带线锚钉治疗Ⅲ度膝关节内侧副韧带损伤临床疗效观察
|
摘要
目的探讨采用带线锚钉治疗Ⅲ度膝关节内侧副韧带损伤临床疗效。方法选取2012年9月至2016年9月收治的64例Ⅲ度膝关节内侧副韧带损伤病人行临床分析研究,随机分成两组,每组32例,观察组患者采用带线锚钉修复手术方法,对照组患者采用可吸收缝合线修复手术方法,对比两组病人术后病情治疗情况。结果共64例患者均获随访,随访时间6~9个月,平均7.7个月。膝关节功能按改良Lysholm-Scale功能评定标准:带线锚钉组优20例,良10例,可2例,差0例,优良率93.75%;可吸收缝线组优16例,良4例,可8例,差4例,优良率62.50%;两组差异有统计学意义(2=4.442,=0.047)。结论采用带线锚钉治疗Ⅲ度膝关节内侧副韧带损伤临床疗效,手术操作简便,创伤小,能有效提高疗效,改善患者生活质量,临床可推广应用。
Objective To observe the clinical results of the treatment of medial collateral figament Ⅲ injuries of knee using suture anchor. Methods Thirty-two patients who had received suture anchor repair and 32 ones who had absorbable suture repair of medial collateral figament Ⅲ injuries of knee in our hospital between Sep 2012 to Sep 2016 were involved in our retrospective investigation. The clinical results of the 2 groups were statistically compared in our study. Results Patients were followed up for 6 months to 9 months, average of 7.7 months.According to the modified Lysholm-scale, 20 cases had an excellent score, 10 cases had a good score, 2 cases had a may score, and no case had a poor score in suture anchor repair group, the rate of excellent and good was 93.75%, while in absorbable suture repair group were 16 cases had an excellent score, 4 cases had a good score, 8 cases had a may score and 4 cases had a poor score, the rate of excellent and good was 62.50%, and there was a significant difference(2=4.442, =0.047). Conclusion Suture anchor can improve the curative effect and the quality of life in repair of medial collateral figament Ⅲ injuries of knee with simple operation, minimally invasive.
Objective To observe the clinical results of the treatment of medial collateral figament Ⅲ injuries of knee using suture anchor. Methods Thirty-two patients who had received suture anchor repair and 32 ones who had absorbable suture repair of medial collateral figament Ⅲ injuries of knee in our hospital between Sep 2012 to Sep 2016 were involved in our retrospective investigation. The clinical results of the 2 groups were statistically compared in our study. Results Patients were followed up for 6 months to 9 months, average of 7.7 months.According to the modified Lysholm-scale, 20 cases had an excellent score, 10 cases had a good score, 2 cases had a may score, and no case had a poor score in suture anchor repair group, the rate of excellent and good was 93.75%, while in absorbable suture repair group were 16 cases had an excellent score, 4 cases had a good score, 8 cases had a may score and 4 cases had a poor score, the rate of excellent and good was 62.50%, and there was a significant difference(2=4.442, =0.047). Conclusion Suture anchor can improve the curative effect and the quality of life in repair of medial collateral figament Ⅲ injuries of knee with simple operation, minimally invasive.
引文
[1]周雪明,卓新明.膝关节内侧副韧带急性损伤诊治方法的探讨[J].中国修复重建外科杂志,2004,18(4):265-266.
[2]武海峰,李志平.Ⅲ度膝关节内侧副韧带损伤诊疗分析[J].临床医药实践,2015,24(3):235-237.
[3]La Prade Robert F,Engebretsen Anders Hauge,Ly Thuan V,et al.The anatomy of the medial part of the knee[J].J Bone Joint Surg Am,2007,89(9):2000-2010.
[4]American Medical Association.Committee on the Medical Aspects of Sports.Subcommittee on Classification of Sports injuries.Standard nomenclature of athletic injuries[S].Chicago:American Medical Association,1996:67.
[5]PA Indelicato.Non-operative treatment of complete tears of the medial collateral ligament of the knee[J].J Bone Joint Surg Am,1983,65(3):323-329.
[6]Miyasaka KC,Daniel DM,Stone ML,et al.The incidence of knee ligament injuries in the general population[J].Am J Knee Surg,1991,4(1):3-8.
[7]王文良.膝关节内侧副韧带合并前交叉韧带损伤的诊治方法的探讨[C].第五届天津骨科年会论文集,2009:181-184.
[8]王创利,葛建飞,田守进,等.带线锚钉治疗膝关节急性韧带损伤18例临床分析[J].海南医学杂志,2010,21(17):78-79.
[2]武海峰,李志平.Ⅲ度膝关节内侧副韧带损伤诊疗分析[J].临床医药实践,2015,24(3):235-237.
[3]La Prade Robert F,Engebretsen Anders Hauge,Ly Thuan V,et al.The anatomy of the medial part of the knee[J].J Bone Joint Surg Am,2007,89(9):2000-2010.
[4]American Medical Association.Committee on the Medical Aspects of Sports.Subcommittee on Classification of Sports injuries.Standard nomenclature of athletic injuries[S].Chicago:American Medical Association,1996:67.
[5]PA Indelicato.Non-operative treatment of complete tears of the medial collateral ligament of the knee[J].J Bone Joint Surg Am,1983,65(3):323-329.
[6]Miyasaka KC,Daniel DM,Stone ML,et al.The incidence of knee ligament injuries in the general population[J].Am J Knee Surg,1991,4(1):3-8.
[7]王文良.膝关节内侧副韧带合并前交叉韧带损伤的诊治方法的探讨[C].第五届天津骨科年会论文集,2009:181-184.
[8]王创利,葛建飞,田守进,等.带线锚钉治疗膝关节急性韧带损伤18例临床分析[J].海南医学杂志,2010,21(17):78-79.