全內(nèi)縫合半月板縱裂臨床研究
發(fā)布時間:2018-07-05 09:16
本文選題:半月板縱裂 + 關節(jié)鏡; 參考:《國際骨科學雜志》2016年05期
【摘要】:目的探討關節(jié)鏡下FAST-FIX縫合修復半月板縱裂初期臨床效果。方法 2011年10月至2013年4月,對46例半月板縱裂患者采用關節(jié)鏡下FAST-FIX縫合器全內(nèi)縫合修復術(shù)。根據(jù)大腿周徑、單腿跳遠測試及關節(jié)活動范圍進行臨床客觀評估,并采用疼痛視覺模擬評分(VAS)、Lysholm評分、Tegner評分及國際膝關節(jié)文獻委員會膝關節(jié)評估表(IKDC)主觀評分進行膝關節(jié)主觀功能評估。結(jié)果術(shù)后隨訪30~36個月,平均(32.95±2.48)個月。患者切口均一期愈合,無其他并發(fā)癥發(fā)生。術(shù)前健側(cè)與末次隨訪患側(cè)大腿周徑、單腿跳遠測試及關節(jié)活動范圍差異有統(tǒng)計學意義;術(shù)前與末次隨訪患側(cè)VAS評分、Lysholm評分、Tegner評分及IKDC主觀評分差異有統(tǒng)計學意義。結(jié)論采用關節(jié)鏡下FAST-FIX縫合修復半月板縱裂能最大限度地保留半月板功能,臨床療效好。
[Abstract]:Objective to investigate the clinical effect of arthroscopic FAST-FIX suture for meniscus longitudinal fissure. Methods from October 2011 to April 2013, 46 patients with longitudinal meniscus were treated with arthroscopic total suture with FAST-FIX suture. According to thigh circumference, single leg long jump test and joint motion range, The subjective function of knee joint was evaluated by visual analogue pain score (VAS), Lysholm score and Tegner score, as well as the subjective score of the knee Joint Assessment form (IKDC) of the International knee Literature Committee. Results the follow-up period was 30 ~ 36 months (mean 32.95 鹵2.48 months). All the incisions healed at the first stage, and no other complications occurred. There were significant differences in thigh circumference, single leg long jump test and joint motion range between the healthy side and the last follow-up, and there were significant differences between the preoperative and the last follow-up VAS score, Lysholm score, Tegner score and IKDC subjective score. Conclusion arthroscopic FAST-FIX suture for meniscus longitudinal fissure can preserve the meniscus function to the maximum extent, and the clinical effect is good.
【作者單位】: 沈陽市骨科醫(yī)院運動醫(yī)學科;遼寧中醫(yī)藥大學;
【分類號】:R873
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本文編號:2099720
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