内侧半月板半脱位的相关因素分析
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1.北京大学国际医院;2.中日友好医院

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Factors associated with medial meniscal subluxation
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1.Peking University International Hospital;2.China-Japan Friendship Hospital

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    摘要:

    [目的] 探讨内侧半月板半脱位在内侧半月板撕裂中的相关因素。[方法] 选取2014年1月至2020年3月因内侧半月板撕裂行关节镜手术的患者资料,根据膝关节MRI上是否存在内侧半月板半脱位的表现,将患者分为半脱位组和对照组。收集患者的基本特征和临床数据。采用单因素分析和多因素logistic回归分析明确内侧半月板半脱位的相关因素。[结果] 共纳入110例患者,半脱位组54例,对照组56例。单因素分析显示两组患者Outerbridge分级(P=0.003)、关节积液程度(P=0.013)和内侧半月板撕裂类型(P=0.000)的差异具有统计学意义。多因素logistic回归分析显示内侧半月板撕裂类型是内侧半月板半脱位的独立相关因素(P=0.000)。放射状撕裂(OR值=9.444;P=0.000)和复杂撕裂(OR值=4.486;P=0.003)发生内侧半月板半脱位的风险分别是水平撕裂的9倍和4倍。[结论] 内侧半月板撕裂类型是内侧半月板半脱位的独立相关因素。与水平撕裂相比,放射状撕裂和复杂撕裂更易导致内侧半月板半脱位。

    Abstract:

    [Purpose] To explore the factors associated with medial meniscal subluxation in knees with medial meniscus tears. [Methods] The patients who have been treated with knee arthroscopic surgery for medial meniscus tears between January 2014 and March 2020 were enrolled in this study. The subluxation group included patients with medial meniscal extrusion distance≥3mm. Other patients were included as the control group. Demographic and clinical data were collected. A univariate analysis and a multivariate logistic regression analysis were performed to identify factors associated with medial meniscal subluxation. [Results] This study involved 110 patients, including 54 in the subluxation group and 56 in the control group. In a univariate analysis, the Outerbridge classification (P=0.003 ), the extent of joint effusion(P=0.013)and the type of medial meniscus tears (P=0.000) were significantly different between the two groups. According to the multivariate logistic regression analysis, the type of medial meniscus tears (P=0.000) was an independent factor associated with medial meniscal subluxation. Compared with horizontal tears, radial tears and complex tears had approximately 9-fold (OR=9.444;P=0.000) and 4-fold (OR=4.486;P=0.003) higher associations with medial meniscal subluxation, respectively. [Conclusion] The type of medial meniscus tears was an independent factor associated with medial meniscal subluxation. Radial tears and complex tears were more likely than horizontal tears to result in medial meniscal subluxation.

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  • 收稿日期:2020-05-19
  • 最后修改日期:2020-09-03
  • 录用日期:2020-10-10
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