[1]吴旭辉,罗林峰,吴江林,等.关节镜下内侧半月板成形术治疗中老年内侧半月板后角根部断裂的疗效及其对膝关节功能的影响[J].医学信息官方网站,2022,35(15):51-54.[doi:10.3969/j.issn.1006-1959.2022.15.010]
　WU Xu-hui,LUO Lin-feng,WU Jiang-lin,et al.Effect of Arthroscopic Medial Meniscus Angioplasty in the Treatment of Middle-aged and Elderly Medial Meniscus Posterior Horn Root Fracture and its Effect on Knee Joint Function[J].Medical Information,2022,35(15):51-54.[doi:10.3969/j.issn.1006-1959.2022.15.010]
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关节镜下内侧半月板成形术治疗中老年内侧半月板后角根部断裂的疗效及其对膝关节功能的影响()
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《医学信息》官方网站[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年15期
页码:
51-54
栏目:
论著
出版日期:
2022-08-01

文章信息/Info

Title:
Effect of Arthroscopic Medial Meniscus Angioplasty in the Treatment of Middle-aged and Elderly Medial Meniscus Posterior Horn Root Fracture and its Effect on Knee Joint Function
文章编号:
1006-1959（2022）15-0051-04
作者:
吴旭辉; 罗林峰; 吴江林; 等
（东莞市中医院骨一科，广东 东莞 523000）
Author(s):
WU Xu-hui; LUO Lin-feng; WU Jiang-lin; et al.
(The First Department of Orthopedics,Dongguan Hospital of Traditional Chinese Medicine,Dongguan 523000,Guangdong,China)
关键词:
关节镜; 半月板成形术; 内侧; 后角根部断裂; 膝关节功能
Keywords:
Arthroscopy; Meniscus plasty; Medial; Posterior horn root fracture; Knee function
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2022.15.010
文献标志码:
A
摘要:
目的 观察关节镜下内侧半月板成形术治疗中老年患者内侧半月板后角根部断裂临床疗效及膝关节功能的影响。方法 选择2020年4月-2021年10月在东莞市中医院诊治的60例老年内侧半月板后角根部断裂患者为研究对象，采用随机数字表法分为对照组和观察组，各30例。对照组采用保守治疗，观察组采用关节镜下内侧半月板成形术治疗，比较两组临床治疗疗效、膝关节功能（Lysholm）评分、疼痛（VAS）评分、股胫角（FTA）、内侧间室宽度以及并发症发生率。结果 观察组临床治疗总有效率为90.00%，高于对照组的70.00%，差异有统计学意义（P＜0.05）；两组治疗1、2、6个月Lysholm评分均高于治疗前，治疗2、6个月Lysholm评分均高于治疗1个月，且观察组均高于对照组，差异有统计学意义（P＜0.05）；治疗1、2、6个月疼痛评分均低于治疗前，治疗2、6个月疼痛评分均低于治疗1个月，且观察组均低于对照组，差异有统计学意义（P＜0.05）；治疗1、2个月观察组股胫角、内侧间室宽度与治疗前比较，差异无统计学意义（P＞0.05）；治疗6个月观察组股胫角小于治疗前，内侧间室宽度均大于治疗前，差异有统计学意义（P＜0.05），且观察组股胫角均小于对照组，内侧间室宽度大于对照组，差异有统计学意义（P＜0.05），但是对照组治疗前与治疗1、2、6个月比较，差异无统计学意义（P＞0.05），且治疗1、2、6个月两两比较，差异无统计学意义（P＞0.05）；观察组并发症发生率为6.67%，低于对照组的16.67%，差异有统计学意义（P＜0.05）。结论 关节镜下内侧半月板成形术治疗中老年患者内侧半月板后角根部断裂临床效果确切，具有较高的治疗总有效率，有助于改善膝关节功能，减轻疼痛度，减小股胫角，增大内侧间室宽度，降低并发症发生率，有效延缓膝骨关节炎进展，延迟膝关节置换的时间。
Abstract:
Objective To observe the clinical effect of arthroscopic medial meniscus plasty in the treatment of middle-aged and elderly patients with medial meniscus posterior horn root fracture and the influence of knee joint function.Methods Sixty elderly patients with posterior horn root fracture of medial meniscus who were treated in Dongguan Hospital of Traditional Chinese Medicine from April 2020 to October 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 cases in each group. The control group was treated with conservative treatment, and the observation group was treated with arthroscopic medial meniscus plasty. The clinical efficacy, Lysholm score, VAS score, femoral tibial angle (FTA), medial compartment width and incidence of complications were compared between the two groups.Results The total effective rate of clinical treatment in the observation group was 90.00%, which was higher than 70.00% in the control group, and the difference was statistically significant (P<0.05). The Lysholm scores of the two groups at 1, 2 and 6 months after treatment were higher than those before treatment, and the Lysholm scores at 2 and 6 months after treatment were higher than those at 1 month after treatment, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). The pain scores at 1, 2 and 6 months after treatment were lower than those before treatment, and the pain scores at 2 and 6 months after treatment were lower than those at 1 month after treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). There was no significant difference in the femoral tibial angle and the width of the medial compartment between the observation group and the control group after 1 and 2 months of treatment (P>0.05). The femorotibial angle of the observation group at 6 months after treatment was smaller than that before treatment, and the width of the medial compartment was larger than that before treatment, the difference was statistically significant (P<0.05), while there was no significant difference between before treatment and 1, 2 and 6 months of treatment in the control group (P>0.05), and there was no significant difference between the two groups at 1, 2 and 6 months after treatment (P>0.05). The incidence of complications in the observation group was 6.67%, which was lower than 16.67% in the control group, and the difference was statistically significant (P<0.05).Conclusion Arthroscopic medial meniscus angioplasty has a definite clinical effect in the treatment of posterior horn root fracture of medial meniscus in middle-aged and elderly patients. It has a high total effective rate, which is helpful to improve knee joint function, reduce pain, reduce femoral and tibial angles, increase the width of medial compartment, reduce the incidence of complications, effectively delay the progress of knee osteoarthritis and delay the time of knee replacement.

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更新日期/Last Update: 1900-01-01