Analysis of the effect of arthroscopic formative repair combined with platelet-rich plasma in the treatment of discoid lateral meniscus tear
关节镜下成型修补术联合富血小板血浆治疗盘状外侧半月板撕裂的效果分析

摘要

目的 剖析关节镜下成型修补术联合富血小板血浆（PRP）治疗盘状外侧半月板撕裂的临床效果。方法 2023年12月-2025年12月在我院就诊的126例盘状外侧半月板撕裂患者作为研究对象，采用随机数表法分2组。对照组63例，实施单纯关节镜下成型修补术进行治疗；观察组63例，实施关节镜下成型修补术联合富血小板血浆注射治疗。对比组间临床治疗价值。结果 两组患者治疗前的临床指标、比较无差异性（P＞0.05）。观察组患者治疗后半月板愈合指数、膝关节本体感觉评分、膝关节稳定性评分三项数据均高于对照组。两组并发症发生率比较未见差异P＞0.05。结论 关节镜下成型修补术联合富血小板血浆治疗盘状外侧半月板撕裂可显著促进半月板愈合，改善膝关节功能，保护关节软骨，临床应用的安全性良好。

Abstract

Objective To analyze the clinical efficacy of arthroscopic menoplasty combined with platelet-rich plasma (PRP) in the treatment of discoid lateral meniscus tears.
Methods: A total of 126 patients with discoid lateral meniscus tears who visited our hospital from December 2023 to December 2025 were enrolled as study subjects and randomly divided into two groups using a random number table. The control group (n=63) received only arthroscopic menoplasty, while the observation group (n=63) received arthroscopic menoplasty combined with PRP injection. The clinical therapeutic values between the two groups were compared.
Results: No significant differences were observed in pre-treatment clinical indicators between the two groups (P>0.05). Post-treatment data in the observation group, including meniscus healing index, knee proprioception score, and knee stability score, were significantly higher than those in the control group. No significant difference was found in the incidence of complications between the two groups (P>0.05).
Conclusion  : Arthroscopic menoplasty combined with PRP in the treatment of discoid lateral meniscus tears can significantly promote meniscus healing, improve knee joint function, and protect articular cartilage, demonstrating good clinical safety.