复发性前肩不稳伴或不伴复发的关节镜下bankart修复的功能结果

L. Chodavarapu, K. Kumar, Venkatesham Bitla, Chandrashekhar Patnala
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引用次数: 0

摘要

背景:关节镜下Bankart修复现在是复发性肩关节前不稳定伴Bankart病变伴最小盂骨丢失患者肩关节稳定的标准程序。目的:本研究的目的是评估在有或没有复发的情况下,关节镜下缝合锚钉修复Bankart病变后的肩部运动和功能结果。材料和方法:这是一项于2019年5月至2021年4月进行的前瞻性研究。共有20例复发性前肩不稳患者在同一手术团队的关节镜下稳定。所有患者均符合纳入标准,并采用美国肩关节外科医生(ASES)和Rowe评分系统进行评估。评估患者的活动范围、术后功能、复发率和损伤前活动恢复情况。结果:本研究对20例患者进行了至少1年的随访。所有病人的活动范围都很好。术后两项肩关节评分(ASES和Rowe)均显著提高(P < 0.05)。只有一例复发(5%)。患者能够回到他们以前的活动或体力要求高的工作。结论:关节镜下Bankart修复外伤性前肩不稳是一种术后并发症少、功能预后好的手术方法。它允许患者不受任何限制地恢复以前的活动。
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Functional outcome of arthroscopic bankart repair with or without remplissage in recurrent anterior shoulder instability
Background: Arthroscopic Bankart repair is now the standard procedure for shoulder stabilization in patients with recurrent anterior shoulder instability with Bankart lesion with minimum glenoid bone loss. Aims: The aim of this study is to evaluate the postoperative shoulder motion and functional outcome following arthroscopic repair of Bankart lesion with suture anchors with or without remplissage. Materials and Methods: This is a prospective study done between May 2019 and April 2021. A total of 20 patients with recurrent anterior shoulder instability were stabilized arthroscopically by the same surgical team over time. All patients met the inclusion criteria and were assessed with the American Shoulder and Elbow Surgeons (ASES) and Rowe scoring systems. The range of motion, postoperative function, recurrence rate, and return to preinjury activities were evaluated. Results: In our study, all 20 patients were followed up for a minimum period of 1 year. All patients had a good range of motion. The two shoulder scores (ASES and Rowe) significantly improved after surgery (P < 0.05). There was only one recurrence (5%). Patients were able to return to their previous activities or physically demanding jobs. Conclusions: Arthroscopic Bankart repair for traumatic anterior shoulder instability is a good procedure with less postoperative morbidity and excellent functional outcome. It allows return of patients to previous activities without any restriction.
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