内侧半月板根部撕裂两种手术技术（内侧与外侧骨隧道）修复的比较：一项前瞻性队列研究
简介
本研究前瞻性比较了内侧半月板后根部撕裂经胫骨拉出修复术中，采用外侧胫骨隧道与常规内侧胫骨隧道两种技术的临床效果。结果显示，术后12个月，两组患者的Lysholm评分无显著差异（内侧隧道组92.67±9.28，外侧隧道组88.02±13.59，p>0.05）。这表明两种隧道技术在恢复膝关节功能方面效果相当。临床意义在于，两种技术均可获得满意的功能恢复，术者可根…
英文摘要
OBJECTIVES: This study aimed to compare the clinical outcomes of trans-tibial pullout repair of the medial meniscus posterior root using the lateral tibial tunnel versus the conventional medial tibial tunnel. METHODS: In this prospective cohort study, patients with posterior root tears of the medial meniscus who underwent surgical repair were divided into two groups based on the tibial tunnel used for fixation: the medial tunnel technique (Group 1) and the lateral tunnel technique (Group 2). The Lysholm score was recorded preoperatively and 12 months postoperatively to assess knee function and the return to daily and sports activities. Demographic data, including age, gender, and associated injuries, were also documented. Statistical analysis was performed using the one-sample t-test, independent t-test, and Pearson correlation. RESULTS: The mean Lysholm score in the medial tunnel group was 92.67 ± 9.28, while in the lateral tunnel group, it was 88.02 ± 13.59. Statistical analysis revealed no significant difference in the Lysholm scores between the two groups (p > 0.05), indicating comparable clinical outcomes for both techniques. CONCLUSION: Both medial and lateral tibial tunnel techniques for trans-tibial pullout repair of the medial meniscus root yield comparable functional outcomes. The choice of tunnel may be guided by anatomical considerations or surgeon preference, as no significant difference was observed in postoperative recovery, as measured by the Lysholm score.