| 丁云鹏,章亚东.关节镜下治疗症状性Wrisberg韧带型盘状半月板的临床疗效.骨科,2021,12(2): 143-148. |
| 关节镜下治疗症状性Wrisberg韧带型盘状半月板的临床疗效 |
| Arthroscopic treatment of symptomatic Wrisberg's ligamentous discoid meniscus |
| 投稿时间：2020-06-29 |
| DOI：10.3969/j.issn.1674-8573.2021.02.009 |
| 中文关键词: 关节镜 盘状半月板 Wrisberg韧带 |
| 英文关键词: Arthroscopy Discoid meniscus Wrisberg ligament |
| 基金项目:北京市自然科学基金资助项目（7202199） |
|
| 摘要点击次数: 4261 |
| 全文下载次数: 2553 |
| 中文摘要: |
| 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5例，运动损伤6例。均行关节镜下半月板成形、半月板后角胫骨止点重建并缝合固定于关节囊、恢复半月板稳定性手术。病人术后均进行随访，记录并分析病人手术前后疼痛视觉模拟量表（visual analogue scale，VAS）评分、Lysholm膝关节评分，根据Ikeuchi膝关节评分评价总体优良率。结果 术后病人切口均一期愈合，无相关并发症发生。平均随访时间为5.5年（5.1~8.2年）。病人患膝弹响、绞锁症状消失，10例病人疼痛症状消失，1例明显缓解，末次随访时关节活动度均恢复正常。病人VAS评分从术前（6.42±1.12）分下降至术后（2.05±0.18）分，差异有统计学意义（t=-4.823，P=0.026）；Lysholm评分从术前（56.9±7.2）分提高到术后（96.5±5.8）分，差异有统计学意义（t=-36.727，P=0.032）。根据Ikeuchi膝关节评分，优7例，良3例，中1例，总体优良率为91%。结论 对于有症状的Wrisberg韧带型盘状半月板损伤，可以行半月板成形、后角胫骨止点重建并缝合固定术治疗，可保留病人半月板部分功能，短期内观察效果良好。 |
| 英文摘要: |
| 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. |
|
查看全文
下载PDF阅读器 |
| 关闭 |
|
|
|
