Effects of arthroscopic meniscus-plasty on meniscal lesions
10.3760/cma.j.issn.1008-6706.2016.15.020
- VernacularTitle:关节镜下半月板成形术治疗膝关节半月板损伤的疗效观察
- Author:
Libo WEN
- Publication Type:Journal Article
- Keywords:
Meniscus -plasty;
Arthroscopic;
Meniscectomy;
Meniscal lesions
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(15):2314-2317
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the therapeutic effect of arthroscopic meniscus -plasty in the treatment of meniscal lesions.Methods Patients admitted to our hospital′s department of orthopedics were reviewed,and they were divided into two groups according to the surgical methods.The observation group was treated with meniscus -plasty,while the control group was treated with meniscectomy.The Ikeuchievaluation standard was compared at the time of the last follow -up.The Lysholm and IKDC score were compared before and after treatment.Results The excellent -good rates were 86.5% in the observation group,which was significantly higher than that in the control group (62.8%,χ2 =5.768,P =0.016).There was no difference in Lysholm and IKDC score between the two groups before treatment[(63.4 ±10.8)points vs.(61.7 ±9.5 )points,P >0.05;(54.6 ±7.5 )points vs.(55.1 ± 8.3)points,P >0.05].After treatment,the Lysholm[(92.5 ±5.9)points and (90.4 ±6.6)points]and IKDC scores[(85.4 ±9.2)points and (83.6 ±9.8)points]were all significantly increased (t =14.383,16.269,15.784, 14.552,all P <0.05),but there were no difference between the two groups (P >0.05).At the time of the last follow-up,both Lysholm scores[(78.5 ±8.2)points]and IKDC scores[(75.5 ±7.9)points]were decreased in the control group (t =7.413,4.220,all P <0.05),and there were significant difference between the two groups (t =6.165,4.029,all P <0.05).Conclusion Meniscus -plasty and meniscectomy have similar short -term effects on meniscal lesions,but meniscus -plasty may show better effects in the long term.
