目的 探討關(guān)節(jié)鏡下采用double-needle縫線修復(fù)混合型半月板撕裂的療效。 方法2006年4月－2011年1月，關(guān)節(jié)鏡下采用double-needle縫線修復(fù)22例單膝混合型半月板撕裂。男14例，女8例；年齡18～41歲，平均31.3歲。均為運(yùn)動(dòng)損傷。受傷至入院時(shí)間為2 d～4年，中位時(shí)間11個(gè)月。膝關(guān)節(jié)功能根據(jù)國際膝關(guān)節(jié)文獻(xiàn)委員會(huì)（IKDC）評(píng)分標(biāo)準(zhǔn)為（42.5 ± 15.2）分， Lysholm評(píng)分為（45.5 ± 13.5）分，Tegner評(píng)分為（2.9 ± 1.6）分。17例合并前交叉韌帶損傷。 結(jié)果術(shù)后切口均Ⅰ期愈合，無神經(jīng)、血管損傷。患者均獲隨訪，隨訪時(shí)間12～48個(gè)月，平均27.6個(gè)月。按照Barrett等的評(píng)定標(biāo)準(zhǔn)，19例半月板臨床愈合，臨床愈合率86%。末次隨訪時(shí)，患者膝關(guān)節(jié)活動(dòng)度均恢復(fù)正常，IKDC評(píng)分為（77.1 ± 8.9）分，Lysholm評(píng)分為（79.8 ± 9.9）分，Tegner評(píng)分為（6.8 ± 1.6）分，與術(shù)前比較差異均有統(tǒng)計(jì)學(xué)意義（P lt; 0.05）。 結(jié)論關(guān)節(jié)鏡下使用double-needle縫線由內(nèi)向外修復(fù)混合型半月板撕裂固定牢固、療效肯定。
引用本文： 趙道洪,陳鴻,張俊. 關(guān)節(jié)鏡下double-needle縫線修復(fù)混合型半月板撕裂. 中國修復(fù)重建外科雜志, 2012, 26(10): 1158-1160. doi: 復(fù)制
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| 8. | Tengrootenhuysen M, Meermans G, Pittoors K, et al. Long-term outcome after meniscal repair. Knee Surg Sports Traumatol Arthrosc, 2010, 19(2): 236-241. |
| 9. | 龔熹, 余家闊, 敖英芳, 等. 關(guān)節(jié)鏡下FasT-Fix系統(tǒng)修復(fù)半月板中期療效觀察. 中國微創(chuàng)外科雜志, 2010, 16(11): 1000-1002. |
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| 11. | Bava ED, Barber FA. Meniscal repair with the newest fixators: which are best? Clin Sports Med, 2012, 31(1): 49-63. |
| 12. | Toman CV, Dunn WR, Spindler KP, et al. Success of meniscal repair at anterior cruciate ligament reconstruction. Am J Sports Med, 2009, 37(6): 1111-1115. |
| 13. | Hefti F, Müller W, Jakob RP, et al. Evalation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc, 1993, 1(3-4): 226-234. |
| 14. | Gallacher PD, Gilbert RE, Kanes G, et al. White on white meniscal tears to fix or not to fix? Knee, 2010, 17(4) : 270-273. |
- 1. Zantop T, Eggers AK, Musahl V, et al. Cyclic testing of flexible all-inside meniscus suture anchous: biomechanical analysis. Am J Sports Med, 2005, 33(3): 388-394.
- 2. Vinyard TR, Wolf BR. Meniscal repair: outside-in repair. Clin Sports Med, 2012, 31(1): 33-48.
- 3. Dillon JP, Martin DK. Is repeated repair of the meniscus worthwhile? Acta Orthop Belg, 2011, 77(1): 18-20.
- 4. Vlychou M, Hantes M, Michalitsis S, et al. Chronic anterior cruciate ligament tears and associated meniscal and traumatic cartilage lesions: evaluation with morphological sequences at 3.0 T. Skeletal Radiol, 2011, 40(6): 709-716.
- 5. Borden P, Nyland J, Caborn DN, et al. Biomechanical comparison of the FasT-Fix meniscal repair suture system with vertical matterss sutures and meniscus arrows. Am J Sports Med, 2003, 31(3): 374-378.
- 6. Haas AL, Schepsis AA, Hornstein J, et al. Meniscal repair using the FasT-Fix all-inside meniscal repair device. Arthroscopy, 2005, 21(2): 167-175.
- 7. Barrett GR, Treacy SH, Ruff CH. Preliminary results of the T-fix endoscopic meniscus repair technique in an anterior cruciate ligament reconstruction population. Arthroscopy, 1997, 13(2): 218-223.
- 8. Tengrootenhuysen M, Meermans G, Pittoors K, et al. Long-term outcome after meniscal repair. Knee Surg Sports Traumatol Arthrosc, 2010, 19(2): 236-241.
- 9. 龔熹, 余家闊, 敖英芳, 等. 關(guān)節(jié)鏡下FasT-Fix系統(tǒng)修復(fù)半月板中期療效觀察. 中國微創(chuàng)外科雜志, 2010, 16(11): 1000-1002.
- 10. Rosso C, Kovtun K, Dow W, et al. Comparison of all-inside meniscal repair devices with matched inside-out suture repair. Am J Sports Med, 2011, 39(12): 2634-2639.
- 11. Bava ED, Barber FA. Meniscal repair with the newest fixators: which are best? Clin Sports Med, 2012, 31(1): 49-63.
- 12. Toman CV, Dunn WR, Spindler KP, et al. Success of meniscal repair at anterior cruciate ligament reconstruction. Am J Sports Med, 2009, 37(6): 1111-1115.
- 13. Hefti F, Müller W, Jakob RP, et al. Evalation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc, 1993, 1(3-4): 226-234.
- 14. Gallacher PD, Gilbert RE, Kanes G, et al. White on white meniscal tears to fix or not to fix? Knee, 2010, 17(4) : 270-273.