[1]姚五平,李玉吉,吴锦秋,等.关节镜下Bankart损伤修复术联合Remplissage术治疗合并Hill-Sachs损伤的复发性肩关节前脱位[J].中医正骨,2021,33(02):72-74.
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关节镜下Bankart损伤修复术联合Remplissage术治疗合并Hill-Sachs损伤的复发性肩关节前脱位()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年02期
页码:
72-74
栏目:
临床报道
出版日期:
2021-02-20

文章信息/Info

作者:
姚五平; 李玉吉; 吴锦秋; 赵振文; 袁凌伟; 刘学睿
(甘肃省中医院,甘肃 兰州 730050)
关键词:
肩脱位;  关节镜检查;  Bankart损伤修复术;  Hill-Sachs损伤;  Remplissage术
摘要:
目的:观察关节镜下Bankart损伤修复术联合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:2015年4月至2018年4月,采用关节镜下Bankart损伤修复术联合Remplissage术治疗复发性肩关节前脱位患者18例。男13例,女5例。年龄18～43岁,中位数31岁。均合并Hill-Sachs损伤,骨缺损体积均小于肱骨头体积的20%。合并肩胛骨关节盂骨缺损14例,骨缺损直径均小于关节盂直径的20%; 合并肱二头肌肌腱炎4例、上盂唇损伤3例; 均不合并盂肱韧带肱骨侧撕脱损伤、肱骨大小结节骨折及肩袖损伤。采用美国肩肘关节外科医师协会(American Shoulder and Elbow Surgeons,ASES)评分标准、美国加州大学洛杉矶分校(the University of California at Los Angeles,UCLA)肩关节评分标准评价临床疗效,记录手术前后肩关节屈曲活动度、外旋活动度。结果:所有患者均获随访,随访时间12～17个月,中位数15个月。ASES评分,术前(84.4±4.7)分,术后12个月(97.4±6.3)分; UCLA评分,术前(21.8±4.4)分,术后12个月(28.9±3.1)分; 肩关节屈曲活动度,术前168.1°±2.7°,术后167.8°±2.9°; 外旋活动度,术前71.0°±9.4°,术后72.7°±8.7°。末次随访时,所有患者均未发生肩关节再脱位。结论:关节镜下Bankart损伤修复术联合Remplissage术治疗合并Hill-Sachs损伤的复发性肩关节前脱位,有利于改善肩关节功能、维持肩关节正常活动,避免肩关节再脱位。

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更新日期/Last Update: 2021-02-20