| 肖棋,江惠祥,吴清泉,等.共享前交叉韧带重建胫骨隧道下外侧半月板后根修复缝合方法的对比研究.骨科,2026,17(3): 225-231. |
| 共享前交叉韧带重建胫骨隧道下外侧半月板后根修复缝合方法的对比研究 |
| Chinese knot suture versus simple suture for repairing lateral meniscus posterior root repair via a shared anterior cruciate ligament reconstruction tibial tunnel: A comparative study |
| 投稿时间：2025-07-02 |
| DOI：10.3969/j.issn.1674-8573.2026.03.005 |
| 中文关键词: 前交叉韧带重建 外侧半月板后根撕裂 中国结缝合 共享胫骨隧道 关节镜 |
| 英文关键词: Anterior cruciate ligament reconstruction Lateral meniscus posterior root tear Chinese knot suture Shared tibial tunnel Arthroscopy |
| 基金项目: |
|
| 摘要点击次数: 365 |
| 全文下载次数: 74 |
| 中文摘要: |
| 目的 比较经共享前交叉韧带重建（ACLR）胫骨隧道下采用中国结缝合与单纯缝合修复外侧半月板后根撕裂（LMPRT）的影像学及临床结果。方法 回顾性分析2020年1月至2023年5月我院通过共享ACLR胫骨隧道拉出固定治疗的38例LMPRT合并前交叉韧带（ACL）损伤患者的临床资料。根据缝合方式分为中国结缝合组（18例）和单纯缝合组（20例）。评估两组患者术前及末次随访的膝关节功能[Lysholm评分、国际膝关节文献委员会（IKDC）评分]、稳定性（轴移试验分度）、MRI指标（胫骨前移距离、外侧半月板外突距离）及半月板愈合情况。结果 38例患者获得18~25个月（平均21.4个月）随访。两组在末次随访时的膝关节Lysholm评分、IKDC评分、轴移试验分度、胫骨前移距离、半月板愈合情况差异无统计学意义（P＞0.05）；但中国结缝合组的外侧半月板外突距离小于单纯缝合组[（0.87±0.30） mm vs. （1.89±0.50） mm]，差异有统计学意义（t=8.002，P＜0.001）。结论 共享ACLR胫骨隧道拉出固定修复LMPRT近期疗效良好。中国结缝合在减少术后半月板外突方面优于单纯缝合，是一种值得推荐的缝合方法。 |
| 英文摘要: |
| Objective To compare the radiological and clinical outcomes of Chinese knot suture versus simple suture for repairing lateral meniscus posterior root tears (LMPRT) via a shared anterior cruciate ligament reconstruction (ACLR) tibial tunnel. Methods A retrospective analysis was conducted on 38 patients with LMPRT combined with anterior cruciate ligament (ACL) injuries who underwent pull-out fixation through a shared ACLR tibial tunnel at our hospital between January 2020 and May 2023. Based on the suture technique applied, the patients were divided into a Chinese knot suture group (18 cases) and a simple suture group (20 cases). Knee joint function [Lysholm score and International Knee Documentation Committee (IKDC) score], knee stability (pivot-shift test grading), MRI parameters (anterior tibial translation and lateral meniscal extrusion distance), and meniscal healing status were evaluated preoperatively and at the final follow-up for both groups. Results All 38 patients were followed up for 18 to 25 months (mean, 21.4 months). At the final follow-up, there were no statistically significant differences between the two groups in terms of the Lysholm score, IKDC score, pivot-shift test grading, anterior tibial translation, and meniscal healing status (all P＞0.05). However, the lateral meniscal extrusion distance in the Chinese knot suture group was significantly smaller than that in the simple suture group [(0.87±0.30) mm vs. (1.89±0.50) mm], showing a statistically significant difference (t=8.002, P＜0.001). Conclusion Pull-out fixation through a shared ACLR tibial tunnel for the repair of LMPRT demonstrates favorable short-term clinical outcomes. Furthermore, the Chinese knot suture technique is superior to the simple suture in reducing postoperative lateral meniscal extrusion, making it a highly recommended suturing method in clinical practice. |
|
查看全文
下载PDF阅读器 |
| 关闭 |
|
|
|
