| 李祥,丘志河,廖小青,等.经胫骨隧道止点重建治疗外侧半月板后角撕裂的临床疗效观察.骨科,2021,12(3): 248-253. |
| 经胫骨隧道止点重建治疗外侧半月板后角撕裂的临床疗效观察 |
| Clinical efficacy of arthroscopy through tibial tunnel for the treatment of ending reconstruction of posterior horn tear of the lateral meniscus |
| 投稿时间：2020-09-12 |
| DOI：10.3969/j.issn.1674-8573.2021.03.011 |
| 中文关键词: 关节镜 外侧半月板 半月板重建 |
| 英文关键词: Arthroscopy Lateral meniscus Meniscus reconstruction |
| 基金项目:深圳市卫生计生系统科研项目（SZFZ2018037） |
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| 中文摘要: |
| 目的 探讨关节镜辅助下经胫骨隧道止点重建治疗外侧半月板后角撕裂的临床疗效。方法 回顾性分析2016年6月至2018年6月深圳市龙岗区骨科医院采用关节镜辅助下经胫骨隧道止点重建治疗膝关节外侧半月板后角撕裂的19例病人，其中男12例，女7例；年龄为16~45岁，平均32.3岁。11例伴有前交叉韧带断裂。收集并比较19例病人术前、术后1年国际膝关节评分委员会（International Knee Documentation Committee，IKDC）评分、Lysholm评分、疼痛视觉模拟量表（visual analogue scale，VAS）评分。结果 术后无感染、血管神经损伤、关节活动受限、下肢深静脉血栓形成等并发症发生。随访时间为12~28个月，平均随访19.3个月。术后1年的IKDC评分、Lysholm评分分别为（87.3±2.9）分、（92.0±3.2）分，均较术前明显提高；术后1年的VAS评分为（1.2±0.8）分，较术前明显降低；手术前后各项评分比较，差异均有统计学意义（P均＜0.05）。结论 关节镜下采用经胫骨隧道止点重建治疗外侧半月板后角撕裂，操作简便，疗效满意，是一种有效的治疗方式。 |
| 英文摘要: |
| Objective To evaluate clinical efficacy of arthroscopy through tibial tunnel for the treatment of ending reconstruction of posterior horn tear of the lateral meniscus. Methods From June 2016 to June 2018, 19 patients with posterior horn tear of the lateral meniscus treated by arthroscopic assisted tibial tunnel insertion reconstruction in Longgang Orthopaedics Hospital of Shenzhen were retrospectively analyzed, including 12 males and 7 females, aged from 16-45 years old (mean 32.3 years old). Anterior cruciate ligament rupture was found in 11 cases. International Knee Documentation Committee (IKDC) score, Lysholm score and visual analogue scale (VAS) score were compared before and 1 year after surgery. Results No post-operative infection, vascular and nerve injury, limited joint mobility, deep vein thrombosis or other complications were found. The average follow-up period was 19.3 months (range: 12-28 months). The IKDC score and Lysholm score were 87.3±2.9 and 92.0±3.2 at st year after operation, which were significantly higher than those before operation. The VAS score at 1st year after operation was 1.2±0.8, which was significantly lower than that before operation. There were significant differences in the scores before and after operation (all P＜0.05). Conclusion Arthroscopically assisted treatment of posterior horn of the lateral meniscus through tibial tunnel is easy to operate and an effective surgical option. The curative effect was satisfactory. |
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