论文部分内容阅读
目的：评价半月板撕裂患者关节镜下 FasT-Fix 缝合器修补术后5年的临床疗效。方法对2006年8月至2009年10月接受关节镜下 FasT-Fix 缝合器修补半月板撕裂手术的患者进行回顾性分析。本研究共纳入28例(32个撕裂的半月板)，男20例，女8例，年龄13～48岁，平均26.2岁。病程2周至2年，平均6个月。撕裂类型均为纵裂，撕裂部位位于红区10个半月板(31.3%)，红白区22个半月板(68.7%)。12例合并前交叉韧带( anterior cruciate ligament，ACL )损伤(44%)。根据 Barrett 标准评价半月板临床愈合情况，并用 IKDC、Lysholm、Tegner 评分评估膝关节功能改善情况。结果随访50～78个月，平均63.4个月。临床愈合率为84.4%(27/32)，愈合失败5个的半月板，术后2～5年出现症状，平均3.5年。IKDC 评分：术前(43.4±16.8)分，术后(80.7±15.7)分；Lysholm 评分：术前(41.2±14.1)分，术后(83.7±22.1)分；Tegner 评分：术前(3.1±1.4)分，术后(6.2±1.6)分，差异均有统计学意义(P＜0.05)。结论 FasT-Fix 修补半月板安全有效，术后5年临床疗效良好。“,”Objective To evaluate the 5-year clinical results of FasT-Fix suture device in arthroscopic meniscal repair.Methods Clinical results of 28 patients with 32 meniscal tears who underwent meniscal repair using the FasT-Fix device from August 2006 to October 2009 were retrospectively analyzed. There were 20 males and 8 females, whose mean age was 26.2 years old ( range: 13-48 years ). The average period from injury to surgery was 6 months ( range: 0.5 to 24 months ). All the meniscal tears belonged to peripheral longitudinal tears. The lesions were in the red / red zone (n=10, 31.3% ) and red / white zone (n=22, 68.7% ). Twelve patients ( 44% ) received the treatment of meniscal repair combined with anterior cruciate ligament ( ACL ) reconstruction. Clinical healing of the meniscus was assessed by Barrett’s criteria and the improvement of knee function was evaluated by International Knee Documentation Committee ( IKDC ), Lysholm and Tegner scoring systems.Results The average follow-up period was 63.4 months ( range: 50-78 months ). The clinical healing rate was 84.4% ( 27 / 32 ). Healing failure occurred to 5 patients, who had symptoms at 3.5 years ( range: 2-5 years ) after the operation. The preoperative IKDC, Lysholm and Tegner scores were ( 43.4±16.8 ) points, ( 41.2±14.1 ) points and ( 3.1±1.4 ) points. The postoperative IKDC, Lysholm and Tegner scores were ( 80.7±15.7 ) points, ( 83.7±22.1 ) points and ( 6.2±1.6 ) points. The differences between the preoperative and postoperative IKDC, Lysholm and Tegner scores were statistically signiifcant (P<0.05 ). Conclusions Arthroscopic meniscal repair with the FasT-Fix suture device is safe and effective, with a high rate of meniscus healing and few complications during the 5-year follow-up.