摘要
目的探讨关节镜下应用可吸收铆钉固定修复Bankart损伤的疗效.方法自2000年1月至2003年9月采用关节镜监视下可吸收铆钉固定,治疗外伤性习惯性肩关节前脱位伴Bankart损伤16例,其中男12例,女4例.年龄平均25岁(17～58岁).左肩9例,右肩7例.受伤到手术平均时间6个月(2个月～2年).术前均拍摄X线片,肩关节造影+MRI(MRA)7例,造影+CT(CTA)6例,普通MRI 5例.关节镜下射频清理损伤创面和瘢痕组织,直到骨面出血.将肩关节囊-韧带-盂唇复合体牵向盂唇缘,采用2～3枚可吸收铆钉固定于肩盂骨内.术后悬吊患肢4～6周,按程序进行康复治疗.术后肩关节功能评估采用美国加州洛杉矶大学UCLA功能评分标准,术前评分平均(22.5±5.6)分.结果 16例患者全部获得随访,时间6～32个月,平均11个月.UCLA评分平均(31.4±5.8)分.优9例,良5例,可2例.术后肩关节稳定性良好,无复发性脱位病例.结论关节镜监视下可吸收铆钉固定治疗肩关节Bankart损伤具有创伤小,操作简便,固定可靠等优点,有利于早期功能康复.
Objective To evaluated the curative effect of arthroscopic Bankart repair with use of bio-absorbable fixation tacks. Methods Sixteen patients were with traumatic recurrent anterior instability of the shoulder. Twelve were males,and 4 were females . Nine were in left shoulder, and 7 in right shoulder.The mean age at the time of the operation was 25 years. The average time from injury to operation was six months. Before operation the shoulder image had been done , in which X-ray film in 16, MRA in 7, CTA in 6 and MRI in 5. The arthroscopic technique included of debridement and Bankart repair using 2 to 3 bio-absorbable fixation tacks underwent arthroscopic. Results All of the patients were followed up, average time 11 months, no redislocation and instability~ According to the UCLA （ University of California at Los Angeles） score showed all shoulder scores improved after surgery , preoperative （22.5 ± 5.6 ） and postoperative （31. 4 ± 5.8） , excellent score in 9, good score in 5 and fair score in 2; no poor score.Conclusion Arthroscopic capsulolabral repair with use of bio-absorbable fixation tacks has provided a satisfactory outcomes in function, stability and range of motion. The procedure has many advantages, such as the operation convenient , fixation safety , mini-invation, rapid recovery and early rehabilitation.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2005年第16期1072-1074,共3页
Chinese Journal of Surgery
