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骨桥与骨栓固定同种异体半月板移植的效果比较

彭亮权 朱伟民 王大平 陆伟 冯文哲 陈康

中国组织工程研究Issue(2):196-200,5.
中国组织工程研究Issue(2):196-200,5.DOI:10.3969/j.issn.2095-4344.2015.02.007

骨桥与骨栓固定同种异体半月板移植的效果比较

Bone bridge and bone plug fixation methods for meniscal allograft transplantation

彭亮权 1朱伟民 1王大平 1陆伟 1冯文哲 1陈康1

作者信息

  • 1. 深圳市第二人民医院运动医学科,广东省深圳市 518035
  • 折叠

摘要

Abstract

BACKGROUND:Studies have reported that the bone bridge and bone plug for meniscal alograft transplantation show better outcomes than simple soft tissue suture, but there are rare studies concerning the comparison of their fixation effects. OBJECTIVE:To compare the clinical effects of bone bridge and bone plug in meniscal alograft transplantation. METHODS:Eighteen patients undergoing arthroscopy-assisted meniscal alograft transplantation were enroled, including nine cases of bone plug fixation and nine cases of bone bridge fixation. Symptoms, physical examination, visual analog scale, Lysholm and Tegner scores were used to evaluate the clinic outcome. Every 6 months post operation, the signal and morphological changes of alograft meniscus was observed with MRI for each patient. RESULTS AND CONCLUSION:Al of the 18 patients were folowed up for 12-36 months after transplantation. No complications, absence of knee pain and effusion, and disappearance of the discomfort within the meniscectomy compartments after prolonged activity during folow-up period were found in al patients. The patients were competent of daily life and sports activity. The visual analog scale, Lysholm and Tegner scores were significantly increased after transplantation. MRI showed that the vicariousness and livability of the alograft menisci appeared within 1 year post operation. The safety and feasibility of the arthroscopy-assisted meniscal alograft transplantation were approved. Knee pain, knee effusion and joint stability and function were improved after arthroscopic-assisted alograft meniscus transplantation, and there was no difference between the clinical curative effects of the two kinds of fixed methods.

关键词

组织构建/软骨组织工程/半月板移植/同种异体移植/骨桥固定/骨栓固定/关节镜微创

Key words

Menisci, Tibial/Transplantation, Homologous/Arthroscopes

分类

医药卫生

引用本文复制引用

彭亮权,朱伟民,王大平,陆伟,冯文哲,陈康..骨桥与骨栓固定同种异体半月板移植的效果比较[J].中国组织工程研究,2015,(2):196-200,5.

基金项目

深圳市科技计划项目(201302088)@@@@the Science and Technology Plan of Shenzhen City, No.201302088 (201302088)

中国组织工程研究

OA北大核心CSTPCD

2095-4344

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