全关节镜下应用FasT-Fix修复半月板损伤的中期疗效观察  

Mid-term results of arthroscopic treatment with FasT-Fix for meniscal injury

作　　者：韩长旭[1] 王婧娟[2] 任逸众[1] 贾岩波[1] 银和平[1] 刘晓民[1] 

机构地区：[1]内蒙古医科大学第二附属医院关节镜与运动医学外科,呼和浩特010030 [2]内蒙古医科大学第二附属医院康复科,呼和浩特010030

出　　处：《中华关节外科杂志（电子版）》2013年第1期29-32,共4页Chinese Journal of Joint Surgery(Electronic Edition)

基　　金：国家自然科学基金资助项目(31260230);内蒙古自治区自然基金资助项目(2010MS1109)

摘　　要：目的探讨关节镜下应用FasT-Fix缝合修复半月板损伤,并在有效的康复治疗后评价其中期临床疗效。方法回顾性研究因半月板损伤而在关节镜下采用FasT-Fix缝合修复治疗的患者。本组患者24例(男14例,女10例),共计31例半月板损伤,年龄15～52岁(平均28.3岁)。其中12例是单纯的半月板修复缝合、19例患者是在前交叉韧带重建术后进行的缝合。包括内侧半月板损伤12例,外侧半月板损伤9例,内外侧半月板同时损伤5例,病程1周～23周(除去2例3年的患者),平均12周。撕裂长度平均15mm(10～25mm)。其中红红区15例,红白区16例,没有白白区进行缝合。平均缝合针数2针(1～4针)。结果所有病例术后均无并发症的发生,随访时间2～4年,平均为2.7年,Lysholm,Tegner,IKDC评分术前、术后评分分别为:45.3、85.4;2.1、3.5;3.1、7.1,差异有统计学意义(P<0.01)。结论 FasT-Fix修复半月板损伤患者在有效康复下,通过中期随访获得88%的优良率。Objective To evaluate the clinical efficacy of the FasT-Fix meniscal repair device associated with an accelerated rehabilitation program. Methods A consecutive series of meniscal repair performed with the FasT-Fix device were retrospectively studied. 24 patients （31 menisci ） met the inclusion criteria. The average age was 28.3 years （ range, 15 to 52 years）. There were 14 male and 10 female patients. 12 cases were performed meniscus repair only, and 19 were performed meniscus repair combined with anterior cruciate ligament （ACL） reconstruction. There were 12 cases of medial menisci and nine cases of lateral menisci. Five patients had both medial and lateral meniscal repair at the same time. Average time from injury to surgery was 12 weeks （range, one to 23 weeks）, except for two not-included cases which were three years after injury till the surgery. The average tear length was 15 mm （range, 10 to 25 ram）. The tear locations were in the red-red zone of the meniscus （ 15 cases） and the red-white zone （ 16 cases）. There was no tear in white-white zone. The average number of FasT-Fix devices used was two （range, one to four）. Results All patients of meniscal repair with the FasT-Fix device were symptom- free. 31 cases were followed up for 2. 7 years （range, two to four years） in average. The Lysholm, Tegner and International Knee Documentation Committee （IKDC） activity scores before surgery were 45.3, 2. 1, and 3. 1 respectively; the postoperative scores were 85.4, 3.5, and 7. 1 respectively. The difference among these results was statistically significant （P 〈 0. 01 ） . Conclusions The Fast-Fix meniscal repair associated with an accelerated rehabilitation program achieved an excellent and good rate of 88% in mid- term follow-up.

关 键 词：关节镜检查 FasT—Fix 半月板修复缝合 

分 类 号：R686[医药卫生—骨科学]