation were all Grade A healing without infection, popliteal tendon injury, blood vessel injury, nerve injury and lower extremity venous thrombosis.The IKDC score increased from (49.7±3.6) points preoperatively to (88.5±4.4) points in the final follow-up (<0.05). The Lysholm score increased from (48.8±4.9) points preoperatively to (91.9±3.9) points at the final follow-up (<0.05). At 3, 6 months and 1 year after operation, according to Barrett's criteria, 54 cases were clinically healed, the healing rate was 94.7% (54/57).
This study preliminarily confirmed that arthroscopic suture technique can result in clinical stability through suture and fixation of the meniscus in the injured lateral popliteal tendon area. No adverse effects on knee joint function were found in the mid-term follow-up after the operation.
探讨关节镜下腘肌腱缝合术治疗外侧半月板损伤的中期疗效及并发症。
回顾性分析2016年1月至2020年12月采用关节镜下腘肌腱缝合固定治疗的57例外侧半月板腘肌腱损伤患者的资料，其中男性35例，女性22例，年龄18～47岁，平均（32.9±7.9）岁。分别于术前及末次随访时采用国际膝关节文献委员会（IKDC）评分和Lysholm评分评估膝关节功能。根据术后Barrett标准评估半月板愈合情况。记录伤口愈合并发症，如血管损伤、神经损伤和下肢静脉血栓形成。
57例患者均获随访，随访时间12～58个月，平均（38.1±14.9）个月。术后患者切口均甲级愈合，无感染、腘肌腱损伤、血管损伤、神经损伤及下肢静脉血栓形成。IKDC评分由术前的（49.7±3.6）分提高至末次随访时的（88.5±4.4）分（P<0.05）。Lysholm评分由术前的（48.8±4.9）分提高至末次随访时的（91.9±3.9）分（P<0.05）。术后3、6个月及1年时，根据Barrett标准，54例临床愈合，愈合率为94.7%（54/57）。
本研究初步证实，关节镜下缝合技术通过对损伤的外侧腘肌腱区域半月板进行缝合固定可实现临床稳定。术后中期随访未发现对膝关节功能有不良影响。
