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
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作者Author单位AddressE-Mail
刘晓宁 LIU Xiao-ning 吉林大学第二医院骨科, 吉林 长春 130041 Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China  
于海驰 YU Hai-chi 吉林大学第二医院骨科, 吉林 长春 130041 Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China  
李颖智 LI Ying-zhi 吉林大学第二医院骨科, 吉林 长春 130041 Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China  
薛盼 XUE Pan 吉林大学第二医院骨科, 吉林 长春 130041 Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China  
黄炳哲 HUANG Bing-zhe 吉林大学第二医院骨科, 吉林 长春 130041 Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China 28193207@qq.com 
张伟 ZHANG Wei 吉林大学第二医院骨科, 吉林 长春 130041 Department of Orthopaedics, the Second Hospital Affiliated to Jilin University, Changchun 130041, Jilin, China  
期刊信息:《中国骨伤》2019年,第32卷,第12期,第1094-1096页
DOI:10.3969/j.issn.1003-0034.2019.12.005
基金项目:
中文摘要:

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。
【关键词】膝关节  胫骨半月板损伤  修复外科手术  关节镜
 
Arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels
ABSTRACT  

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.
KEY WORDS  Knee joint  Tibial meniscus injuries  Reconstructive surgical procedures  Arthroscopes
 
引用本文,请按以下格式著录参考文献:
中文格式:刘晓宁,于海驰,李颖智,薛盼,黄炳哲,张伟.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[J].中国骨伤,2019,32(12):1094~1096
英文格式:LIU Xiao-ning,YU Hai-chi,LI Ying-zhi,XUE Pan,HUANG Bing-zhe,ZHANG Wei.Arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(12):1094~1096
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