前交叉韧带断裂合并不同部位半月板桶柄样损伤的临床研究

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Abstract Objective To explore clinical effects of simultaneous anterior cruciate ligament ( ACL ) reconstruction and Bucket-Handle meniscus repair and the relationship between the location of the BucketHandle meniscus tears and the length of the disease.Methods There were 19 patients who underwent arthroscopic anterior cruciate ligament ( ACL )reconstruction and repair of a bucket-handle meniscus tearbetween January 2012 and December 2018 with minimum 6-month to 2 years follow-up were retrospectively identified.The patients，including 10 males and 8 females，aged 19 to 56 years，with an average of 31.2 years.All patients in this group underwent anterior cruciate ligament reconstruction combined with meniscus suture repair surgery，before and after surgery，IKDC score and Lysholm knee function score evaluation.We used Kneene’s time division criteria to divide patients into three groups：acute group (5 cases)，sub-chronic group (6 cases)chronic phase group(8 cases)，andanalyzed the relationship between the position of Bucket-Handle Meniscus Tears and the duration of injury.Results All 19 patients were followed up for an average of 1.5 years(range 6 months to 2years).The incidence of the medial Bucket-Handle Meniscus Tears increased with the duration of injury，with the acute phase accounting for 60.0％，the subchronic phase accounting for 66.7％，and the chronic phase accounting for 75％.There was no significant correlation between the incidence of the lateral Bucket-Handle Meniscus Tears and the duration of injury.Preoperative and postoperative Lysholm score and IKDC are significant statistical significance.Conclusion The incidence of menisus tears increases with the duration of injury，and the incidence ofthe lateral Bucket-Handle Meniscus Tears is not significantly different from the duration of injury while the incidence of the medial Bucket-Handle Meniscus Tears increases.Anterior cruciate ligament rupture combined with the Bucket-Handle Meniscus Tears should be repaired early.The use of suture repair technique has no significant difference in clinical outcome，postoperative benefit of knee joint function Recovery，higher meniscus healing rate，satisfactory clinical outcome.

Key words： anterior cruciate ligament rupture Bucket-Handle Meniscus Tears simultaneous-repair

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