当前位置:
X-MOL 学术
›
Knee Surg. Sports Traumatol. Arthrosc.
›
论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Concurrent arthroscopic meniscal repair during open-wedge high tibial osteotomy is not clinically beneficial for medial meniscus posterior root tears.
Knee Surgery, Sports Traumatology, Arthroscopy ( IF 3.8 ) Pub Date : 2020-05-10 , DOI: 10.1007/s00167-020-06055-9 Xiurong Ke 1 , Jiandi Qiu 1 , Shanxi Chen 2 , Xiaoliang Sun 1 , Fanghui Wu 1 , Guojing Yang 1 , Lei Zhang 1
Knee Surgery, Sports Traumatology, Arthroscopy ( IF 3.8 ) Pub Date : 2020-05-10 , DOI: 10.1007/s00167-020-06055-9 Xiurong Ke 1 , Jiandi Qiu 1 , Shanxi Chen 2 , Xiaoliang Sun 1 , Fanghui Wu 1 , Guojing Yang 1 , Lei Zhang 1
Affiliation
PURPOSE
This prospective study aimed to investigate the clinical benefits of meniscal repair during open-wedge high tibial osteotomies (OWHTOs) in patients with medial meniscus posterior root tears (MMPRTs) and to identify potential risk factors for meniscal healing.
METHODS
Ninety patients with degenerative MMPRTs were included in the final cohort and randomized into three groups. The patients in Group A (n = 30) underwent OWHTO and arthroscopic all-inside meniscal repair concurrently, those in Group B (n = 34) underwent OWHTO only, and those in Group C (n = 26) underwent arthroscopic partial meniscectomy. Clinical and radiological outcomes were recorded, and meniscal healing was evaluated during second-look arthroscopy. Logistic regression analysis was performed to identify risk factors for meniscal healing.
RESULTS
After a minimum follow-up of 24 months, no significant differences between Groups A and B regarding the final Lysholm (p = 0.689) or Hospital for Special Surgery (HSS) scores (p = 0.256) were observed. There were significant differences among the three groups regarding the hip-knee-ankle angle (HKA), weight-bearing line (WBL) ratio, medial proximal tibial angle (MPTA), and joint line convergence angle (JLCA) (p < 0.001, respectively), but the differences between Groups A and B were not significant. During second-look arthroscopy, the healing rate of the MMPRTs was significantly higher in Group A (63.3%) than in Group B (35.3%). Concurrent meniscal repair and changes in the HKA, and MPTA were risk factors for meniscal healing.
CONCLUSION
Concurrent arthroscopic meniscal repair during OWHTO did not lead to significant clinical benefits in the treatment of MMPRTs, except for an increased rate of meniscal healing, which was not associated with clinical outcomes.
LEVEL OF EVIDENCE
II, prospective comparative study.
中文翻译:
楔形高位胫骨截骨术中同时进行关节镜半月板修复对内侧半月板后根撕裂没有临床益处。
目的这项前瞻性研究旨在调查半月板内侧后根撕裂(MMPRTs)患者的楔入式高位胫骨截骨术(OWHTO)期间半月板修复的临床益处,并确定半月板愈合的潜在危险因素。方法将90例退行性MMPRTs患者纳入最终队列,并随机分为三组。A组(n = 30)的患者同时接受OWHTO和关节镜全内半月板修补术,B组(n = 34)的患者仅接受OWHTO,C组(n = 26)的患者进行关节镜部分半月板切除术。记录临床和放射学结果,并在第二眼关节镜检查期间评估半月板愈合情况。进行逻辑回归分析以确定半月板愈合的危险因素。结果至少随访24个月后,A组和B组之间在最终Lysholm(p = 0.689)或特殊外科医院(HSS)评分(p = 0.256)方面没有发现显着差异。三组在髋膝踝角(HKA),负重线(WBL)比率,胫骨近端内侧角(MPTA)和关节交汇角(JLCA)之间存在显着差异(p <0.001, ),但A组和B组之间的差异并不显着。在第二眼关节镜检查期间,A组(63.3%)的MMPRTs的治愈率明显高于B组(35.3%)。半月板修复以及HKA和MPTA的变化是半月板愈合的危险因素。结论OWHTO期间同时进行关节镜下半月板修复在MMPRTs的治疗中并未带来显着的临床益处,除了半月板修复率的提高,这与临床结果无关。证据级别II,前瞻性比较研究。
更新日期:2020-05-10
中文翻译:
楔形高位胫骨截骨术中同时进行关节镜半月板修复对内侧半月板后根撕裂没有临床益处。
目的这项前瞻性研究旨在调查半月板内侧后根撕裂(MMPRTs)患者的楔入式高位胫骨截骨术(OWHTO)期间半月板修复的临床益处,并确定半月板愈合的潜在危险因素。方法将90例退行性MMPRTs患者纳入最终队列,并随机分为三组。A组(n = 30)的患者同时接受OWHTO和关节镜全内半月板修补术,B组(n = 34)的患者仅接受OWHTO,C组(n = 26)的患者进行关节镜部分半月板切除术。记录临床和放射学结果,并在第二眼关节镜检查期间评估半月板愈合情况。进行逻辑回归分析以确定半月板愈合的危险因素。结果至少随访24个月后,A组和B组之间在最终Lysholm(p = 0.689)或特殊外科医院(HSS)评分(p = 0.256)方面没有发现显着差异。三组在髋膝踝角(HKA),负重线(WBL)比率,胫骨近端内侧角(MPTA)和关节交汇角(JLCA)之间存在显着差异(p <0.001, ),但A组和B组之间的差异并不显着。在第二眼关节镜检查期间,A组(63.3%)的MMPRTs的治愈率明显高于B组(35.3%)。半月板修复以及HKA和MPTA的变化是半月板愈合的危险因素。结论OWHTO期间同时进行关节镜下半月板修复在MMPRTs的治疗中并未带来显着的临床益处,除了半月板修复率的提高,这与临床结果无关。证据级别II,前瞻性比较研究。