关节镜下治疗膝关节半月板损伤7例分析

目的 探讨关节镜下膝关节半月板损伤治疗方法。方法 自2001年12月至2003年5月对7例膝关节半月板损伤进行关节镜下检查及治疗。7例中，右侧5例，左侧2例；内侧半月板损伤3例，外侧半月板4例。O‘Connor关节镜下损伤类型：斜形撕裂2例，水平撕裂1例，纵形撕裂1例，瓣状撕裂2例，复合撕裂1例；半月板部分切除术3例，半月板次全切除术4例。结果 7例均经随访，随访时间12～30个月，平均20个月。7例患者均于次日进行股四头肌等长训练，第3天膝关节开始屈伸活动，第7天下地行走，2周基本恢复正常膝关节活动功能，未发生关节镜器械折断在关节腔现象，无骨关节炎表现。结论 关节镜技术治疗膝关节半月板损伤具有损伤小、恢复快等优点。

Evaluation of the treation for the knee meniscus injury under arthroscopy:Repert of seven cases

Objective To evaluate the methods of the treation for the knee meniscus injury under arthroscopy.Method From December 2001 to May 2003,seven patients with their knee meniscus injuries were examinated and treated under arthoscopic.There were five males and two females.The average age was 41.3 years(ranged from 18 to 73 years).The lesions were right knees in five cases and left knees in two cases.There were medial meniscus in three cases and lateral meniscus in four cases,O'Connor arthroscopic classification there were oblique tears in two cases,horizontal tears in one cases,longitudinal tears in one cases,flap tears in two cases and complex tears in one cases.Localmeniscectomy in three cases,subtotal-meniscectomy in four cases.Results All the patients were arailable at follow-up,was 20 months,ranging from 12 to 30 months.The second day,all of the patients started to contract their quadriceps-muscle on isometric,the third day all of the them started to extensively and flexibly their knees.The seventh day all of the patients started to weightbear and walk.After two weeks their knee was normal.The inflammatory of the knee is didn't appear,the arthroscopy equipment had not be brakted into the intra-articalor.Conclusion For the treatment of the knee meniscus injury,the arthroscopy technique has many advantages,such as miniinvasion and rapid recovery.