Experience of minimally invasive surgery on 30 cases of O’ Donoghue triple syndrome
LIU Shijie
SHI Fudong
ZUO Jinzeng
WU Qiang
WANG Xuechen
MA Haiyang
LI Changjiang
Abstract：Objective To investigate the effect of early minimally invasive surgery on OˊDonoghue ( anterior cruciate ligament rupture and medial collateral ligament rupture and medial meniscus) .Methods Retrospectively analyzed the data of 30 knee joint triple damage cases from December 2009 to January 2014, reconstruction of the anterior cruciate ligament rup-ture, medial meniscus repair forming, medial collateral ligament rupture suture anchors fixation or absorbable suture arthro-scopic were performed.6 months later, Lysholm score and Tegner score were used to evaluate the function of knee joint, and analyzed the restoration of the operation time, postoperative drainage during 12 months of follow-up.Results The average operation time of these 30 patients was (1.8 ±1.3) h, postoperative drainage was (205.0 ±11.8) ml, except 1 patient had affected part numbness pain due to lying bed problems, the rest were maintained in good clinical condition.All the patients were followed up, for 6 months, the clinical total effective rate was 93.3%(28/30), 24 cases of excellent (80.0%), im-proved in 4 cases (13.3%), invalid in 2 cases (6.7%);the joint stability was good, 28 cases with more than 120 degrees of knee flexion (93.3%) , 2 cases’ postoperative knee flexion angle less than 120 degrees due to fear the pain;postoperative left knee pain during activity in 2 cases.After follow up of 12 months, 30 patients with normal knee flexion, knee extension and flexion and the valgus stress test (0°and 30°) were all passed.Compared with the preoperative, Lysholm and Tegner score of knee joint function were improved with statistics significance differences ( t =12.213, t =15.322, t =12.267, t =13.322, P <0.01).Conclusion Early minimally invasive surgical treatment for knee joint triple injury not only can reduce the trauma to a mini-mum level, but also help to stablility and recovery the function of knee joint in processing of repairing the trauma.
Keywords：Knee jointAnterior cruciate ligamentMedial meniscusMedial collateral ligamentMinimally invasive surgeryArthroscopy
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 494-496,500 )