CAJ | 학술논문

目的：探讨关节镜下全内缝合法在半月板修补中的应用及临床疗效。方法对53例半月板损伤患者采用全内缝合法进行半月板修补。其中采用可吸收半月板箭5例, Fast-Fix全内半月板缝合系统48例。对患者进行术后6~12个月的随访,随访时进行Lysholm评分、主观症状及查体检查。结果53例患者获得随访, Lysholm评分,术前(47.26±14.58)分,术后(90.31±17.63)分,手术前后差异有统计学意义(t=-13.6993,P<0.01)。患者临床表现：无交锁复发,膝关节无疼痛,无内侧与后外侧关节间隙压痛,研磨挤压试验阴性。术后未见神经、血管或肌腱损伤的并发症,未见感染病例。结论关节镜下全内缝合法是修补半月板损伤的理想方法,其操作简单,并发症少,疗效确切,治愈率高。
목적：탐토관절경하전내봉합법재반월판수보중적응용급림상료효。방법대53례반월판손상환자채용전내봉합법진행반월판수보。기중채용가흡수반월판전5례, Fast-Fix전내반월판봉합계통48례。대환자진행술후6~12개월적수방,수방시진행Lysholm평분、주관증상급사체검사。결과53례환자획득수방, Lysholm평분,술전(47.26±14.58)분,술후(90.31±17.63)분,수술전후차이유통계학의의(t=-13.6993,P<0.01)。환자림상표현：무교쇄복발,슬관절무동통,무내측여후외측관절간극압통,연마제압시험음성。술후미견신경、혈관혹기건손상적병발증,미견감염병례。결론관절경하전내봉합법시수보반월판손상적이상방법,기조작간단,병발증소,료효학절,치유솔고。
Objective To investigate the application and clinical effect of arthroscopic al-inside suture technique for repairing tears of meniscus.MethodsThere were, 53 cases with meniscus tears were repaired by arthroscopic all-inside suture technique, 5 cases were fixed with bio-absorbable meniscus arrow. 48 cases were used Fast-Fix all-inside suture technique.ResultsAll 53 patients were followed up, the follow-up time were 6~12 months after operation, meanwhile, Lysholm score, subjective symptoms and examination were recorded. Preoperative Lysholm scores were (47.26±14.58), whereas, postoperative ones were (90.31±17.63). There were significant differences between before and after operation(t=1.85,P<0.01). No recurrent interlocking, no pains in joint medialis and post-medialis space. Grinding test was negative.The complications about injury of blood vessel, nerves and tendons were not found during 6~12 months follow-up.Conclusion Arthroscopic all-inside suture technique is an ideal way to repair meniscus. The technology is simple to operate with fewer complications, high efficacy and cure rate.