Two-Year Outcomes After Arthroscopic Lateral Meniscus Centralization
Two-Year Outcomes After Arthroscopic Lateral Meniscus Centralization
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DOI：
10.1016/j.arthro.2016.01.052
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发表时间：
2016-10-01
影响因子：
4.7
通讯作者：
Sekiya, Ichiro
中科院分区：
文献类型：
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作者：
Koga, Hideyuki;Muneta, Takeshi;Sekiya, Ichiro
目的：评价关节镜下关节内固定治疗外侧髁突出症的临床和影像学结局。方法：21例患者接受关节镜下外侧半月板中心化术。在外侧半月板（9例患者）或盘状半月板（12例患者）突出的病例中，将外侧半月板中段和关节囊之间边缘处的关节囊缝合到外侧胫骨平台的外侧边缘，并使用缝线锚钉居中，以减少或防止半月板突出。临床结局包括临床检查结果、Lysholm评分、膝关节损伤和骨关节炎结局评分以及关于患者满意度和运动表现水平的主观评定量表。影像学结局包括磁共振成像上的股骨突出宽度（MEW）和站立位45 °屈曲后前位视图上的外侧关节间隙宽度。所有临床和影像学结局均在术前和术后2年报告，而MEW在1年时报告;将结局与基线进行比较。结果：与基线相比，术后2年的临床结局显著改善：Lysholm评分（97 v69，P
Purpose: To evaluate clinical and radiographic outcomes of arthroscopic centralization for lateral meniscal extrusion. Methods: Twenty-one patients who underwent arthroscopic centralization of the lateral meniscus were included. In cases with an extruded lateral meniscus (9 patients) or discoid meniscus (12 patients), the capsule at the margin between the midbody of the lateral meniscus and the capsule was sutured to the lateral edge of the lateral tibial plateau and centralized using suture anchors to reduce or prevent meniscal extrusion. Clinical outcomes included clinical examination findings, Lysholm score, Knee Injury and Osteoarthritis Outcome Score, and subjective rating scales regarding patient satisfaction and sports performance level. Radiographic outcomes included meniscal extrusion width (MEW) on magnetic resonance imaging and lateral joint space width on a standing 45 degrees flexion posteroanterior view. All clinical and radiographic outcomes were reported pre-operatively and at 2 years post-operatively, whereas MEW was reported at 1 year; outcomes were compared with baseline. Results: Clinical outcomes were significantly improved at 2 years post-operatively compared with baseline: Lysholm score (97 v 69, P