CAJ | 학술논문

目的探讨FasT-Fix全内缝合器修复半月板损伤的临床效果。方法回顾性分析2010年11月至2012年11月广州军区广州总医院采用FasT-Fix全内缝合器治疗的80例半月板损伤患者的临床资料，观察术后膝关节活动度及半月板愈合情况，评估手术前后Lysholm评分的差异。结果随访6～24个月（平均12个月），术后膝关节活动度正常，无交锁。76例患者半月板达到临床愈合标准，临床愈合率95%（76/80）；4例修复失败患者出现关节间隙压痛（+），其中2例合并关节积液及McMurray征（+）。术后膝关节Lysholm评分为（85±13）分，明显高于术前的（32±12）分，两者比较，差异有统计学意义（t =4.234，P=0.000）；80例患者中优60例、良12例、可8例，优良率为90%（72/80）。结论Fast-Fix全内缝合器治疗半月板损伤具有微创、高效、安全等优点，尤其对于难以缝合的半月板后角损伤具有独特的优势。
목적탐토FasT-Fix전내봉합기수복반월판손상적림상효과。방법회고성분석2010년11월지2012년11월엄주군구엄주총의원채용FasT-Fix전내봉합기치료적80례반월판손상환자적림상자료，관찰술후슬관절활동도급반월판유합정황，평고수술전후Lysholm평분적차이。결과수방6～24개월（평균12개월），술후슬관절활동도정상，무교쇄。76례환자반월판체도림상유합표준，림상유합솔95%（76/80）；4례수복실패환자출현관절간극압통（+），기중2례합병관절적액급McMurray정（+）。술후슬관절Lysholm평분위（85±13）분，명현고우술전적（32±12）분，량자비교，차이유통계학의의（t =4.234，P=0.000）；80례환자중우60례、량12례、가8례，우량솔위90%（72/80）。결론Fast-Fix전내봉합기치료반월판손상구유미창、고효、안전등우점，우기대우난이봉합적반월판후각손상구유독특적우세。
Objective To investigate the clinical efficacy of FasT-Fix total internal closure device for the repair of meniscus injury. Methods A retrospective study was conducted for 80 patients of meniscus injury treated by FasT-Fix suture technique in Guangzhou General Hospital of Guangzhou Military Command from November 2010 to November 2012. Preoperative and postoperative Lysholm scores were recorded, postoperative knee joint activity and meniscus healing conditions were observed. Results All patients were followed-up from 6 to 24 months with the average of 12 months, normal postoperative knee joint activity without locking were observed. According to clinical healing criteria, 76 cases got clinical healing of meniscus, with the clinical healing rate of 95% (76/80); 4 patients with failure of repair felt tenderness in joint space (+), of which 2 cases complicated with joint effusion and McMurray sign (+). Postoperative Lysholm score (85 ± 13) was higher than preoperative one (32 ± 12), the difference had statistical significance (t = 4.234, P= 0.000);There were excellent results in 60 cases, good in 12 cases, fair in 8 cases, the excellent and good rate was 90% (72/80). Conclusion Fast-Fix total internal closure technique has the advantages of minimal invasive injury, high efficiency and safety, especially for patients suffered from posterior horn of meniscus injury which is difficult to be sutured in the conventional procedure.