Abstract: 【Abstract】〓Objective〓To assess the effect of the surgical method of repairing the meniscus tear by all-inside suture technique FasT-fix unite outside-in device.(Smith & Nephew Endoscopy, Andover, MA). Methods〓From Feb 2011 to Feb2014, 83 knees were diagnosed as meniscus tear and underwent meniscal repair using arthroscopic FasT-Fix and out-inside device with concomitant other injuries restoration. For all patients, MRI was performed for evaluating meniscal healing capacity postoperatively..Preoperative and postoperative Lysholm scores was evaluated comparatively for joint function. Results〓Eighty-three patients were followed up for an average of 16 months (range 6-26 months),.and normal joint function was found in all patients..MRI showed that 59 patients got complete healing,.16 patients got incomplete healing,.and 8 patients failed to heal..The Lysholm scores from 46.3±20.8 Preoperatively to 93.5±4.6 postoperatively had improvedwith statistical significance(t=19.28, P<0.01). Conclusion〓Using all-inside suture technique FasT-fix and outside-in device for meniscus tear under arthroscope had excellent effect.

Key words: Knee, meniscus tear, FasT-fix, Outside-in device, Repair

摘要： 【摘要】〓目的〓评价内缝合FasT-fix技术联合外-内缝合系统治疗膝关节半月板损伤的有效性。方法〓回顾性分析我院2011年2月至2014年2月利用关节镜下FasT-fix技术联合外-内缝合系统治疗膝半月板损伤83例。术后跟踪随访,通过MRI检查评估愈合情况,术前-术后Lysholm评分评估关节功能,探讨手术方式有效性。结果〓83例均获得随访并进行MRI复查,最长26个月,最短6个月(平均16个月),术后复查MRI提示59例完全愈合,16例部分愈合,8例未愈合。所有患膝关节活动度正常,平均Lysholm评分由术前46.3±20.8提高到93.5±4.6分(t=19.28, P<0.01),差异有统计学意义。结论〓关节镜下全内缝合FasT-fix技术联合外-内缝合系统治疗膝关节半月板损伤疗效肯定。

关键词: 膝关节, 半月板损伤, FasT-fix, 外-内缝合, 修补