MEDIUM-TERM EFFECTIVENESS OF BOTH SIDE STEREO SUTURE FOR MENISCUS BUCKET HANDLE TEAR UNDER ARTHROSCOPY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HUANGDonghong ,  LUQigui , WANGPing , SUNKemin , LIZheng

Department of Joint Bone, Shenzhen Pingle Orthopedics Hospital, Shenzhen Guangdong, 518010, P. R. China;

Corresponding?author：

LUQigui, Email: szpllqg@163.com

Keywords：

Arthroscopy; Meniscus injury; Bucket handle tear; Stereo suture; Repair

DOI：

10.7507/1002-1892.20150035

Video：

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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 Copy

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2.	劉生. 關節鏡下治療半月板桶柄狀撕裂的近期療效觀察. 中國醫藥指南, 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.	王煥, 雷星, 王文波. 膝關節前交叉韌帶損傷重建方法的研究進展. 中華臨床醫師雜志(電子版), 2013, 7(7):1335-1337.
7.	錢三祥, 徐斌, 周亮, 等. 關節鏡手術治療半月板桶柄樣撕裂的療效分析. 安徽醫科大學學報, 2010, 46(5):502-503.
8.	李強, 高志, 程松苗, 等. 縫合治療在膝關節內側半月板桶柄狀撕裂中的應用及效果. 華西醫學, 2013, 28(8):1203-1206.
9.	梁綺玲, 韓立新, 曹惠霞, 等. MRI多征象分析診斷半月板桶柄狀撕裂. 中國介入影像與治療學, 2011, 8(6):492-495.
10.	馮華, 洪雷, 耿向蘇, 等. 半月板大桶柄樣撕裂的關節鏡下聯合修補技術. 中國運動醫學雜志, 2007, 26(1):10-16.
11.	解新剛, 楊惠光, 姜雪鋒, 等. 關節鏡下聯合修補技術治療內側半月板桶柄樣撕裂. 交通醫學, 2009, 23(4):344-346.

1. 胡力, 宋斌, 葉英文, 等. 關節鏡下治療半月板桶柄狀撕裂的近期療效觀察. 中華關節外科雜志(電子版), 2011, 5(2):165-169.
2. 劉生. 關節鏡下治療半月板桶柄狀撕裂的近期療效觀察. 中國醫藥指南, 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. 王煥, 雷星, 王文波. 膝關節前交叉韌帶損傷重建方法的研究進展. 中華臨床醫師雜志(電子版), 2013, 7(7):1335-1337.
7. 錢三祥, 徐斌, 周亮, 等. 關節鏡手術治療半月板桶柄樣撕裂的療效分析. 安徽醫科大學學報, 2010, 46(5):502-503.
8. 李強, 高志, 程松苗, 等. 縫合治療在膝關節內側半月板桶柄狀撕裂中的應用及效果. 華西醫學, 2013, 28(8):1203-1206.
9. 梁綺玲, 韓立新, 曹惠霞, 等. MRI多征象分析診斷半月板桶柄狀撕裂. 中國介入影像與治療學, 2011, 8(6):492-495.
10. 馮華, 洪雷, 耿向蘇, 等. 半月板大桶柄樣撕裂的關節鏡下聯合修補技術. 中國運動醫學雜志, 2007, 26(1):10-16.
11. 解新剛, 楊惠光, 姜雪鋒, 等. 關節鏡下聯合修補技術治療內側半月板桶柄樣撕裂. 交通醫學, 2009, 23(4):344-346.

Chinese Journal of Reparative and Reconstructive Surgery

MEDIUM-TERM EFFECTIVENESS OF BOTH SIDE STEREO SUTURE FOR MENISCUS BUCKET HANDLE TEAR UNDER ARTHROSCOPY

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