CAJ | 학술논문

目的：评价半月板成形术结合Fastfix及MM-Ⅱ缝合技术在膝关节外侧盘状半月板撕裂中的近期临床效果。方法2010年1月至2012年12月，对59例膝关节盘状半月板撕裂患者进行了半月板成型及缝合术。根据撕裂的大小和部位，采用Fast-fix缝合系统及MM-Ⅱ缝合套管针进行缝合。59例随访12～26个月，平均（18.4±3.6）个月。在术前及术后随访时记录患者的膝关节活动度、稳定性及Lysholm评分，比较术前及末次随访的Lysholm评分来评价盘状半月板成型缝合术的近期临床疗效。结果所有病例在末次随访时没有关节交锁及失稳症状，关节活动度均恢复正常。 Lysholm评分从术前（58.8±6.8）分提高至术后（93.3±2.4）分，经t检验差异有统计学意义（t＝-38.24，P＜0.01）。结论对于膝关节盘状半月板合并撕裂，在进行成型手术后通过Fast-fix及MM-Ⅱ对半月板撕裂进行缝合修复，可获得满意近期疗效。
목적：평개반월판성형술결합Fastfix급MM-Ⅱ봉합기술재슬관절외측반상반월판시렬중적근기림상효과。방법2010년1월지2012년12월，대59례슬관절반상반월판시렬환자진행료반월판성형급봉합술。근거시렬적대소화부위，채용Fast-fix봉합계통급MM-Ⅱ봉합투관침진행봉합。59례수방12～26개월，평균（18.4±3.6）개월。재술전급술후수방시기록환자적슬관절활동도、은정성급Lysholm평분，비교술전급말차수방적Lysholm평분래평개반상반월판성형봉합술적근기림상료효。결과소유병례재말차수방시몰유관절교쇄급실은증상，관절활동도균회복정상。 Lysholm평분종술전（58.8±6.8）분제고지술후（93.3±2.4）분，경t검험차이유통계학의의（t＝-38.24，P＜0.01）。결론대우슬관절반상반월판합병시렬，재진행성형수술후통과Fast-fix급MM-Ⅱ대반월판시렬진행봉합수복，가획득만의근기료효。
Objective To observe the short -term effects of the meniscus suture with Fastfix in the repair of the torn discoid meniscus .Methods 59 cases of lateral discoid meniscus tear were operated in Union hospital in 2010.1 ~2012.12.The age was from six to 38 years old.There were 37 cases of complete discoid meniscus and 22 cases of incomplete discoid meniscus .The longitudinal tears involved the popliteal hiatus was found in 13 cases ( three cases of bucket tear ) .38 cases were longitudinal and lamellar tear ( eight cases of bucket tear ) , while the anterior horn tear was found in eight cases .All the patients were operated with arthroscope; the meniscoplasty was carried out firstly , then the tear was sutured with Fast-fix and MM-Ⅱ.The lower limb was fixed with brace after the operation;total weight bearing was avoided until eight weeks after the operation , while the early flexion exercises were carried out , and less than 90 degrees flexion was achieved within four weeks after the surgery .59 cases were followed up for (18.4 ±3.6) months (range from 12-26 month).The range of motion, stability, joint function, and Lysholm scores were recorded pre and post -operatively.Results In all the cases, the mobility of the knee joint recovered to normal level with no recurrence of locking or instability .Lysholm scores were improved from (58.8 ±6.8) preoperatively to (93.3 ±2.4) postoperatively.Comparing the data with the paired T test, the difference of Lysholm scores between the pre-operation and postoperation was statistically significant (t=-38.24, P<0.01).Conclusion The early clinical outcomes of meniscoplasty and suture were satisfactory in torn discoid lateral meniscus;the Fast-fix and MM-Ⅱsuture technique is simple and efficient .