摘要
目的探讨胫骨骨隧道拉出(“pull-out”技术)缝合半月板止点重建治疗外侧半月板后根部损伤(posterior root tear of the meniscus,PRTM)的短期临床疗效。方法2014年1月~2017年8月我科对25例PRTM行“pull-out”技术缝合半月板止点重建手术,使用缝合钩缝合PRTM游离端,利用ACL重建胫骨定位器固定于外侧半月板后根止点处准备胫骨隧道,将缝线经胫骨隧道穿出在胫骨外固定。术前后进行膝关节功能评分(Lysholm、IKDC评分)及疼痛VAS评分评价疗效。结果手术时间(74.1±8.1)min。住院时间(9.5±1.8)d。术后12个月Lysholm评分(90.0±7.5)分,显著高于术前(58.1±6.6)分(t=-22.441,P=0.000);术后12个月IKDC评分(90.3±6.4)分,显著高于术前(59.5±5.0)分(t=-27.439,P=0.000);术后12个月疼痛VAS评分中位数0分(0~3分),显著性低于术前5分(2~8分)(Z=-3.305,P=0.001)。结论“pull-out”技术缝合半月板止点重建修复外侧PRTM可取得满意的短期疗效,有利于外侧半月板生物力学和早期膝关节功能的恢复。
Objective To evaluate the clinical effect of transtibial pull-out suture to repair posterior root tear of the lateral meniscus.Methods From January 2014 to August 2017,25 patients in our hospital underwent transtibial pull-out suture for repairing the posterior root tear of the meniscus(PRTM).The suture hook was used to suture the PRTM free end,the ACL reconstruction tibial locator was used to fix the tibial tunnel at the stop point of the posterior root of the lateral meniscus,and the suture was inserted through the tibial tunnel to fix the tibia.The knee joint function score(Lysholm and IKDC scores)and VAS scores were compared before and after operation.Results The operations were successful in all the 25 cases.The operation time was(74.1±8.1)min.The hospitalization time was(9.5±1.8)d.The Lysholm and IKDC scores at 12 months postoperatively were(90.0±7.5)points and(90.3±6.4)points,both of which were significantly higher than those before the operation[(58.1±6.6)points and(59.5±5.0)points;t=-22.441,P=0.000;t=-27.439,P=0.000].The median VAS scores at 12 months postoperatively was 0(range,0-3)points,which was significantly lower than that before the operation[5(range,2-8)points;Z=-3.305,P=0.001].Conclusion The short-term clinical effect of the transtibial pull-out suture for repairing PRTM is satisfactory,which is beneficial to the recovery of biomechanics of lateral meniscus and early knee function.
作者
吴海贺
齐岩松
包呼日查
周慧文
吕飞
徐永胜
Wu Haihe;Qi Yansong;Bao Huricha(Department of Orthopedics, Inner Mongolia People’s Hospital, Hohhot 010017, China)
出处
《中国微创外科杂志》
CSCD
北大核心
2021年第3期231-234,共4页
Chinese Journal of Minimally Invasive Surgery
基金
国家自然基金地区科学基金项目(81560374)
国家自然科学基金青年项目(81601908)
内蒙古自治区自然科学基金项目(2017MS08136)。
关键词
半月板后根部损伤
半月板缝合
胫骨
Posterior root tear of the meniscus
Meniscus suture
Tibia
