膝关节镜下RAPIDLOC半月板修复患者中短期临床效果分析

目的评价在软骨损伤Ⅳ级以下患者中使用RAPIDLOC进行半月板修复后的短期临床效果。方法通过一组使用RAPIDLOC进行半月板修复前后得到的临床数据进行回顾性研究。2006年7月到2007年5月，共有38位行半月板修复术的患者，将所有病例分成两组，A组包括关节镜下关节软骨正常或者损伤分级为Ⅰ级的患者，B组为关节镜下关节软骨损伤Ⅱ到Ⅲ级的患者。两组病例手术前后均进行Lysholm和Tegner膝关节功能评价，并将两组数据进行统计学比较和分析。结果本次研究中，A组共有22位患者，B组有16位患者；平均随访时间为A组6．5±2．5月，B组6．8±2．3月；A组成功率为90．9％，B组为87．5％：A组患者平均Tegner评分为术前3．5±1．6分，术后7．3±2．5分（P〈0．05），平均Lysholm评分为术前35．1±14．6分，术后88．6±25．5分（P〈0．01）：B组患者平均Tegner评分为术前3．3±2.3分，术后6．8±2．1分（P〈0．05），平均Lysholm评分为术前30．5±17．8分，术后87．8±22．5分（P〈0．01），两组数据进行比较无统计学意义。结论本次研究显示，在软骨损伤Ⅳ级以下患者中，使用RAPIDLOC进行半月板修复均有较高的成功率，两组病例数据之间没有统计学意义。

A comparative study in patients of cartilage damage less than grade Ⅳ that Arthroscopic meniscal Repair with RAP-IDLOC

Objective This study was to evaluate the clinical results of the RAPIDLOC meniscal Repair System in patients of cartilage damage less than grade Ⅳ, Methods A short term retrospective review of a consecutive series of meniscal repairs performed by a single surgeon using the RAPIDLOC meniscal Repair System. Between July 2006 and May 2007, 38 patients underwent meniscus repair. All the patients were divided into two groups. Group A corresponds to the patients who meet the criteria of normal cartilage or cartilage damage grade Ⅰ in arthroscopy diagnosed, and Group B corresponds to cartilage damage grade Ⅱ to Ⅲ in arthroscopy diagnosed. Clinical results were noted, and Lysholm and Tegner scores subjectively evaluated knee function. Results There were 22 patients in group A, 16 patients were in group B. The mean follow-up period was 6.5 months for group A （range 4-10 months）, 6,8 months for group B （range 4.5-9 months）, The success rate in group A was 90,9%, and 87.5% in Group B. At follow-up, the mean Tegner score was 7.3±2.5 （3.5±1.6 preoperative）, Lysholm score was 88.6±25.5 （35.1± 14,6 preoperative） in Group A. In Group B, the the mean Tegner score was 6.8±2.1 （3.3±2.3 preoperative）, Lysholm score was 87.8±22.5 （30.5± 17.8 preoperative）. The difference was not statistically significant in comparison with the two groups. Conclusion This study shows a high clinical success rate of meniscus repair with the RAPIDLOC meniscal Repair System in cartilage damage level less than grade Ⅳ.