关节镜下应用FasT-Fix缝合器修复半月板损伤的中期临床疗效观察*

Mid-term outcomes follow- up of meniscal repair with FasT-Fix system throw arthroscopy*

摘要:

目的??探讨关节镜下FasT-Fix系统在半月板损伤修复中的临床疗效。方法?2013年1月-2016年1月，采用FasT-Fix系统在关节镜下对32例半月板撕裂损伤患者进行了全关节内的半月板缝合手术。随访包括患者术后关节症状及体征，Lysholm评分等。结果?随访时间6～12个月（平均9.7个月），根据Barrett临床愈合标准，28例临床愈合，临床愈合率为87.5%。Lysholm评分由术前32～74分提高到术后89～93分。其中3例进行了二次关节镜探查手术，显示缝合的半月板均已愈合。结论?关节镜下应用FasT-Fix系统进行半月板损伤的缝合修复具有很好的中期临床疗效。

Abstract:

Objective?To evaluate the mid-term clinical effect of meniscus tear with FasT-Fix system throw arthroscopy.?Methods?From January 2013 to January 2016, FasT-Fix system (Smith & Nephew, USA) was used for arthroscopic meniscal repair in 32 patients. The clinical outcome of the patients were evaluated by assessing the symptoms and signs, Lysholm, etc.?Results?The follow-up time was 6~12 months. According to Barrett standards, 28 patients were healed (87.5%). Lysholm scores were improved significantly after the operation.?Conclusions?Arthroscopic meniscal repair using FasT-Fix system can provide good mid-term results.