关节镜下同种异体半月板移植治疗半月板撕裂损伤  

Treatment of meniscus tear with meniscus allograft transplantation throw arthroscopy

作　　者：王小武[1] 张鹏[1] 

机构地区：[1]湖北医药学院附属东风医院骨关节科,湖北十堰442000

出　　处：《生物骨科材料与临床研究》2015年第4期23-25,28,共4页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的 探讨关节镜下同种异体半月板移植治疗半月板撕裂损伤的临床疗效.方法 2011年5月～2014年5月,采用关节镜下同种异体半月板移植治疗6例半月板撕裂损伤患者,男5例,女1例.年龄分别为36、37、39、41、42、45岁.4例外侧半月板移植,2例内侧半月板移植.随访包括患者术后关节症状及体征,Lysholm评分、膝关节X线及MRI检查等.结果 随访时间12～24个月,5例均无关节疼痛、肿胀等,关节活动度正常.1例关节反复积液,效果不满意.MRI提示5例半月板存活良好,1例半月板退变严重.结论 关节镜下同种异体半月板移植是治疗半月板严重撕裂损伤较好的方法,可以显著缓解膝关节疼痛,临床疗效满意.Objective To evaluate the clinical effect of the treatment of meniscus tear with meniscus allografi transplantation throw arthroscopy. Methods Between May 201 land May 2014, 6 cases of meniscus tear were treated with meniscus allograft transplantation throw arthroscopy. There were 5 males and 1 females with an average age of 40 years （aged 36,37,39,41,42,45 years）. The locations were the lateral in 4 cases and the medial in 2 cases. The clinical outcome of the patients was evaluated by assessing the symptoms and signs, Lysholm, the X-ray and magnetic resonance imaging （MRI）. Results The follow-up time was 12 to 24 months. During the period, 5 patients showed a normal motion range of the knee without pain or effusion of the knee joints, and the effect is not satisfactory in addition to 1 patient. Conculsion It is a good way to treat meniscus tear with meniscus allograft transplantation throw arthroscopy, which can ease knee pain, and the clinical efficacy is satisfactory.

关 键 词：关节镜 同种异体半月板移植 膝关节 

分 类 号：R687.4[医药卫生—骨科学]