| 半月板缝合术和半月板成形术治疗膝关节内侧半月板后角水平裂（Ⅲ°）的短期临床疗效 |
| The short-term clinical efficacy of meniscus suture and meniscal plasty in the treatment of horizontal tears (grade Ⅲ) of posterior horn of the medial meniscus of knee joint |
| 投稿时间：2025-07-14 |
| DOI：10.3969/j.issn.1672-5972.2026.04.008 |
| 中文关键词: 水平裂 半月板缝合 半月板成形 |
| 英文关键词:Horizontal tears Meniscus suture Meniscus plasty |
| 基金项目: |
| 作者 | 单位 | 邮编 | | 张磊* | 南京江北医院骨科,江苏 南京,210044 | 210044 | | 王斌 | 南京江北医院骨科,江苏 南京,210044 | 210044 | | 邱福平 | 南京江北医院骨科,江苏 南京,210044 | 210044 | | 何兵 | 南京江北医院骨科,江苏 南京,210044 | 210044 | | 江起庭* | 南京江北医院骨科,江苏 南京,210044 | 210044 |
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| 中文摘要: |
| 目的 对比分析半月板缝合术和半月板成形术治疗膝关节内侧半月板后角水平裂（Ⅲ°）的短期临床疗效。方法 回顾性分析2022年6月至2024年6月南京江北医院因膝关节内侧半月板后角水平裂（Ⅲ°）住院行膝关节镜手术的患者70例，其中缝合组35例，成形组35例。比较两组患者的手术时间、术中出血量、住院时间，术前及术后的疼痛视觉模拟评分（visual analogue scale, VAS）、膝关节功能Lysholm评分及术后并发症发生情况。结果 缝合组随访时间6～11个月，平均（7.94±1.43）个月；成形组随访时间6～12个月，平均（8.40±1.59）个月。缝合组手术时间长于成形组（P＜0.05）；术中出血量及住院时间比较，差异无统计学意义（P＞0.05）。两组术后1、6个月的VAS评分均比术前低，Lysholm评分均比术前高，且术后1、6个月两组的VAS评分比较，差异均无统计学意义（P＞0.05）。两组术后1个月的Lysholm评分比较，差异均无统计学意义（P＞0.05）；但术后6个月缝合组Lysholm评分高于成形组，差异有统计学意义（P＜0.05）。缝合组的并发症发生率为5.71%，成形组为2.86%，两组差异无统计学意义（P＞0.05）。结论 半月板缝合术和半月板成形术治疗膝关节内侧半月板后角水平裂（Ⅲ°）均有良好的短期临床疗效，但半月板缝合术在改善膝关节功能方面更具优势，且不增加并发症发生率。 |
| 英文摘要: |
| Objective To compare the short-term clinical outcomes of meniscal suture and meniscal plasty in the treatment of horizontal tears (grade Ⅲ) of the posterior horn of the medial meniscus of the knee joint.Methods A retrospective analysis was performed on 70 patients who underwent arthroscopic knee surgery for horizontal tears (grade Ⅲ) of the posterior horn of the medial meniscus between June 2022 and June 2024 at Nanjing Jiangbei Hospital. These patients were divided into two groups: the suture group (n=35) and the meniscal plasty group (n=35). The operative time, intraoperative blood loss, length of hospital stay, pre- and postoperative visual analogue scale (VAS) scores for pain, Lysholm scores for knee function, and postoperative complication rates were compared between the two groups.Results The suture group was followed up for 6 to 11 months, with a mean follow-up of (7.94±1.43) months; the meniscal plasty group was followed up for 6 to 12 months, with a mean of (8.40±1.59) months. Operative time was significantly longer in the suture group than in the meniscal plasty group (P<0.05), whereas no statistically significant differences were observed in intraoperative blood loss or length of hospital stay (P>0.05). Both groups showed significant reductions in VAS scores and improvements in Lysholm scores at 1 and 6 months postoperatively compared to baseline (P<0.05). No significant differences in VAS scores were observed between the two groups at either 1 or 6 months postoperatively (P>0.05). At 1 month postoperatively, there was no significant difference in Lysholm scores between the groups (P>0.05); however, at 6 months postoperatively, the suture group demonstrated significantly higher Lysholm scores than the meniscal plasty group (P<0.05). The complication rate was 5.71% in the suture group and 2.86% in the meniscal plasty group, with no statistically significant difference between the groups (P>0.05).Conclusion Both meniscal suture and meniscal plasty yield favorable short-term clinical outcomes in treating horizontal tears (grade Ⅲ) of the posterior horn of the medial meniscus. However, meniscal suture offers superior improvement in knee joint function without increasing the risk of postoperative complications. |
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