缝合治疗在膝关节内侧半月板桶柄状撕裂中的应用及效果_《华西医学》

作者：

李强 , 高志 , 程松苗 , 胡勇 , 张旸 , 郑伟

四川省骨科医院膝关节科（成都，610041）;

关键词：

半月板桶柄状撕裂缝合关节镜手术

DOI：

10.7507/1002-0179.20130376

视频：

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目的　探讨缝合治疗在膝关节内侧半月板桶柄状撕裂中的应用及效果。方法　对2010年6月－2012年7月18例膝关节内侧半月板桶柄状撕裂患者，采用多种缝合材料、缝合方式相结合的方法予以救治。结果　18例患者术后即时MRI均显示内侧半月板位置、形态恢复良好。随访12～26个月，所有患者膝关节活动度均正常，Lysholm评分术前（45.0 ± 3.5）分，术后末次随访（93.0 ± 5.1）分，差异有统计学意义（t=2.064，P＜0.05）；国际膝关节文献委员会膝关节评估表评分，术前（49.0 ± 1.5）分，术后（92.0 ± 3.6）分，差异有统计学意义（t=2.205，
P＜0.05）；无膝关节疼痛，麦氏试验阴性，术后MRI显示内侧半月板愈合良好。结论　采用缝合方法可挽救内侧半月板桶柄状撕裂，恢复半月板稳定性及正常功能。

引用本文： 李强,高志,程松苗,胡勇,张旸,郑伟. 缝合治疗在膝关节内侧半月板桶柄状撕裂中的应用及效果. 华西医学, 2013, 28(8): 1203-1206. doi: 10.7507/1002-0179.20130376 复制

1.	Eleftherios A, Makris MD, Pasha HBS, et al. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration[J]. Biomaterials, 2011, 32(30): 7411-7431.
2.	李峥艳, 邹翎, 李箭, 等. 膝关节半月板桶柄状撕裂低场强MRI影像分析[J]. 四川大学学报·医学版, 2009, 40(4): 749-751.
3.	Starke C, Kopf S, Petersen W, et al. Meniscal repair[J]. Arthroscopy, 2009, 25(9): 1033-1044.
4.	Turman KA, Diduch DR. Meniscal repair: indications and techniques[J]. J Knee Surg, 2008, 21(2): 154-162.
5.	Kraus T, Heidari N , Svehlík M , et al. Outcome of repaired unstable meniscal tears in children and adolescents[J]. Acta Orthop, 2012 , 83(3): 261-266.
6.	Noyes FR, Barber-Westin SD, Chen RC. Repair of complex and avascular meniscal tears and meniscal transplantation[J]. Instr Course Lect, 2011, 60: 415-437.
7.	Choi NH, Kim TH, Victoroff BN. Comparison of arthroscopic medial meniscal suture repair techniques: inside-out versus all-inside repair [J]. Am J Sports Med, 2009, 37(11): 2144-2150.
8.	龚熹, 余家阔, 敖英芳, 等. 关节镜下FasT-Fix系统修复半月板中期疗效观察[J]. 中国微创外科杂志, 2010, 16(11): 1000-1002.
9.	李强, 胡勇, 梁翼, 等. 快速锁定装置在膝关节半月板损伤中的应用[J]. 中国骨与关节损伤杂志, 2008, 22(8): 653-655.
10.	Choi CJ, Choi YJ, Song IB, et al. Characteristics of radial tears in the posterior horn of the medial meniscus compared to horizontal tears[J]. Clin Orthop Surg, 2011, 3(2): 128-132.
11.	Kook HW, Dae HW, Jin HC, et al. Arthroscopic direct repair for a complete radial tear of the posterior root of the medial meniscus[J]. Clin Orthop Surg, 2011, 3(4): 332-335.
12.	Kalliakmanis A, Zourntos S, Bousgas D, et al. Comparison of arthroscopic meniscal repair results using 3 different meniscal repair devices in anterior cruciate ligament reconstruction patients.Arthroscopy[J]. 2008, 24(7): 810-816.
13.	Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes[J]. Arthroscopy, 2011, 27(9): 1275-1288.
14.	Tsai AM, McAllister DR, Chow S, et al. Results of meniscal repair using a bioabsorbable screw[J]. Arthroscopy, 2004, 20(6): 586-590.
15.	Gill SS, Diduch DR. Outcomes after meniscal repair using the meniscus arrow in knees undergoing concurrent anterior cruciate ligament reconstruction[J]. Arthroscopy, 2002, 18(6): 569-577.

1. 　Eleftherios A, Makris MD, Pasha HBS, et al. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration[J]. Biomaterials, 2011, 32(30): 7411-7431.
2. 　李峥艳, 邹翎, 李箭, 等. 膝关节半月板桶柄状撕裂低场强MRI影像分析[J]. 四川大学学报·医学版, 2009, 40(4): 749-751.
3. 　Starke C, Kopf S, Petersen W, et al. Meniscal repair[J]. Arthroscopy, 2009, 25(9): 1033-1044.
4. 　Turman KA, Diduch DR. Meniscal repair: indications and techniques[J]. J Knee Surg, 2008, 21(2): 154-162.
5. 　Kraus T, Heidari N , Svehlík M , et al. Outcome of repaired unstable meniscal tears in children and adolescents[J]. Acta Orthop, 2012 , 83(3): 261-266.
6. 　Noyes FR, Barber-Westin SD, Chen RC. Repair of complex and avascular meniscal tears and meniscal transplantation[J]. Instr Course Lect, 2011, 60: 415-437.
7. 　Choi NH, Kim TH, Victoroff BN. Comparison of arthroscopic medial meniscal suture repair techniques: inside-out versus all-inside repair [J]. Am J Sports Med, 2009, 37(11): 2144-2150.
8. 　龚熹, 余家阔, 敖英芳, 等. 关节镜下FasT-Fix系统修复半月板中期疗效观察[J]. 中国微创外科杂志, 2010, 16(11): 1000-1002.
9. 　李强, 胡勇, 梁翼, 等. 快速锁定装置在膝关节半月板损伤中的应用[J]. 中国骨与关节损伤杂志, 2008, 22(8): 653-655.
10. 　Choi CJ, Choi YJ, Song IB, et al. Characteristics of radial tears in the posterior horn of the medial meniscus compared to horizontal tears[J]. Clin Orthop Surg, 2011, 3(2): 128-132.
11. 　Kook HW, Dae HW, Jin HC, et al. Arthroscopic direct repair for a complete radial tear of the posterior root of the medial meniscus[J]. Clin Orthop Surg, 2011, 3(4): 332-335.
12. 　Kalliakmanis A, Zourntos S, Bousgas D, et al. Comparison of arthroscopic meniscal repair results using 3 different meniscal repair devices in anterior cruciate ligament reconstruction patients.Arthroscopy[J]. 2008, 24(7): 810-816.
13. 　Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes[J]. Arthroscopy, 2011, 27(9): 1275-1288.
14. 　Tsai AM, McAllister DR, Chow S, et al. Results of meniscal repair using a bioabsorbable screw[J]. Arthroscopy, 2004, 20(6): 586-590.
15. 　Gill SS, Diduch DR. Outcomes after meniscal repair using the meniscus arrow in knees undergoing concurrent anterior cruciate ligament reconstruction[J]. Arthroscopy, 2002, 18(6): 569-577.

《华西医学》

缝合治疗在膝关节内侧半月板桶柄状撕裂中的应用及效果

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《华西医学》

缝合治疗在膝关节内侧半月板桶柄状撕裂中的应用及效果

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