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Tytuł:
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[Modified single-needle arthroscopic repair technique for the treatment of longitudinal meniscal tear].
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Autorzy:
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Mao YH; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Sun WH; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Xiong Y; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Chen G; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Li Q; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Tang X; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Fu WL; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Li J; Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
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Źródło:
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Zhongguo gu shang = China journal of orthopaedics and traumatology [Zhongguo Gu Shang] 2021 Feb 25; Vol. 34 (2), pp. 114-20.
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Typ publikacji:
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Journal Article
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Język:
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Chinese
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Imprint Name(s):
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Publication: Beijing : "Zhongguo gu shang" bian ji bu
Original Publication: Beijing : Zhongguo Zhong yi yan jiu yuan gu shang ke yan jiu suo
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MeSH Terms:
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Knee Injuries*/surgery
Tibial Meniscus Injuries*/surgery
Adult ; Arthroscopy ; Humans ; Menisci, Tibial/surgery ; Retrospective Studies ; Suture Techniques ; Treatment Outcome ; Young Adult
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Contributed Indexing:
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Keywords: Knee joint; Meniscus; Suture techniques; Wound and injuries
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Entry Date(s):
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Date Created: 20210305 Date Completed: 20210308 Latest Revision: 20210308
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Update Code:
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20240104
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DOI:
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10.12200/j.issn.1003-0034.2021.02.004
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PMID:
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33665996
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Objective: To compare therapeutic efficacy of modified single-needle arthroscopic repair technique and Fast-Fix technique in repairing longitudinal meniscus injuries.
Methods: From July 2016 to July 2017, patients with longitudinal meniscus injuries who underwent meniscal repair surgery were retrospectively analyzed. Ninety-one patients treated with modified single-needle technique and 77 patients were treated with Fast-Fix technique, the average age were (26.7±7.6) and (27.9±6.1) years old respectively, the average lengths of follow-up were (32.5±9.2) and (33.2±11.9) months, respectively. Operation cost, suture time, intraoperative failure rate and postoperative failure rate were used as clinical outcomes, MRI of knee joint was used as main diagnosis and evaluation basis; 2000 IKDC subjective score, Lysholm score and Tegner activity scale were compared between two groups preoperatively, 12 months after operation and at the latest follow-up. Intraoperative and postopertaive complications were observed.
Results: Compared with Fast-Fix group, patients in modified single-needle technique group had lower operation costs [(645.7±133.1 vs.(12 184.8±4 709.8), P <0.01)], and average time per suture was shorter[(4.5±2.1) vs.(5.9±2.7), P <0.001)];and there were no significant difference in intraoperative failure rate and postoperative failure rate between two groups. There were no statistical differences in subjective function score, Lysholm score, Tegner activity knee joint at 12 months after opertaion and the latest follow-up ( P >0.05);These scores between two groups at the latest followup were significantly improved compared with those of before operation( P <0.000 1).
Conclusion: Modified single-needle arthrscopicrepair technique could achieve the similar therapeutic efficacy as Fast-Fix technique, and it has advantageds of simple opertion and more economical. This study recommends clinical application of modified single-needle arthrscopic repair technique in treating meniscus injuries.
