关节镜下带线锚钉修复髋臼盂唇损伤的临床疗效

 为研究关节镜下带线锚钉缝合修复髋臼盂唇损伤的临床疗效，分析了2012年1月至2017年1月因单纯髋臼盂唇损伤接受关节镜下带线锚钉缝合修复治疗患者的临床资料。手术前后分别对患者体征、疼痛程度、髋关节功能及软骨退变程度进行评价。共获得完整临床资料42份，平均年龄29岁，平均随访时间31个月。患者VAS疼痛评分由术前4.5±0.92降至术后1.6±1.2，髋关节Harris评分由术前56.95±10.6提高至术后95.95±5.4，术后39例Harris评分超过90分，优良率92.8％。术后VAS评分及Harris评分和术前对比差异有统计学意义（P<0.001）。患者术后软骨状况和术前对比差异无统计学意义（P=0.083）。证实髋关节镜下带线锚钉髋臼盂唇缝合修复术效果优良，对于髋臼盂唇损伤具有重要治疗价值。

Clinical outcomes of arthroscopic repair of acetabular labrum with suture anchor: A retrospective study

This paper is a retrospective study of the clinical outcomes of the arthroscopic acetabular labral repair with suture anchor. The clinical data of patients of the arthroscopic repair with wire anchors due to the acetabular labrum tears from January 2012 to January 2017 are retrospectively analyzed. Before and after the surgery, the patients are evaluated for the physical signs, the pain, the hip function and the degree of cartilage degeneration, with a total of 42 sets of complete clinical data, of an average age of 29 years and an average follow-up time of 31 months. The VAS and Harris scores are improved from the preoperative 4.5±0.92 to 1.6±1.2 and from 56.95±10.6 to 95.95±5.4, respectively. And the Harris score is greater than 90 points in 39 cases, with an excellent rate of 92.8%. The difference between the preoperative and postoperative VAS and Harris scores is statistically significant(P<0.001). However, there is no significant difference between the postoperative and preoperative cartilage degeneration (P=0.083). It is shown that the acetabular labrum arthroscopic repair with suture anchor is effective and has a critical therapeutic value for the acetabular labrum injury.