应用Fast-Fix关节镜下修复半月板损伤  

Fast-Fix system used in arthroscopic meniscal repair

作　　者：张洪涛[1] 刘康[1] 李青[1] 曾毅军[1] 蔡道章[2] 

机构地区：[1]中山市人民医院骨科,528403 [2]中山大学附属第三医院,广州510630

出　　处：《中华关节外科杂志（电子版）》2009年第5期43-45,共3页Chinese Journal of Joint Surgery(Electronic Edition)

基　　金：中国博士后科学基金资助项目(20080430810)

摘　　要：目的探讨Fast-Fix在关节镜下半月板损伤修复中的应用,并尝试对其手术技巧与疗效进行相关分析。方法选择本组59例在关节镜下应用Fast-Fix半月板缝合装置缝合的半月板撕裂的患者,其中陈旧性损伤31例,新鲜损伤28例,应用Fast-Fix缝合数目1～3个。术后根据MRI随访,并进行膝关节Lysholm评分及膝关节半月板损伤后JOY疗效评分。结果半月板平均缝合时间为5min。患者平均随访15个月,术后3个月MRI复查,半月板愈合率91%。术后患者的膝关节Lysholm评分、JOY疗效评分与术前比较,差异有统计学意义(t=5.215,P<0.01),疗效的优良率为89%。结论应用Fast-Fix在关节镜下行半月板撕裂缝合,方法简便,易于操作,固定牢靠,术后半月板愈合率高,是一种方便、有效的完全关节镜下半月板缝合技术。Objective To evaluate Fast-Fix system used in arthroscopic meniscal repair and analyse the relationship between operation skill and clinical efficiency.Methods 59 patients in zhongshan people’s hospital from 2006.5 to 2008.09 with meniscal injury repaired by Fast-Fix arthroscopic meniscal repair systems were evaluated by MRI, Lysholm system and JOY score.Results Average operation time was 5 mins, and 3 months after operation, 91% of 59 patients were healed, 89%cases had excellent and good outcome confirmed by MRI.Conclusions Fast-Fix arthroscopic meniscal repair system is a good system for meniscal repair, it is easy to be operated and make meniscus perfect rehabilitation.

关 键 词：半月板 胫骨 关节镜 Fast—Fix 

分 类 号：R687.3[医药卫生—骨科学]