摘要
目的:分析肩关节镜下Bankart修补并Remplissage术治疗合并Hill-Sachs损伤的复发性肩关节前脱位的临床疗效。方法:2011年3月-2012年3月,我科共采用肩关节镜下Bankart修补并Remplissage术治疗合并Hill-Sachs损伤的复发性肩关节前脱位13例,术后随访12个月,并评定其疗效。结果:采用肩关节ASES评分和Rowe评分对13例随访病人的术前及术后肩关节功能进行评估。13例病人术前、术后ASES评分为69.8分和93.7分,2者比较差异具有统计学意义;Rowe评分为31.3分和84.2分,2者比较差异具有统计学意义。13例患者术后均未出现再发脱位,更远期的结果需进一步临床随访。结论:肩关节镜下Bankart修补并Remplissage术是治疗复发性肩关节前脱位Bankart合并Hill-Sachs损伤合理、有效的治疗方法。
Objective：To analyze the effect of arthroscopic bankart repair combined with remplissage technique in treating recurrent anterior dislocation of the shoulder with Hill-Sachs lesion. Methods .. Thirteen patients with recurrent anterior dislocation of the shoulder and Hill-Sachs lesion were treated by arthroscopic bankart repair combined with remplissage technique from March 2011 to March 2012. All the patients were followed up for 12 months. Results： ASES scale and Rowe scale were used to evaluate the shoulder function before and after treatment. The average scores of ASES before and after treatment were 69.8 and 93.7, respectively, which showed significant difference between them （P〈0.01）. There was also remarkable difference in Rowe scores before and after treatment, which were 31.3 and 84. 2, respectively （P〈0.01）. There was no case of redislocation, yet long-term evaluation needed to be carried out. Conclusion .. The arthroscopic bankart repair combined with remplissage technique is a reasonable and effective method for recurrent anterior dislocation of the shoulder with Hill-Sachs lesion.
出处
《中国中医骨伤科杂志》
CAS
2014年第3期25-26,29,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
