关节镜下双面立体缝合修复半月板桶柄状撕裂的中期疗效  

MEDIUM-TERM EFFECTIVENESS OF BOTH SIDE STEREO SUTURE FOR MENISCUS BUCKET HANDLE TEAR UNDER ARTHROSCOPY

作　　者：黄东红[1] 卢启贵[1] 王平[1] 孙克民[1] 李政[1] 

机构地区：[1]深圳平乐骨伤科医院骨关节病科,广东深圳518010

出　　处：《中国修复重建外科杂志》2015年第2期163-166,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨关节镜下应用双面立体缝合修复半月板桶柄状撕裂的中期疗效。方法 2009年1月-2012年12月,收治38例半月板桶柄状撕裂患者。男26例,女12例;年龄19~42岁,平均32岁。致伤原因:运动伤21例,交通事故伤11例,其他伤6例。左膝15例,右膝23例。伤后至手术时间为2 d^6个月,平均2.5个月。MRI提示半月板Ⅲ度损伤,内侧半月板22例、外侧半月板16例。于关节镜下采用上层面和下层面水平褥式缝合修复治疗。结果患者术后切口均Ⅰ期愈合,未出现切口感染、不愈合等并发症。38例均获随访,随访时间18~36个月,平均24.5个月。按照Barrett等的标准,半月板均成功修复。术后6个月、12个月及末次随访时,患者膝关节Lysholm评分及膝关节活动度均显著优于术前,差异均有统计学意义(P<0.05)。结论关节镜下双面立体缝合修复半月板桶柄状撕裂,具有缝合牢固、愈合率高等特点,可取得满意的中期疗效。Objective To investigate the medium-term effectiveness of both side stereo suture for meniscus bucket handle tear under arthroscopy. Methods Between January 2009 and December 2012, 38 patients with combined injury of meniscus bucket handle tear underwent arthroscope surgery by the method of both side stereo suture. There were 26 males and 12 females with an average age of 32 years（range, 19-42 years）. The injury causes included sports injury in 21 cases, traffic accident injury in 11 cases, and other trauma in 6 cases. The left knee was involved in 15 cases and the right knee in 23 cases. The interval between injury and operation was 2 days to 6 months（mean, 2.5 months）. MRI examination showed meniscus injury at grade III, including 22 cases of internal injury and 16 cases of lateral injury. The Barrett standard, Lysholm score of knee joint, and joint mobility were used to assess the function recovery of the knee joint. Results All incisions healed primarily with no complication. All cases were followed up 24.5 months on average（range, 18-36 months）. Based on the Barrett standard, meniscus bucket handle tear was successfully repaired in all cases. The Lysholm scores and range of motion of the knee at 6 months, 12 months, and last follow-up were significantly better than preoperative ones（P〈0.05）. Conclusion The both side stereo suture of meniscus bucket handle tear under arthroscopy has an excellent medium-term effectiveness, with the advantages of firm suture and high healing rate.

关 键 词：关节镜 半月板损伤 桶柄状撕裂 立体缝合 修复 

分 类 号：R687.4[医药卫生—骨科学]