成形联合修补术在盘状半月板损伤治疗中的应用

目的:观察半月板成形联合修补技术在治疗盘状半月板损伤的疗效。方法:2005年6月至2009年12月,28例行关节镜下盘状半月板成形术联合修补缝合技术,年龄6～42岁,平均32岁;男23例,女5例。关节镜下判定半月板的性质和撕裂的类型与范围,采用成形联合修补缝合技术治疗盘状半月板边缘撕裂,术后支具保护8周,6个月内避免剧烈运动。术后采用Lysholm关节功能评分标准进行疗效评定。结果:术后随访3～36个月,平均8个月。Lysholm关节功能评分:术前62～74分,平均(67.23±5.24)分;术后80～96分,平均(87.24±5.26)分。未出现再撕裂或因为症状复发再手术的病例。结论:盘状半月板成形术联合边缘破裂修补缝合技术对于盘状半月板撕裂的治疗具有较好的临床效果,可以作为其手术选择方案之一。

Application of menisci reformation and repair in the treatment of the discoid meniscus injuries

Objective: To study the clinical effects of menisci reformation and repair for the treatment of discoid meniscus injuries and to explore the operation methods. Methods: From Jun. 2005 to Dem. 2009,28 patients underwent arthroscopic menisci reformation and repair for discoid meniscus,including 23 males and 5 females,ranging in age from 6 to 42 years,with an average of 32 years. The nature of meniscus and the type and range of tear were judged under arthroscope. The menisci reformation and repair were used to treat discoid meniscus tear at the edge. After the operation,the brace was used for 8 weeks,and heavy exercise should be avoided for 6 months. The Lysholm score was adopted to evaluate therapeutic effects. Results: All the patients were followed up ranging from 3 to 36 months,averaged 8 months. The preoperative Lysholm scores ranged from 62 to 74,with a mean of (67.23±5.24),and the postoperative Lysholm scores ranged from 80 to 96,with a mean of (87.24 ±5.26). There was no occurrence of re-tear or re-operation due to symptom recurrence. Conclusion: The menisci reformation and repair has better clinical effects on the treatment of discoid meniscus tear and can be regarded as one of the operational options.