关节镜下Fastin带线锚钉修复外侧半月板前角损伤  

Fastin anchors for arthroscopic repair of anterior horn injury of the lateral meniscus

作　　者：许伟朋[1] 许建中[1] 田科[1] 李超[1] 李宇[1] 乔源鑫[1] 

机构地区：[1]郑州大学第一附属医院骨科,河南省郑州市450052

出　　处：《中国组织工程研究》2012年第39期7250-7253,共4页Chinese Journal of Tissue Engineering Research

摘　　要：背景:Fastin锚钉已被广泛用于肩袖损伤、韧带损伤等治疗,但用于半月板修复方面国内报道较少。目的:探讨关节镜下应用带线锚钉治疗外侧半月板前角损伤的方法和临床疗效。方法:回顾性分析经MRI诊断并经关节镜下确诊外侧半月板前角损伤适合行缝合修复的22例患者的临床资料,所有患者行关节镜下带线锚钉固定缝合,通过症状、体征、Lysholm及国际膝关节评分委员会评分对其临床效果进行评价。结果与结论:患者均获得随访,时间7-28个月(平均19.3个月),无严重并发症发生,Lysholm评分和国际膝关节评分委员会评分分别由治疗前的(45.20±7.47)分和(41.55±8.91)分升高到治疗后的(90.60±5.46)分和(91.85±1.09)分(P<0.05),说明关节镜下应用带线锚钉治疗半月板前角损伤能够达到良好的临床效果。BACKGROUND： Fastin anchors have been widely used in repairing rotator cuff injury, ligament injury and so on, but rarely reported for meniscus repair. OBJECTIVE： To evaluate the methods and clinical effectiveness of arthroscopic repair with anchors for anterior horn injury of the lateral meniscus. METHODS： Retrospective analysis was performed on the clinical data of 22 patients who had been diagnosed with anterior horn injury of the lateral meniscus through MRI and definitely diagnosed through arthroscopy, all of them was suitable for repairing and received arthroscopic repair with anchors, the clinical effect was evaluated through symptoms, signs, Lysholm and International Knee Documentation Committee system. RESULTS AND CONCLUSION： All the patients were followed-up for 7-28 months （19.3 months）. There were no severe complications. The Lysholm and International Knee Documentation Committee systems showed that the scores ascended respectively from （45.20±7.47） and （41.55±8.91） before surgery to （90.60±5.46） and （91.85±1.09） after surgery （P 0.05）. These indicate that the methods of arthroscopic repair with anchors for anterior horn injury of the lateral meniscus can get a good clinical effect.

关 键 词：带线锚钉 半月板 前角损伤 Fastin 修复 关节镜 

分 类 号：R318[医药卫生—生物医学工程]