Efficacy of arthroscopic reconstruction of anterior cruciate ligament and simultaneous meniscus inside-out suture in the treatment of meniscus bucket handle tear
Objective To analyze the application effect of inside-out meniscus suture in the arthroscopic reconstruction of anterior cruciate ligament in patients with meniscus bucket handle tear and compare with total internal suture in order to promote rapid postoperative recovery and protect joint function.Methods The data of 120 patients with cruciate liga-ment rupture combined with barrel handle tear of medial meniscus treated in the First Affiliated Hospital of Bengbu Medi-cal University from May 2018 to May 2023 were retrospectively analyzed.All patients underwent anterior cruciate liga-ment reconstruction under arthroscopy.Patients with total internal suture and inside-out suture were included in total in-ternal suture group(n=51)and inside-out suture group(n=69)according to the simultaneous meniscus suture method.Meniscus healing rate,operation time,hospital stay and surgical treatment cost,three-dimensional gait parameters before and after operation,and incidence of complications were compared between the two groups.Results There was no sta-tistically significance difference in meniscus healing rate(90.20％vs.94.20％,P＞0.05),operation time,hospital stay and surgical treatment cost between the two groups.The pre-post displacement,up-down displacement,inside-out dis-placement,inside eversion displacement,inside-out inversion and inside-out rotation decreased in both groups,while the flexus-extension increased(P＜0.05).There was no statistically significant difference in the three-dimensional gait pa-rameters between the two groups(P＞0.05).There was no statistically significance difference in the incidence of joint space tenderness and joint effusion between the two groups(P＞0.05).The incidence of numbness in the lower knee area in the internal external suture group was higher than that in the total internal suture group(13.04％vs.0,P＜0.05).Conclusion Arthroscopic anterior cruciate ligament reconstruction combined with simultaneous meniscus suture from the inside out has the same efficacy as total internal suture,but the incidence of postoperative numbness in the lower knee ar-ea is relatively high.
维普
万方数据
