摘要
目的探讨关节镜下缝合锚钉固定治疗肩关节Bankart损伤的疗效。方法采用关节镜下缝合锚钉固定治疗复发性肩关节前脱位伴Bankart损伤12例，均为男性士兵，年龄平均21岁（17～32岁），术前均拍摄X线片及肩关节MRI检查，经关节镜探查明确肩关节Bankart损伤，清理损伤创面直到骨面出血。将肩关节囊一韧带一盂唇复合体牵向盂唇缘，采用缝合锚钉2～3枚固定于肩盂骨内，缝合盂唇组织。采用美国加州洛杉矶大学UCLA功能评分标准。结果术后随访平均13个月，12例患者术后肩关节稳定性良好，无复发病例。UCLA评分术前平均（23．6±4．5）分，终末随诊平均（32．7±5．3）分。结论关节镜下缝合锚钉固定治疗肩关节Bankart损伤创伤小、操作简便、固定可靠，有利于肩关节功能康复。
Objective To evaluated the curative effect of arthroscopic suture anchors on Bankart injury. Methods Twelve male patients （mean age： 21 years, averaged 17-32 years） with recurrent anterior dislocation of shoulder and Bankart injury were treated with arthroscopic suture anchors. The patients underwent X-ray and MRI examination before operation. Arthroscopic examination was performed to locate the Bankart injury of shoulder joint, which was then debrided and treated with 2-3 suture anchors under arthroscope. The injury was scored following the University of California at Los Angeles （UCLA） scoring criteria. Results All the patients were followed up for an average time of 13 months. The stability of shoulder joint was rather good in 12 patients after operation with no recurrence. The average UCLA score for shoulder joint was （23.6 ± 4.5） before operation and （32.7 ± 5.3） at the last follow-up time. Conclusion Arthroscopic repair of Bankart injury of shoulder joint with suture anchors has the following advantages： small in wounding, simple in procedure, and reliable in fixation, and is, thus, beneficial for the recovery of shoulder joint function.
出处
《军医进修学院学报》
CAS
2009年第5期599-600,666,共3页
Academic Journal of Pla Postgraduate Medical School
基金
国家科技部支撑计划(2007BA104B09)~~
