关节镜下半月板根修复的功能结果。

N. Antao, Clevio Desouza
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引用次数: 0

摘要

目的:本研究的目的是评估半月板根修复前后患者膝关节的功能结果。材料和方法:本研究是一项前瞻性研究,对52例经关节镜修复的半月板根撕裂患者进行研究。随访时间分别为6周、3个月和6个月。功能结局采用VAS和Lysholm膝关节评分进行评估。结果:术前VAS评分7.46,术后6周VAS评分4.23,术后3个月VAS评分3.12,术后6个月VAS评分1.19。与术前6个月评分相比,差异有统计学意义,p值< 0.001。手术后,大多数病例在活动范围方面的预后都很好,总体而言,活动范围的改善具有统计学意义,p值< 0.001。在Lysholm膝关节评分评估方面,每次随访术前与术后评分均有显著差异。术前为68.52,术后6周Lysholm膝关节评分为81.72,术后3个月Lysholm膝关节评分为85.72,术后6个月Lysholm膝关节评分为92.23。与6个月后的术前评分相比,差异有统计学意义,p值< 0.001。结论:在本研究中,我们发现运动相关损伤更为常见,在男性和年轻人中更为常见。在半月板修复后,术后可以恢复良好的活动范围。如果遵循适当的术后物理治疗康复方案,相当多的病例可以恢复膝关节功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional Outcome of Arthroscopic Meniscal Root Repair.
Objectives: The aim of the study was to assess the functional outcome of the knee in patients before and after meniscal root repair. Material and Methods: This study was a prospective study done on 52 patients with Meniscal Root tear treated by arthroscopic repair. The follow-up period was 6 weeks, 3 months, and 6 months. Functional outcome was assessed using the VAS and Lysholm Knee Score. Results: The VAS pre-operative was 7.46, the VAS post-operative at 6 weeks was 4.23, the VAS post-operative at 3 months was 3.12 the VAS post-operative at 6 months was 1.19. As compared to preoperative scores at the end of 6 months the difference was statistically significant with a p-value < 0.001. Following surgery there was an excellent outcome in most of the cases with respect to the range of motion, overall, the improvement in the range of motion was statistically significant with a p-value < 0.001. On the evaluation of the Lysholm Knee Score, there was a significant difference between the pre-operative and post-operative scores at each follow-up. The pre-op was 68.52, the Lysholm Knee Score post-op - 6 weeks was 81.72, the Lysholm Knee Score post-op - 3 months was 85.72, and the Lysholm Knee Score post-op - 6 months was 92.23. As compared to preop scores at the end of 6 months the difference was statistically significant with a p-value < 0.001. Conclusion: In the present study we found that sports-related injuries were commoner, seen more in males and in young. Following meniscus repair, it is possible to get a good range of motion back post-operatively. A fair number of cases get back their knee function if appropriate post-operative physiotherapy rehabilitation protocol is followed.
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