首页|半月板缝合术联合前交叉韧带重建手术在膝关节运动创伤中的应用研究

半月板缝合术联合前交叉韧带重建手术在膝关节运动创伤中的应用研究

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目的:探究半月板缝合术联合前交叉韧带重建手术在膝关节运动创伤中的应用价值。方法:选择2020年1月—2022年 10月我院收治的 80例膝关节运动创伤患者作为研究对象,按照随机数字表法将其分为研究组和对照组,各 40例。研究组采用半月板缝合术联合前交叉韧带重建手术,对照组采用关节镜下半月板修复术。对比2组患者治疗前后VAS评分、Tegner运动水平评分、Lysholm评分、KOOS评分及治疗后6个月Lachman试验/前抽屉试验/轴移试验阳性率、膝关节功能优良率及半月板愈合率、并发症总发生率。结果:研究组患者优秀 19例,良好 20例,膝关节功能优良率和半月板愈合率均显著高于对照组,组间差异均有统计学意义(P<0。05)。治疗前 2组患者VAS评分、Tegner运动水平评分及Lysholm评分比较,组间差异无统计学意义(P>0。05),治疗 6个月后研究组VAS评分低于对照组,而其他指标得分均高于对照组,组间差异均有统计学意义(P<0。05)。治疗后 6个月研究组的Lachman试验、前抽屉试验、轴移试验阳性率均低于对照组,组间差异有统计学意义(P<0。05)。治疗前 2组患者KOOS评分比较,差异无统计学意义(P>0。05),治疗后研究组的KOOS评分高于对照组,差异有统计学意义(P<0。05)。2组并发症总发生率比较,差异无统计学意义(P>0。05)。结论:半月板缝合术联合前交叉韧带重建手术在膝关节运动创伤中效果较好,可以改善患者疼痛症状、运动水平及关节功能,促进膝关节稳定性和功能恢复,提高整体治愈效果。
Application of Meniscus Suture Combined with Anterior Cruciate Ligament Reconstruction in Knee Joint Sports Trauma
Objective:To explore the application value of meniscus suture combined with anterior cruciate ligament reconstruction in knee joint sports trauma.Methods:80 patients with knee joint sports trauma in our hospital from January 2020 to October 2022 were selected as research objects and divided into study group and control group according to random number table method,with 40 cases in each group.The study group underwent meniscus suture combined with anterior cruciate ligament reconstruction,and the control group underwent arthroscopic meniscus repair.VAS score,Tegner exercise level score,Lysholm score,KOOS score before and after treatment,positive rate of Lachman test/front drawer test/axis shift test,excellent and good rate of knee function,meniscus healing rate,and total incidence of complications were compared between 2 groups.Results:There were 19 excellent patients and 20 good patients in the study group.The excellent and good rate of knee joint function and meniscus healing rate were significantly higher than those in the control group,with statistical significance(P<0.05).Before treatment,there were no significant differences in VAS score,Tegner exercise level score and Lysholm score between the two groups(P>0.05).After 6 months of treatment,VAS score of the study group was lower than that of the control group,while scores of other indicators were higher than that of the control group,with statistical significance(P<0.05).Six months after treatment,the positive rates of Lachman test,front drawer test and axis shift test in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in KOOS score between the two groups before treatment(P>0.05),but after treatment,the KOOS score of the study group was higher than that of the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Meniscus suture combined with anterior cruciate ligament reconstruction is effective in knee sports trauma,which can improve the pain symptoms,movement level and joint function of patients,promote the stability and functional recovery of knee joint,and improve the overall healing effect.

Meniscus sutureAnterior cruciate ligament reconstruction surgeryKnee joint sports traumaPain symptomsExercise levelJoint function

景汉栋、盛小赟

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陇西县第二人民医院骨伤科,甘肃 定西 748000

兰州大学第二医院骨一科

半月板缝合术 前交叉韧带重建手术 膝关节运动创伤 疼痛症状 运动水平 关节功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(12)