关节镜下治疗症状性Wrisberg韧带型盘状半月板的临床疗效

目的 探讨关节镜下半月板成形、后角胫骨止点重建并缝合固定术治疗症状性Wrisberg韧带型盘状半月板的临床疗效.方法 回顾性分析2012年1月至2015年1月我科收治的11例症状性Wrisberg韧带型盘状半月板损伤病人的临床资料,其中男7例,女4例,平均年龄为19.5岁(14～25岁).左膝6例,右膝5例;军事训练伤...

Arthroscopic treatment of symptomatic Wrisberg's ligamentous discoid meniscus

Objective To investigate the effect of arthroscopy meniscus forming, posterior horn tibial reconstruction and suture fixation on patients with symptomatic Wrisberg ligament discoid meniscus. Methods From January 2014 to January 2019, 11 patients with symptomatic Wrisberg ligament discoid meniscus injury underwent arthroscopic meniscus formation. The posterior horn tibial junction was reconstructed and sutured to the joint capsule to restore the stability of the meniscus. There were 7 males and 4 females with an average age of 19.5 years (14-25 years). There were 6 cases of left knee, 5 cases of right knee, 5 cases of military training injury and 6 cases of sports injury. All patients were followed up after surgery, and the visual analogue scale (VAS) score and Lysholm knee joint score were compared before and after surgery to evaluate the clinical efficacy of this method. According to Ikeuchi knee joint score, the overall excellent rate was calculated. Results The incisions of all patients healed in first stage after operation, and no related complications occurred. The follow-up time ranged from 12 to 23 months, with an average follow-up time of 16.5 months. Symptoms of knee popping and strangulation disappeared in patients. Pain symptoms disappeared in 10 patients. One patient had significant relief. All joint motions returned to normal at the last follow-up. The VAS score of the patients decreased from preoperative (6.42±1.12) to postoperative (2.05±0.18), and the difference was statistically significant (t=-4.823, P=0.026). Lysholm score increased from preoperative (56.9±7.2) points to postoperative (96.5±5.8) points, and the difference was statistically significant (t=-36.727, P=0.032). According to the Ikeuchi knee score, 7 cases obtained excellent efficacy, 3 good, and 1 fair. The overall excellent and good rate was 91%. Conclusion For symptomatic Wrisberg ligament disc-shaped meniscus injury, meniscus formation, posterior horn tibial stop reconstruction and suture fixation can be performed, which can preserve part of the patient''s meniscus function, and the short-term efficacy is satisfactory.