Objective To investigate the medium-term effectiveness of both side stereo suture for meniscus bucket handle tear under arthroscopy.
Methods Between January 2009 and December 2012, 38 patients with combined injury of meniscus bucket handle tear underwent arthroscope surgery by the method of both side stereo suture. There were 26 males and 12 females with an average age of 32 years (range, 19-42 years). The injury causes included sports injury in 21 cases, traffic accident injury in 11 cases, and other trauma in 6 cases. The left knee was involved in 15 cases and the right knee in 23 cases. The interval between injury and operation was 2 days to 6 months (mean, 2.5 months). MRI examination showed meniscus injury at grade Ⅲ, including 22 cases of internal injury and 16 cases of lateral injury. The Barrett standard, Lysholm score of knee joint, and joint mobility were used to assess the function recovery of the knee joint.
Results All incisions healed primarily with no complication. All cases were followed up 24.5 months on average (range, 18-36 months). Based on the Barrett standard, meniscus bucket handle tear was successfully repaired in all cases. The Lysholm scores and range of motion of the knee at 6 months, 12 months, and last follow-up were significantly better than preoperative ones (P<0.05).
Conclusion The both side stereo suture of meniscus bucket handle tear under arthroscopy has an excellent medium-term effectiveness, with the advantages of firm suture and high healing rate.
Citation：
HUANGDonghong, LUQigui, WANGPing, SUNKemin, LIZheng. MEDIUM-TERM EFFECTIVENESS OF BOTH SIDE STEREO SUTURE FOR MENISCUS BUCKET HANDLE TEAR UNDER ARTHROSCOPY. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(2): 163-166. doi: 10.7507/1002-1892.20150035
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Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
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Ververidis AN, Verettas DA, Kazakos KJ, et al. Meniscal bucket handle tears:a retrospective study of arthroscopy and the relation to MRI. Knee Surg Sports Traumatol Arthrosc, 2006, 14(4):343-349.
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Barrett GR, Treacy SH, Ruff CG. Preliminary results of the T-fix endoscopic meniscus repair technique in an anterior cruciate ligament reconstruction population. Arthroscopy, 1997, 13(2):218-223.
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王焕, 雷星, 王文波. 膝关节前交叉韧带损伤重建方法的研究进展. 中华临床医师杂志(电子版), 2013, 7(7):1335-1337.
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钱三祥, 徐斌, 周亮, 等. 关节镜手术治疗半月板桶柄样撕裂的疗效分析. 安徽医科大学学报, 2010, 46(5):502-503.
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李强, 高志, 程松苗, 等. 缝合治疗在膝关节内侧半月板桶柄状撕裂中的应用及效果. 华西医学, 2013, 28(8):1203-1206.
|
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梁绮玲, 韩立新, 曹惠霞, 等. MRI多征象分析诊断半月板桶柄状撕裂. 中国介入影像与治疗学, 2011, 8(6):492-495.
|
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冯华, 洪雷, 耿向苏, 等. 半月板大桶柄样撕裂的关节镜下联合修补技术. 中国运动医学杂志, 2007, 26(1):10-16.
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解新刚, 杨惠光, 姜雪锋, 等. 关节镜下联合修补技术治疗内侧半月板桶柄样撕裂. 交通医学, 2009, 23(4):344-346.
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- 1. 胡力, 宋斌, 叶英文, 等. 关节镜下治疗半月板桶柄状撕裂的近期疗效观察. 中华关节外科杂志(电子版), 2011, 5(2):165-169.
- 2. 刘生. 关节镜下治疗半月板桶柄状撕裂的近期疗效观察. 中国医药指南, 2013, 11(1):195-196.
- 3. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med, 1982, 10(3):150-154.
- 4. Ververidis AN, Verettas DA, Kazakos KJ, et al. Meniscal bucket handle tears:a retrospective study of arthroscopy and the relation to MRI. Knee Surg Sports Traumatol Arthrosc, 2006, 14(4):343-349.
- 5. Barrett GR, Treacy SH, Ruff CG. Preliminary results of the T-fix endoscopic meniscus repair technique in an anterior cruciate ligament reconstruction population. Arthroscopy, 1997, 13(2):218-223.
- 6. 王焕, 雷星, 王文波. 膝关节前交叉韧带损伤重建方法的研究进展. 中华临床医师杂志(电子版), 2013, 7(7):1335-1337.
- 7. 钱三祥, 徐斌, 周亮, 等. 关节镜手术治疗半月板桶柄样撕裂的疗效分析. 安徽医科大学学报, 2010, 46(5):502-503.
- 8. 李强, 高志, 程松苗, 等. 缝合治疗在膝关节内侧半月板桶柄状撕裂中的应用及效果. 华西医学, 2013, 28(8):1203-1206.
- 9. 梁绮玲, 韩立新, 曹惠霞, 等. MRI多征象分析诊断半月板桶柄状撕裂. 中国介入影像与治疗学, 2011, 8(6):492-495.
- 10. 冯华, 洪雷, 耿向苏, 等. 半月板大桶柄样撕裂的关节镜下联合修补技术. 中国运动医学杂志, 2007, 26(1):10-16.
- 11. 解新刚, 杨惠光, 姜雪锋, 等. 关节镜下联合修补技术治疗内侧半月板桶柄样撕裂. 交通医学, 2009, 23(4):344-346.
