关节镜下Fast_Fix缝合装置在半月板损伤修复中应用.pdfVIP

军 医 进 修 学 院 学 报 2010 Oct，31（10） J Chinese PLA Postgrad Med Sch ·961· 关节镜下Fast-Fix 缝合装置在半月板损伤修复中的应用 李春宝，刘玉杰，魏　民，王志刚，李众利，蔡　谞 ，齐　玮，朱娟丽 解放军总医院 骨科，北京　100853 摘要：目的 研究关节镜下 Fast-Fix 缝合装置修复半月板损伤的疗效。方法 关节镜下使用 Fast-Fix 缝合 43 例半月板损伤， 其中内侧损伤 19 例，外侧损伤 21 例，内外侧同时损伤 3 例。体部损伤 4 例，后角损伤 14 例，体部及后角同时损伤 18 例，前角至后角全层撕裂 7 例 ；损伤位于红区 19 例，红白区 24 例。结果 随访 6-51(26.7±17.4) 个月，Lysholm 评分术前 32.49±14.27，术后 86.51±12.67，差异具有统计学意义 t=3.02，P0.01。术后膝关节伸屈功能正常，无交锁症状，无并发 症发生。结论 Fast-fix 半月板缝合装置是修复半月板后角及体部撕裂的快捷、安全、有效的方法。 关键词：半月板损伤 ；膝关节 ；关节镜 ；Fast-Fix 中图分类号：R 684.7　　文献标识码：A　　文章编号：1005-1139(2010)10-0961-03 Application of Fast-Fix suture device in repair of meniscus injury LI Chun-bao, LIU Yu-jie, WEI Min, WANG Zhi-gang, LI Zhong-li, CAI Xu, QI Wei, ZHU Juan-li Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China Corresponding author: LIU Yu-jie. Email: liuyj301yy@ Abstract: Objective To study the therapeutic effect of Fast-Fix suture device on repair of meniscus injury. Methods Fast-Fix suture device was used to repair 43 meniscus injuries including 19 of medial meniscus, 21 injuries of lateral meniscus, 4 injuries of both medial and lateral menisci. Four, 14, 18 and 7 injuries were found in the meniscus body, posterior horn, posterior horn- body and Results posterior-anterior horn, respectively. Of the 43 injuries, 19 were located in the red region and 24 in the red-white region. The patients were followed up for 6-51 months (mean 26.7±17.4 months). The Lysholm score for the operated knees was 32.49±14.27 and 86.51±12.67, respectively, before and after operation (t=3.02, P0.01). The flexion and extension functions of knee joint became normal with no locking symptoms and complications. Conclusion Lacerated injuries of posterior horn and body of meniscus