关节镜下Lasso缝合钩联合FasT-Fix治疗内侧半月板桶柄样撕裂的疗效评估  

Result of All-Inside Meniscal Repair of the Medial Bucket-Handle Meniscus Using the Lasso Sutures Combined with FasT-Fix Meniscus Repair System

作　　者：李强[1] 韩琼 吴茂厚 张楠心[1] LI Qiang;HAN Qiong;WU Maohou;ZHANG Nanxin(Department of Orthopedics,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院骨科,福州350005

出　　处：《福建医科大学学报》2020年第2期108-112,共5页Journal of Fujian Medical University

基　　金：福建省建设高水平医院专项基金(闽财指【2018】376号)。

摘　　要：目的研究关节镜下Lasso缝合钩联合FasT-Fix修复内侧半月板桶柄样撕裂的临床疗效。方法收集于关节镜下应用缝合钩技术联合FasT-Fix修复并行二次关节镜手术探查的内侧半月板桶柄样撕裂患者16例,其中合并前交叉韧带(ACL)损伤11例,予行关节镜下ACL重建术。术后综合临床症状、MRI检查及二次关节镜检查结果评估半月板修复治疗的临床效果。随访时间平均为18月。结果16例中,1例(6.25%)出现深蹲时膝关节疼痛,余15例无疼痛、积液、交锁、关节间隙压痛等表现。16例均于二次关节镜探查前行MRI检查,结果显示,完全愈合11例(68.75%),部分愈合4例(25%),不愈合1例(6.25%)。二次关节镜探查结果显示,完全愈合13例(81.25%),部分愈合2例(12.5%),不愈合1例(6.25%)。总成功率(完全愈合+部分愈合)为93.75%,失效率为6.25%。结论关节镜下Lasso缝合钩联合FasT-Fix治疗内侧半月板桶柄样撕裂疗效满意。Objective To study the clinical efficacy of arthroscopic Lasso sutures combined with FasT-Fix in repairing the bucket-handle tear of medial meniscus.Methods From September 2014 to October 2018,48 cases of arthroscopic Lasso sutures technique combined with FasT-Fix were used to repair the bucket-handle tear of medial meniscus.A total of 16 patients underwent arthroscopic second-look.The age of these patients ranged from 17 to 45 years with an average of 27 years.There were 9 male patients and 7 female patients.11 patients with arthroscopic anterior cruciate ligament injury underwent arthroscopic anterior cruciate ligament reconstruction.The clinical effects of meniscal repair were evaluated by clinical evaluation,MRI assessment and arthroscopic second-look.Results A total of 16 patients were followed up for an average of 18 months.Of the 16 patients,only 1(6.25%)had knee pain in deep squats,and the remaining 15 patients had no pain,effusion,interlocking,joint space tenderness or other complications.16 patients underwent MRI before arthroscopic second-look.The results of the MRI study:11(68.75%)patients with complete heal,4(25%)patients with partial heal,and only one(6.25%)with non-heal.According to the arthroscopic second-look,13 patients(81.25%)were completely healed in the 16 cases of bucket-handle tears,2(12.5%)were partially healed,and 1(6.25%)were non-healing.The total success rate(including complete healing and partial healing)was 93.75%and the failure rate was 6.25%.Conclusion Arthroscopic Lasso sutures combined with FasT-Fix is effective in the treatment for bucket-handle tear of medial meniscus.

关 键 词：半月板 胫骨 创伤和损伤 缝合技术 关节镜检查 

分 类 号：R322.72[医药卫生—人体解剖和组织胚胎学] R615[医药卫生—基础医学]