Fast-fix系统修复半月板损伤临床疗效观察

[目的]评价Fast-fix系统修复半月板损伤的临床疗效.[方法]自2007年7月～2009年6月,关节镜辅助下用Fast-fix系统治疗半月板损伤患者254例,96例患者得到随访.男58例,女38例,年龄12～46岁,平均24.3岁.病程3d～1年,平均43.5 d.右膝46例,左膝50例；前角损伤12例,体部撕裂46例,后角撕裂38例；红区损伤32例,红白区损伤42例,白区损伤(延长红白区)22例.All-inside缝合56例,Outside-in缝合8例,Inside-Out缝合32例,分别缝合1-3针,每针操作时间平均5 min,住院3～14 d,平均8d.通过症状、体征和Lysholm评分对半月板缝合修复的临床效果及术后并发症进行评价.[结果]随访时间12～24个月(平均15个月).手术后均达到临床愈合；术前患者Lysholm评分平均为(45.10±12.55)分,术后平均为(87.34±10.50)分,有显著统计学意义(t=3.25,P＜0.01).术后1年随访手术成功率91.2％,术中、术后并发症包括乱结形成、锚合器拔出、固定失败等.[结论] Fast-fix半月板缝合器治疗半月板损伤,简便快捷、疗效可靠,值得推广.

Arthroscopic repair of meniscal injury with Fast-fix system

[Objective]To evaluate the effect of the arthroscopic repair of the meniscal injury with the Fast-fix system.[Method]From July 2007 to June 2009,totally 254 cases of meniscus injury were treated with Fast-fix system under arthroscope and 96 cases were followed up successfully.There were 58 males and 38 females,aged from 12 to 46(mean 24.3) years.The course was 3 days-1 year(mean 43.5 days)from injury to treatment.Forty-six right and fifty left knees were involved.They were located in ante-horner(n=12),body(n=46)and post-horner(n=38).The lesion were in the red(n=32),red white(n=42)and white(n=22)region,respectively.All inside were used in 56 cases,outside in were used in 8 cases and inside out was used in 32 cases.Generally,1-3 sutures were used for each patient.The hospital stay was 3-14 days(mean 8 days).The clinical cure criteria of menical injury included no lock,no pain,no swell and negative McMurray test.[Result]All the patients were followed-up,Lysholm rating system was used to determine the function of the knee and the level of activity of the patients.After operation,all the patients were clinically cured.The effects of surgery were satisfactory.The preoperative Lysholm score was 45.10±12.55 and the postoperative Lysholm score was 82.34± 10.50,and there was significant difference(t=3.25,P<0.01).[Conclusion]The Fast-fix system is an efficient,safe and effective suture instrument for meniscal repair.