关节镜下经胫骨双隧道牵引拉出修复技术治疗内侧半月板后根部损伤  

Arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels

作　　者：刘晓宁[1] 于海驰[1] 李颖智[1] 薛盼 黄炳哲 张伟[1] LIU Xiao-ing;YU Hai-chi;LI Ying-zhi;XUE Pan;HUANG Bing-zhe;ZHANG Wei(Department of Orthopaedics,the Second Hospital Affiliated to Jilin University,Changchun 130041,Jilin,China)

机构地区：[1]吉林大学第二医院骨科,吉林长春130041

出　　处：《中国骨伤》2019年第12期1094-1096,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:评价经胫骨双隧道牵引拉出修复技术治疗内侧半月板后根部损伤的手术技术和临床效果。方法:自2014年5月至2017年5月,采用经胫骨双隧道内侧半月板后根部牵引修复方法治疗内侧半月板后根部损伤22例,其中男8例,女14例;年龄34~53(45.7±4.7)岁。术后随访12~24(16.4±5.2)个月。结果:术前膝关节Lysholm评分61.8±4.3,IKDC评分59.9±2.9;末次随访Lysholm评分89.1±3.0,IKDC评分89.0±2.5,术后评分均高于术前。结论:关节镜下经胫骨双隧道牵引拉出修复技术对治疗有症状的内侧半月板后根部损伤是一种行之有效的治疗方法,能够显著改善膝关节功能。Objective:To evaluate the surgical technique and clinical effect of arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels.Methods:From May 2014 to May 2017,22 patients with posterior root tear of medial meniscus were treated by pullout suture repair via the double tibial tunnels,including 8 males and 14 females,aged 34 to 53 years old,with a mean of averaged(45.7±4.7)years old.The patients were followed up for 12 to 24 months,with a mean of(16.4±5.2)months.Results:The Lysholm score of knee joint before operation was 61.8±4.3,IKDC score before operation was 59.9±2.9,Lysholm score at the latest follow-up was 89.1±3.0,and IKDC score was 89.0±2.5.The difference was statistically significant.Conclusion:Arthroscopic pullout suture repair via the double tibial tunnelsis an effective treatment for symptomatic posterior root tear of medial meniscus,and it can significantly improve the knee functional outcome.

关 键 词：膝关节 胫骨半月板损伤 修复外科手术 关节镜 

分 类 号：R684[医药卫生—骨科学]