CAJ | 학술논문

目的：分析关节镜下FasT-Fix半月板内缝合技术治疗膝半月板损伤的临床效果。方法选取我院2012年12月～2013年12月收治98例膝半月板损伤患者，予以所有患者进行关节镜下FasT-Fix半月板内缝合技术治疗，观察患者治疗后的临床效果。结果经过治疗后，98例患者中，88例优，7例良，3例中。术后膝关节评分为（82.5±0.5）分，明显比术前评分（50.0±0.5）分高，差异有统计学意义（P＜0.05）。其中，仅有1例出现植入体T2“卡壳”，3例置入T2后于种植部脱落，并经调整植入点后取得良好的治疗效果。96例McMurray’s试验阴性，98例Apley’s试验阴性。结论关节镜下FasT-Fix半月板内缝合技术治疗膝半月板损伤的临床效果显著，具有微创、操作便捷等优点，可以有效地避免植入体“卡壳”“绕结”“脱落”等，因此具有十分重要的临床应用价值。
목적：분석관절경하FasT-Fix반월판내봉합기술치료슬반월판손상적림상효과。방법선취아원2012년12월～2013년12월수치98례슬반월판손상환자，여이소유환자진행관절경하FasT-Fix반월판내봉합기술치료，관찰환자치료후적림상효과。결과경과치료후，98례환자중，88례우，7례량，3례중。술후슬관절평분위（82.5±0.5）분，명현비술전평분（50.0±0.5）분고，차이유통계학의의（P＜0.05）。기중，부유1례출현식입체T2“잡각”，3례치입T2후우충식부탈락，병경조정식입점후취득량호적치료효과。96례McMurray’s시험음성，98례Apley’s시험음성。결론관절경하FasT-Fix반월판내봉합기술치료슬반월판손상적림상효과현저，구유미창、조작편첩등우점，가이유효지피면식입체“잡각”“요결”“탈락”등，인차구유십분중요적림상응용개치。
Objective To analyze the clinical effect of the suture techniques of arthroscopic FasT-Fix meniscus in the treatment of knee meniscus injury. Methods 98 patients with knee meniscus injury,who were treated with arthroscopic FasT-Fix meniscus in our hospital from December 2012 to December 2013,were selected to observe the clinical effect. Results After the treatment,of the 98 patients,there were excellent in 88 cases,good in 7 cases,and falr in 3 cases.The score of knee joint after operation (82.5±0.5) were obviously higher than preoperative score (50.0±0.5),the difference was statistical significance (P < 0.05).1 case had got stuck of T2 implantation materials,while 3 cases had galned good clinical effect after T2 implantation materials had been abscission,through the adjustment of implantable location.There were 96 cases with negative of McMurray's test,and 98 cases with negative of Apley's test. Conclusion The suture techniques of arthroscopic FasT-Fix meniscus in the treatment of knee meniscus injury has significantly clinical effect, has the advantages of minimally invasive and convenient operation,could effectively avoid to stuck,knot, and abscise of the implantation materials,and has very important value in clinical application.