FAST-FIX全内缝合系统治疗膝关节半月板后角损伤中期疗效观察  

Arthroscopic repair posterior horn of the meniscus with FAST-FIX suture system:a mid-term clinical results report

作　　者：杨健齐[1] 魏鲁青[1] 张健平[1] 曾昭勇[1] 

机构地区：[1]佛山市第一人民医院骨科,佛山528000

出　　处：《广州医药》2017年第1期32-35,共4页Guangzhou Medical Journal

基　　金：广东省佛山市医学科研基金项目(2015250)

摘　　要：目的探讨FAST-FIX全内缝合系统治疗膝关节半月板后角损伤的3年中期疗效。方法 2011年1月—2013年4月采用FAST-FIX全内缝合系统治疗膝关节半月板后角损伤并均得到满意随访的患者46例,其中男27例,女19例,年龄17~42 a,平均(23.5±8.22)a。左膝25例,右膝21例,损伤类型:红区损伤33例,红白区损伤13例,其中8例伴交叉韧带损伤。根据Barrett标准评价半月板愈合情况,并用Lysholm评分、IKDC评分、Tegner评分分别评估术后关节功能改善情况。术前Lysholm评分为:(35.73±11.28)分,IKDC评分为:(37.26±13.17)分,Tegner评分为(3.3±1.7)。结果随访时间36~59个月,平均随访46.3个月,随访3年显示42例患者半月板愈合良好,手术成功率91.3%。术后4例患者出现疼痛,其中2例出现绞索,二次手术证实缝合失败并行半月板成形术。术后3年Lysholm评分为:(86.31±11.89)分,IKDC评分为:(82.9±13.44)分,Tegner评分为(5.9±1.9)。术前与术后3年随访评分相比均有统计学意义(P<0.05)。结论 FAST-FIX全内缝合系统治疗膝关节半月板后角损伤3年中期疗效良好。Objective To evaluate a 3-year mid-term clinical results of FAST-FIX suture system in arthroscopic meniscal posterior horn repair. Methods Clinical results of 46 patients with meniscal tear who underwent posterior horn of the meniscus repair using the FAST-FIX suture system from January 2011 to April 2013 were retrospectively analyzed. There were 27 males and 19 females,age 17 ~ 42 years old,average 23. 5 ± 8. 22 years old. There were 25 left knee and 21 right knee and 33 red zone injury and 13 red-white zone injury,8 of which were accompanied by anterior cruciate ligament injury.Clinical healing of the meniscus was assessed by Lysholm scores（35. 73 ± 11. 28） points,IKDC scores（37. 26 ± 13. 17）points and Tegner scores（3. 3 ± 1. 7） points before operation. Results The average follow-up period was 46. 3 months（range：36-59 months）. The clinical healing rate was 91. 3%. Healing failure occurred to 4 patients and 2 of which had a meniscus noose after operation and were confirmed surgical failure in reoperation. Mean Lysholm scores were（86. 31 ±11. 89）,IKDC scores（82. 9 ± 13. 44） and Tegner scores（5. 9 ± 1. 9） in 3 years after operation for all 46 cases. The differences between the preoperative and postoperative scores in three type scores were statistically significant（P〈0. 05）.Conclusion Arthroscopic posterior horn of the meniscus repair with the FAST-FIX suture system may provide good 3-year mid-term clinical results after operation.

关 键 词：半月板损伤 关节镜 FAST-FIX缝合系统 

分 类 号：R687.4[医药卫生—骨科学]