摘要
目的探讨采用可吸收快速锁定缝合装置(Rapidloc-PDS)在关节镜下缝合治疗膝半月板损伤的治疗效果。方法30例33侧半月板损伤在关节镜下应用Rapidloc-PDS可吸收缝合装置缝合撕裂的半月板。术后由专科治疗师指导康复训练。结果术后平均随访7.4个月(3～12个月)。2例在缝合部有轻度疼痛,1例膝关节屈曲活动受限,1例伸直活动受限;其余患者症状消失,无关节弹响,功能良好。Lysholm评分术前(58.0±13.0)分,术后末次(93.0±7.0)分(t=2.628,P<0.01);IKDC2000评分术前(49.0±11.5)分,术后末次(90.0±8.6)分(t=1.375,P<0.05)。结论Rapidloc-PDS可吸收缝合装置关节镜下缝合半月板,具有安全、可靠、操作简便等优点。它采用all-inside技术,不需辅助切口,避免了血管、神经的损伤,特别适合于半月板后角及体部与后角交界区的损伤处理。
Objective To investigate the efficiency of Rapidloc - PDS meniscal suture system in arthroscopic meniscus repairs. Methods A total of 33 menisci of 30 patients with meniscus injuries underwent arthroscopic repair with Rapidloc - PDS suture system. Results The mean follow- up time was 7.4 months （from 3 to 12 months）. Two patients felt a slight pain near the site of suture after the operations, and then freedom from pain was achieved without special treatment. One patients had 20^＊limitation of knee flexion. One patient had 10^＊limitation of knee extension. The other patients had excellent knee functions without joint clicking or other symptoms. Preand post - operative Lysholm knee scores were （58.0 ±13.0） points and （93.0 ±7.0） points respectively （ t = 2.628, P 〈 0.01 ） ; Preand post-operative IKDC knee scores were （49.0 ±11.5） points and （90.0±8.6） points＇respectively （t = 1.375, P〈0.05）. Conclusion Application of Rapidloc- PDS suture system sutures in arthroscopic meniscus repair is safe, reliable, and easy to use.
出处
《中国骨与关节损伤杂志》
2007年第8期653-655,共3页
Chinese Journal of Bone and Joint Injury
