Abstract：Objective To observe the recent clinical effects of arthroscope in treating anterior cruciate ligament(ACL) injury combined with longitudinal tear meniscus(Ramp)injury.Methods 50 anterior cruciate ligament injury combined with medial meniscus(Ramp)injury patients,accepted ligament reconstruction and meniscus repair under arthroscope, from March 2006 to March 2010 of our department were selected as study objects.The IKDC score before and after operation,Lysholm score and recovery situation were compared.Results After operation,anterior drawer test and Lachman test results of 3 patients were weak positive and 47 cases were negative;compared with preoperative,the affected side postoperative Lysholm score,IKDC score and knee joint Lachman test results had obvious difference(P<0.01).At final follow-up,all patients had a normal life.10 patients have been strenuous physical activity.All the patients did not have the symptoms of joint lock and joint instability.5 patients had medial knee pain when with squat.Postoperative review of knee joint MRI showed that signal of the posterior horn of the medial meniscus was normal in 31 patients,域level signal of the posterior horn of the medial meniscus was in 19 patients and the healing rate of MRI examination was 100%. Conclusion Early arthroscopic treatment knee joint anterior cruciate ligament injury with medial meniscus Ramp injury with satisfactory near future curative effect and is an effective operation,but the long term effect remains to be seen.
Noyes FR，Barber-Westin SD.Arthroscopic repair of meniscus tears extending into the avascular zone with or withour anterior cruciate ligament reconstruction in patients 40 years of age and older[J].Arthroscopy，2000，16(1)：822-829.
[2]
Strobel MJ.Manual of arthroscopic surgery[M].Heidelberg：Springer，1998：171-178.
Shelbourne KD，Rask BP.The sequelae of salvaged nondegenerative peripheral vertical medial meniscus tears with anterior cruciate ligament reconstruction[J].Arthroscopy，2001，17(3)：270-274.
[5]
American board of orthopaedic surgery.Research committee report in diplomatic newsletter[R].ABOS，2004.
[6]
Bollen SR.Posteromedial meniscocapsular injury associated with rupture of the anterior cruciate ligament：a previously unrecognized association[J].J Bone Joint Surg Br，2010，92 (2)：222-223.
[7]
Jones RS，Keene GC，Learmonth DJ，et al.Direct measurement of hoop strains in intact and torn human medial meniscus[J].Clin Biomech，1996，11(5)：295-300.
[8]
Thompson WO，Thaete FL，Fu FH，et al.Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images[J].Am J Sports Med，1991，19(3)：210-216.
Morgan CD.The all-inside meniscus repair[J].Arthroscopy，1991，7(1)：120-125.
[9]
Jones AO，Houang MT，Low RS，et al.Medial meniscus posterior root attachment injury and degeneratioin：MRI findings[J].Australas Radiol，2006，50(4)：306-313.
[10]
Lerer DB，Umans HR，Hu MX，et al.The role of meniscal root pathology and radial meniscal tear in medial meniscal extrusion[J].Skeletal Radiol，2004，33(10)：569-574.
[11]
Sugita T，Kawamata T，Ohnuma M，et al.Radial displacement of the medial meniscus in varus osteoarthritis of the knee[J].Clin Orthop Relat Res，2001，387(1)：171-177.
[12]
Gale DR，Chaisson CE，Totterman SM，et al.Meniscal subluxation：association with osteoarthritis and joint space narrowing[J].Osteoarthritis Cartilage，1999，7(6)：526-532.
[14]
Shepard MF，Hunter DM，Davies MR，et al.The clinical significance of anterior horn meniscal tears diagnosed on MR imaging[J].Am J Sports Med，2002，30(2)：189-192.
[15]
Vedi V，Williams A，Tennant SJ，et al.Meniscal movement：an in-vivo study using dynamic MRI[J].J Bone Joint Surg Br，1999，81(1)：37-41.
[16]
Liu X，Feng H，Zhang H，et al.Arthroscopic Prevalence of Ramp lesion in 868 patients with anterior cruciate ligament injury[J].Am J Sports Med，2011，39(4)：832-837.
[17]
Church S，Keating JF.Reconstruction of the anterior cruciate ligament：timing of surgery and the incidence of meniscal tears and degenerative change[J].J Bone Joint Surg Br，2005，87(12)：1639-1642.
[18]
Allaire R，Muriuki M，Gilbertson L，et al.Biomechanical consequences of a tear of the posterior root of the medial meniscus[J].J Bone Joint Surg Am，2008，90(9)：1922-1931.
[19]
Marzo JM，Gurske-DePerio J.Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications[J]. Am J Sports Med，2009，37(1)：124-129.
京公网安备 11010502046607号