关节镜下ACL重建并半月板修复后半月板不愈合的危险因素分析

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Abstract Objective To investigate the risk factors of meniscus nonunion after anterior cruciate ligament (ACL) reconstruction and meniscus repair under arthroscopy. Methods A total of 92 patients who underwent arthroscopic ACL reconstruction and meniscus repair in our hospital from May 2017 to June 2018 were enrolled.They were followed up for 18 months after the operation.6 cases were lost to follow-up.86 patients were classified as healing according to the healing status.Group (49 cases) and non-healing group (37 cases)，the surgical healing rate was 56.98%.The differences in general data，surgical conditions and other related data between the two groups of patients were compared，and multivariate logistic regression analysis was performed.Results There were significant differences in body mass index (BMI)，Tenger score，injury time，ACL tear type，and meniscus injury area between the two groups (P＜0.05).The results of multivariate logistic regression analysis showed：BMI [OR=5.610，95%CI (1.447~21.759)，P＜0.05]，Tenger score [OR=4.237，95%CI (1.142~15.722)，P＜0.05]，injury Time [OR=5.280，95%CI (1.059~26.340)，P＜0.05]，ACL tear type [OR=9.517，95%CI (2.197~41.230)，P＜0.05]，meniscus injury area [OR= 2.915，95%CI (1.201~7.073)，P＜0.05] was an independent risk factor for meniscus nonunion.Conclusion BMI≥24 kg／m²，recurrent ACL tear，Tenger score ≥8，injury time ≥3 months，meniscus injury area is non-red area is the risk of meniscus nonhealing after arthroscopic ACL reconstruction and meniscus repair factor.

Key words： anterior cruciate ligament reconstruction meniscus repair meniscus nonunion

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