关节镜下全内缝合法修补半月板59例疗效观察

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。方法自2006年1月至2009年5月,我院对59例半月板损伤的患者采用全内缝合法进行了半月板修补。其中采用可吸收半月板箭3例,Fast-Fix全内半月板缝合系统56例。结果 59例全部得到随访,随访时间3～30个月,平均16.2个月。随访采用电话问卷、主观症状及临床检查等方式进行。主观症状和临床查体57例正常,2例在12及14个月后再次膝关节扭伤,出现症状。术前HSS评分37～62分,平均47.6分;术后HSS评分86～96分,平均93.9分。结论关节镜下全内缝合法是修补半月板损伤的理想方法,Fast-Fix系统操作简单,并发症少,疗效确切,治愈率高。

Arthroscopic All-inside Suture Technique for Repairing 59 Cases of Tears of Meniscus

Objective To investigate the application and clinical effect of arthroscopic all-inside suture technique for repairing tears of meniscus.Methods Fifty-nine cases with meniscus tears were repaired by arthroscopic all-inside suture technique from January 2006 to aug 2009,Three cases were fixed with bio-absorbable meniscus arrow.Fast-Fix all-inside suture technique 57 cases.Results 59 cases were followed up（3～30 months）,average 16.2 months.Clinical results were assessed on the basis of telephone questionnaire,symptoms,physical signs.59 cases were normal,two patient had symptoms for sprained 12and14 months after surgery.HSS scores were 86～98.Conclusion Arthroscopic all-inside suture technique is a good alternative for repairing meniscus tear,since manipulation is simple,complication is rare Higher healing rate can be obtained using such a technique.