中華民國骨科醫學會 105 年度第 71 次聯合學術研討會投稿摘要用紙

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□Spine □Tumor □Foot-Ankle □Infection □Others: ____________
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Results of repairing radial tear of meniscus with all-inside suture in

ACL reconstruction
許芳偉 馬筱笠 張民超 劉建麟
台北榮民總醫院 骨科部

【Introduction】
A radial tear of the meniscus has been known to significantly increase the tibio-
femoral contact pressure and predisposes to premature osteoarthritis (OA) of the
knee. Therefore, repairing the radial tear was suggest and performed with different
techniques. There were few studies evaluating the clinical and image results after
repairing a radial tear. The purpose of our study was to describe the all-inside
suture technique and outcomes after repairing the radial tears.

【Materials and Methods】

We included 23 patients who received meniscus repair for radial tear from 2011 to
2016. The surgical technique was all-inside suture. The image results were
evaluated by MRI post-OP 6 months. The clinical results were recorded by
questionnaires with pre-op and post-op knee functional score (IKDC, Lysholm-knee-
score, Tegnar activity scale).

【Results】
Ten patients were excluded due to lack of MRI study post-operatively. Four patients
were isolated radial tear of lateral meniscus. The radial tears of other nine
patients were combined with ACL rupture. The MRI revealed healing rate about 76.9%.
The mean Lysholm-knee-score improved from 65.8 to 91. The Tegnar activity scale had
no significant change. The mean post-op IKDC score was 84.9. The squatting ability
was improved from 7.3 (pre-op) to 8.85 (post-op) and the pain score was also
improved from 7.15(pre-op) to 8.77(post-op) without significant change (P=0.68).
The locking sensation improved from 7.69 (pre-op) to 9.54 (post-op) with
significant change (P=0.11).The knee swelling improved from 6.54 (pre-op) to 8.46
(post-op).
【Discussion】
Our study revealed the technique of all-inside radial tear repair had good results
of image and clinical knee condition. Although we did not perform the second look by
arthroscope, the non-invasive image
available. The clinical results also
acceptable recovery of knee function.
of our study, the long term OA change
up by X ray.
代表作者服務單位：台北榮民總醫院骨科部
fangwei0312@gmail.com
results proved the radial tear repair is
suggest that radial tear repair provide the
Although the good image and clinical results
of the knee was need to evaluation and follow
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