چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| امیر محمد نوالی | اول |
| حسین اصلانی | دوم |
| عنوان | متن |
|---|---|
| کلمات کلیدی | submeniscal, meniscal repair ,PDS |
| خلاصه مقاله | Objectives: In meniscal repair surgery, parts of the implants place over the meniscus can wear down the cartilage in the contact zones and cause chronic synovitis. Placing horizontal sutures under the meniscus may overcome this potential hazard. The purpose of this prospective study was to evaluate the long-term results of arthroscopic meniscal repair using submeniscally placed out-in horizontal sutures. Methods: Between Jan 2009 and Feb 2012, 103 meniscal repairs using submeniscal horizontal out-in suture technique were performed. The average age at the time of meniscal repair was 27.2 years (range, 16–45 years). Our indications for meniscal repair were all longitudinal tear in red-red and red-white zone with acceptable tissue quality. No.1 polydioxanone (PDS) suture was used in all cases. Concurrent anterior cruciate ligament reconstruction was performed in 78 patients (76%). At final follow-up, all patients were evaluated by the criteria of Barrett et al.. Clinical success was defined as the absence of jointline tenderness, locking, swelling, and a negative McMurray test. Lysholm, subjective IKDC and modified Cincinnati score were recorded. Results: The average follow-up was 62 months (range, 52 to 76 months). The time interval from injury to meniscal repair ranged from 2 days to 390 days (median, 96 days). Eight patients were lost from the follow-up. At the end of follow-up, the clinical success rate was 73.7%. Twenty five out of 95 repaired menisci (26.3%) were considered failures according to Barrett’s criteria. The mean Lysholm, subjective IKDC and modified Cincinnati score were 81.2, 79.8 and 75.1 respectively. Tegner activity score improved significantly from an average of 3.6 (range, 2–6) preoperatively to 5.4 (range, 4–8) postoperatively. Statistical analysis showed that age, simultaneousanterior cruciate ligament reconstruction, chronicity of injury did not affect the clinical outcome. Conclusions: Our results showed that acceptable long-term results are expected from submeniscal horizontal out-in repair technique. This technique is cheap, safe and has the advantage of avoiding chondral abrasion caused by solid implants and suture materials placed over the meniscus. |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| N.2.pdf | 1399/02/03 | 59661 | دانلود |
| 1.jpg | 1399/02/04 | 125293 | دانلود |
