摘要
目的观察关节镜下经胫骨隧道修复内侧半月板后根撕裂的短期临床疗效。方法回顾性分析2016年7月至2020年6月烟台芝罘医院骨科收治的15例半月板后根撕裂患者的临床资料,通过比较手术前后Lysholm评分、国际膝关节文献委员会(IKDC)评分、疼痛视觉模拟(VAS)评分和影像学参数内侧半月板挤压比值(MME)及膝关节骨性关节炎的Kellgren-Lawrence(K-L)分级以评估手术结果。结果15例患者均获得随访,术后复查MRI显示半月板根部修复均完全愈合;术后12个月随访时,Lysholm评分、IKDC评分、VSA评分均较术前显著提高,而MME比值较术前明显减少,差异均有统计学意义(P<0.05);仅1例患者术前Kellgren-Lawrence(K-L)分级0级术后进展为I级,其余患者K-L分级无改变。结论关节镜下经胫骨隧道修复内侧半月板后根撕裂可显著改善半月板愈合,缓解患者疼痛,短期随访临床疗效显著。
Objective To observe the short-term clinical effect of arthroscopic repair of medial posterior meniscus root tear through tibial tunnel.Methods The clinical data of 15 patients with meniscus posterior root tear admitted to Department of Orthopedics,Yantai Zhifu Hospital from July 2016 to June 2020 were retrospectively analyzed.The Lysholm score,the International Knee Documentation Committee Knee Evaluation Form(IKDC)score,Visual Analogue Scale(VAS)score,and medial meniscus extrusion(MME),and Kellgren-Lawrence(K-L)classification of knee osteoarthritis were compared before and after operation.Results All 15 patients were followed up,and postoperative MRI showed that the meniscus root repair was completely healed.At 12 months after operation,Lysholm score,IKDC score,and VSA score were significantly higher than those before operation(P<0.05),while MME ratio was significantly lower than that before operation(P<0.05).Only 1 patient with Kellgren-Lawrence(K-L)grade 0 progressed to Kellgren-Lawrence(K-L)grade I after surgery,and the remaining patients had no change in K-L grade.Conclusion Arthroscopic repair of medial posterior meniscus root tear through tibial tunnel can significantly improve meniscus healing and relieve pain in patients,and the short-term follow-up clinical effect is significant.
作者
李尚仲
方玉基
李仕本
王希收
LI Shang-zhong;FANG Yu-ji;LI Shi-ben;WANG Xi-shou(Department of Orthopedics,Yantai Zhifu Hospital,Yantai 264001,Shandong,CHINA)
出处
《海南医学》
CAS
2023年第5期650-654,共5页
Hainan Medical Journal
关键词
内侧半月板后根撕裂
关节镜
胫骨隧道
疗效
Posterior root tear of medial meniscus
Arthroscopy
Tibial tunnel
Effect
