摘要
目的探讨关节镜下Bankart修复术治疗复发性肩关节前向不稳的效果.方法研究对象为47例复发性肩关节前向不稳患者,研究时间为2016年8月-2018年12月,均在关节镜的引导下实施Bankart修复术治疗,观察治疗前后ASES评分、Rowe 评分、UCLA评分及前屈上举、外展外旋,且评估随访12-29个月后再次脱位发生率,结果47例患者治疗后ASES评分(82.12±2.32)分、Rowe评分(65.25±1.25)分、UCLA评分(22.10±0.52)分均高于治疗后ASES评分(97.85±4.25)分、Rowe评分(87.85±3.45)分、UCLA评分(29.78±1.32)分,差异有统计学意义(t=22.27、42.22、37.11,P=0.01 <0.05),47例患者治疗后前屈上举(152.65±5.45)°、外展外旋(70.01±1.32)°均高于治疗前前屈上举(167.85±8.52)°、外展外旋(82.45±2.45)°,差异有统计学意义(t= 10.30、30.65,P=0.01 约0.05), 47例患者经随访(20.01±1.25)个月后发现2例患者出现再次脱位情况,百分比为 4.26%,且1 例患者存在恐惧试验阳性,百分比为2.13%;而另外44例患者恢复良好,无不良等情况发生.结论关节镜下Bankart修复术治疗复发性肩关节前向不稳具有较高的临床价值,有利于增强肩关节的稳定性,值得应用及推广.
Objective To investigate the effect of arthroscopic Bankart repair on the anterior instability of recurrent shoulder joint. Meth-ods Thirty-one patients with recurrent shoulder dysplasia were enrolled. The study period was from August 2016 to December 2018. All patients underwent arthroscopic guided Bankart repair. The ASES scores and Rowe scores, UCLA scores, and anterior flexion, ab-duction and external rotation, and the incidence of re -dislocation after 12 -29 months of follow-up were observed before and after treatment. Results The 47 patients with ASES score (82.12±2.32)points, Rowe score (65.25±1.25)points, and UCLA score (22.10±0.52) points were below than the after-treatment ASES score (97.85±4.25)points and Rowe score (87.85±3.45)points, UCLA score (29.78± 1.32)points,the different was statistically significant(t=22.27, 42.22, 37.11, P=0.01 <0.05). 47 patients with anterior flexion (152.65± 5.45)° and abduction external rotation (70.01±1.32)° were higher than pre-treatment anterior flexion (167.85±8.52)° and abduction ex-ternal rotation (82.45±2.45)°, the different was statistically significant (t= 10.30, 30.65, P=0.01 <0.05). After 47 months of follow-up (20.01±1.25) months, 2 patients were found to have re-dislocation, the percentage was 4.26%, and 1 patient had a fear test positive, the percentage was 2.13%;while the other 44 patients recovered well, without adverse incidence. Conclusion Arthroscopic Bankart re-pair has a high clinical value in the treatment of recurrent shoulder instability. It is beneficial to enhance the stability of shoulder joints and is worthy of application and promotion.
作者
朱明雨
张勇
范永红
ZHU Ming-yu;ZHANG Yong;FAN Yong-hong(Department of Orthopaedics, the First People's Hospital of Qujing, Qujing, Yunnan Province, 655000 China)
出处
《世界复合医学》
2019年第1期102-104,共3页
World Journal of Complex Medicine
