摘要
目的探讨关节镜下盘状半月板损伤的手术方法、效果及术后康复。方法关节镜下诊断盘状半月板并损伤54例，39例行半月板成形术，保留半月板边缘6～8mm，9例行盘状半月板次全切除术，6例行盘状半月板完全切除术，术后即行膝关节功能锻炼，入院与术后1月、1年行膝关节活动范围测量，其中47例获1～4年10个月的随访。结果按照Lkeuehi评价方法，优38例（70．4％），良11例（20．0％），可5例（9．3％），差0例，优良率为90．4％。入院时膝关节活动范围屈曲平均118°±16°，伸直10°±4°，术后1月膝关节活动范围屈曲平均133°±4°，伸直0°±3°，术后1年膝关节活动范围屈曲平均135°±3°，伸直0°±3°，经统计学分析，术后1月、1年与入院时比较均差异有统计学意义。结论关节镜下盘状半月板成形术创伤小，疗效满意。
Objective To evaluate the surgical technique,curative effect and rehabilitation after operation of arthroscopic management for the discoid meniscus. Methods 54 cases discoid menisci were diagnosed under the arthroscopy,and were analyzed at follow-up 1-4 years and 10 months. 39 cases discoid menisci were undergone reshaping and remained 6 - 8 mm edge of the discoid menisci. 9 cases were received sub-total menisectomy. 6 cases total menisectomy. Started function exercise of the knee next day of operation. Measure the range of motion （ROM） of the knee at admission,one month and one year after operation Results 7 cases were lost to follow-up and were excluded from the study. Based on Lkeuchi＇ s grading,70.4% of the knee had an excellent result ,20.0% had a good result and 9.3 % had a fair resuh;none of the results was poor. The ROM of the knees were average flexion 118 °±16°, extention 10°± 4° at admission ; flexion 133 °± 4° , extention 0°± 3 ° one month after operation ; flexion 135°± 3 ° , extention 0°± 3° one year after operation. Statistical analysis with u-test demonstrated the significance of ROM of the knee between admission and one month and one year after operation. But there wasn＇ t significance between one month and one year after operation. Coneluslon Reshaping of the meniscus in patients with discoid meniscus showed a less iniury and excellent clinical results.
出处
《中国临床保健杂志》
CAS
2010年第1期32-34,共3页
Chinese Journal of Clinical Healthcare
