摘要
目的探讨关节镜下全内缝合联合富血小板血浆(platelet-rich plasma,PRP)治疗外侧半月板腘肌腱裂孔区损伤的短期疗效。方法选择2020年1月~2022年12月我院外侧半月板腘肌腱裂孔区损伤48例,根据手术方式分为Fast-Fix缝合器全内缝合(FF组,n=23)和Fast-Fix缝合器全内缝合联合PRP(PRP组,n=25),比较2组术后6、12个月麦氏征阳性率,术前后疼痛视觉模拟评分(Visual Analogue Scale,VAS)、国际膝关节文献委员会(International Knee Documentation Committee,IKDC)评分、Lysholm膝关节功能评分、美国膝关节协会评分(Knee Society Score,KSS)。结果2组患者均未发生血管、神经损伤、发热、感染等。2组患者术后6、12个月麦氏征阳性率比较差异无统计学意义(χ2=0.880,P=0.348;Fisher精确检验,P=0.479)。PRP组25例随访11~14个月,(12.2±0.8)月;FF组23例随访11~14个月,(12.8±0.8)月。2组患者术后6、12个月VAS评分均较术前显著降低(均P=0.000),PRP组术后6、12个月VAS评分显著低于FF组(P<0.05)。2组患者术后6、12个月IKDC、Lysholm、KSS评分较均较术前明显升高(均P=0.000),PRP组术后6、12个月IKDC、Lysholm、KSS评分显著高于FF组(P<0.05)。结论与单纯Fast-Fix缝合器全内缝合相比,Fast-Fix缝合器全内缝合联合PRP关节腔辅助治疗外侧半月板腘肌腱裂孔区损伤,减轻患者术后疼痛,促进膝关节功能恢复,值得推荐。
Objective To investigate the short-term efficacy of arthroscopic total internal suture combined with platelet-rich plasma(PRP)in the treatment of lateral meniscal popliteal hiatus area injuries.Methods Forty-eight patients diagnosed with lateral meniscal popliteal hiatus area injuries in our hospital from January 2020 to December 2022 were selected and divided into Fast-Fix total internal suture group(FF group,n=23)and Fast-Fix total internal suture combined with PRP group(PRP group,n=25)according to treatment methods.The positive rate of McMurray test at 6 and 12 months after surgery,the preoperative and postoperative visual analogue scale(VAS)of pain,the International Knee Documentation Committee(IKDC)scores,the Lysholm Knee Function Scores,and the Knee Society Scores(KSS)were compared between the two groups.Results No adverse events such as vascular and nerve injury,fever and infection occurred in both groups.There was no significant difference between the two groups in the positive rates of McMurray test at 6 and 12 months(χ2=0.880,P=0.348;Fisher’s exact test,P=0.479).In the PRP group,25 cases were followed up for 11-14 months,with an average of(12.2±0.8)months;in the FF group,23 cases were followed up for 11-14 months,with an average of(12.8±0.8)months.The VAS scores at 6 months and 12 months after surgery were significantly lower than those before surgery in both groups(all P=0.000).The VAS scores of the PRP group at 6 and 12 months after surgery were significantly lower than those of the FF group(P<0.05).Both groups showed significant improvements in IKDC,Lysholm,and KSS scores at 6 and 12 months after surgery compared to preoperative levels(all P=0.000).The IKDC,Lysholm,and KSS scores of the PRP group at 6 and 12 months after surgery were significantly higher than those of the FF group(P<0.05).Conclusion Compared to Fast-Fix total internal suture alone,PRP joint cavity adjuvant therapy based on Fast-Fix total internal suture surgery could reduce the postoperative pain of patients,and promote the functional recovery of the knee joint,which is more recommended in clinical practice.
作者
张鹏飞
王宇桐
周慧文
张子恒
胡子豪
齐岩松
徐永胜
Zhang Pengfei;Wang Yutong;Zhou Huiwen(Orthopedics Center,Inner Mongolia People’s Hospital,Hohhot 010017,China)
出处
《中国微创外科杂志》
北大核心
2025年第8期489-494,共6页
Chinese Journal of Minimally Invasive Surgery
基金
国家自然科学基金地区科学基金项目(81560374)
内蒙古医学科学院公立医院科研联合基金科技项目(2023GLLH0016)。
关键词
腘肌腱裂孔区损伤
半月板全内缝合术
富血小板血浆
膝关节功能
Popliteal hiatus area injuries
Meniscus total internal suture
Platelet-rich plasma
Knee joint function
