| BackgroundMeniscus injury of knee joint used to appear mostly in young people. Generally adopt under arthroscopic meniscal suture surgery. But after laparoscopic repair of the meniscus, clinical healing rate is not higho Scholars found that the meniscus is much more easily to heal if it combined anterior cruciate ligament (ACL) injured.So the scholars proposed by exploring the theory of stimulation of the bone marrow to improve the healing rate of meniscus, and used the animal experiments proved the theory as well. Therefor, the purpose of this paper is to through comparing simple suture of meniscus injury and stitching joint bone marrow stimulation clinical healing difference of two groups, to confirm that bone marrow stimulation did help to improve the postoperative healing meniscus injury suture. And hope for clinical put forward a kind of "easy operation, small trauma, zero economic burden, fewer complications" the feasible meniscus auxiliary treatment technology.ObjectiveTo evaluate the clinical curative effect of bone marrow stimulation and advantages, in order to improve the meniscus healing provides a feasible assistive technology, so as to provide an optimization for the treatment of meniscus injury of surgical treatment.MethodsFirst of all, into the standard simple meniscus injury cases61cases as the research object. Among them, the line of meniscal suture combined with bone marrow stimulation for the treatment of30patients group. Simple lines of meniscal suture suture31patients as control group. Two groups of patients by the same butcher surgery, two groups of patients after surgery and consistent rehabilitation exercise plan, The end of the hospital treatment about1week.The condition of patients before surgery were retrospectively analyzed (Including with sex, age, time, don’t, torn, torn knee side length, Lysholm scale information, tear type, the blood supply division, etc)、the time of surgery、stitching way、the Clinical healing standard (Barrett)、 MRI assessment of healing of6months after surgery (Stoller)、Lysholm knee scores sale (1,3,6months after surgery).First will be quantitative data, then using two groups of cases of preoperative SPSS19.0statistical software analysis data, in order to analyze the data of two groups of comparable. If results suggest two groups of cases of preoperative data comparable, the first magnetic resonance on further analysis of two groups of cases of postoperative healing rate (Stoller standard), the clinical healing rate of postoperative meniscus (Barrett standard), postoperative Lysholm scale (6months) and postoperative clinical symptoms improve proportion have statistically, compare the healing rate of two methods.ResultsThrough statistical analysis, concluded that the two groups of patients with gender, age, size, length of course, don’t suffer from knee side, injury, length of tear, basic data, tear type, the blood supply division, stitching way, the time of surgery, such as the Lysholm function score before surgery has no statistical difference (P>0.05), two groups of comparable.Compare the efficacy differences found in treatment group Lysholm function score improved from56.53±4.93preoperatively to postoperative January73.40±6.91、after3months of88.23±4.34、after6months of92.13±4.45, control group Lysholm function score improved from57.52±6.02preoperatively to postoperatively January70.26±5.92、after3months of85.97±3.96、88.74±4.28, two cases in the group after6months1、3、6months after the first score than the preoperative Lysholm function were improved, and the preoperative and postoperative first six months of the comparison group Lysholm functional scores were statistically significance difference (P<0.05). However,3and6months after the first treatment group than the control group improved more significantly Lysholm function score, and two groups of3and6months after surgery Lysholm functional scores have statistically significant difference (P<0.05); Description Although both can improve postoperative knee function, but the bone marrow stimulation to improve knee function in patients with more pronounced effects. Barrett clinical meniscal healing rate, after the first six months, the treatment group two cases of nonunion healing rate was93.33%, in the control group of seven cases of nonunion healing rate was77.42%in the treatment group was significantly higher than the control clinical healing group.The first six months after the MRI healing rate (Stoller standard), the control group was93.33%in the control group was70.97%, MRI healing rate was significantly higher in the treatment group, and the two groups have a statistically significant difference (P<0.05), indicating that bone marrow stimulation in improving the healing rate of meniscal MRI better efficacy.ConclusionAnd meniscal suture meniscal suture combined with bone marrow stimulation can take to improve the function of the knee meniscus injury patients, but bone marrow stimulation to improve knee function in patients with more pronounced effect, and the clinical healing rates of bone marrow stimulation, magnetic higher resonance healing rate. Description meniscal suture combined with bone marrow stimulation more significant than simple suture efficacy, better, is a worthy technology. |
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