Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (37): 5943-5949.doi: 10.3969/j.issn.2095-4344.2015.37.008

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Arthroscopic all-inside suture repair combined with sodium hyaluronate injection for discoid meniscus injury 

Tang Jin, Ji Ming, Liao Yi-ming, Cheng Zhi-yong, Chen Lin, Zhan Fang-biao, Yang Tao   

  1. Department of Orthopedics, Chongqing Three Gorges Central Hospital, Chongqing  404000, China
  • Online:2015-09-10 Published:2015-09-10
  • Contact: Yang Tao, Attending physician, Department of Orthopedics, Chongqing Three Gorges Central Hospital, Chongqing 404000, China
  • About author:Tang Jin, Master, Attending physician, Department of Orthopedics, Chongqing Three Gorges Central Hospital, Chongqing 404000, China

Abstract:

BACKGROUND: Studies have shown that arthroscopic all-inside technology for meniscus repair has achieved good outcomes, and arthroscopic suture combined with sodium hyaluronate has an important role in the cartilage repair.
OBJECTIVE: To observe the therapeutic effect of arthroscopic all-inside suture repair combined with sodium hyaluronate injection in the repair of discoid meniscus tears.
METHODS: Twenty-two patients with discoid meniscus injury were subjected to arthroscopic all-inside suture repair combined with sodium hyaluronate injection. All cases were confirmed to have attached edge relaxation or longitudinal crack in operation. After repair, effective rehabilitation training was done.
RESULTS AND CONCLUSION: The operations for the 22 cases were all successful and there was no complication. All patients were followed up for over 18 months. According to Ikenchi’s method (Lysholm knee score criterion), 11 cases were rated excellent, 8 were rated good, and 3 were rated fair, with an excellent/good rate of 86.36%. It is demonstrated that the all-inside suture repair under the guide of arthroscopy in discoid meniscus cases can remain the most appropriate anatomical structure of the meniscus that can play an effective function, and has the advantage of minimal invasion. Arthroscopic all-inside suture repair combined with intra-articular injection of sodium hyaluronate and standard rehabilitation training result in a lower complication rate and effectively promotes the meniscus repair.

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words: Arthroscopes, Suture Techniques, Knee Joint, Menisci, Tibial

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