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[1]施林軍,吳聰聰,姜丹生.肩關節(jié)鏡下雙滑輪雙排縫合技術治療骨性Bankart損傷[J].中醫(yī)正骨,2021,33(08):63-65.
　SHI Linjun,WU Congcong,JIANG Dansheng.Shoulder arthroscopic double-pulley double-row suture technique for treatment of bony Bankart lesions[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(08):63-65.
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肩關節(jié)鏡下雙滑輪雙排縫合技術治療骨性Bankart損傷()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年08期
頁碼:
63-65
欄目:
臨床報道
出版日期:
2021-08-20

文章信息/Info

Title:
Shoulder arthroscopic double-pulley double-row suture technique for treatment of bony Bankart lesions
作者:
施林軍; 吳聰聰; 姜丹生
(金華市中心醫(yī)院,浙江 金華 321000)
Author(s):
SHI Linjun; WU Congcong; JIANG Dansheng
關鍵詞:
肩損傷;  關節(jié)鏡檢查;  Bankart病變;  骨折固定術; 內
摘要:
目的:探討肩關節(jié)鏡下雙滑輪雙排縫合技術治療骨性Bankart損傷的臨床療效和安全性。方法:2015年6月至2019年6月,采用肩關節(jié)鏡下雙滑輪雙排縫合技術治療骨性Bankart損傷患者16例。男9例,女7例; 年齡21～58歲,中位數(shù)42歲; 優(yōu)勢肩10例,非優(yōu)勢肩6例; 中度損傷9例,重度損傷7例。合并肩胛部上盂唇前后位損傷3例、Hill-Sachs損傷4例、肱骨大結節(jié)骨折2例、肩袖損傷3例、橈骨遠端骨折1例、脛腓骨骨折1例。均無肩關節(jié)脫位病史。受傷至手術時間7～43 d,中位數(shù)18 d。術中在肩胛骨關節(jié)盂骨折面打入雙排錨釘,并用錨釘縫線交叉固定骨折塊。術后觀察骨折復位情況,記錄骨折愈合時間及并發(fā)癥發(fā)生情況。采用疼痛視覺模擬量表(visual analogue scale,VAS)評分評價肩關節(jié)疼痛情況,采用肩關節(jié)Rowe評分、美國肩肘外科協(xié)會(American shoulder and elbow surgeons,ASES)評分、美國加州大學(the University of California at Los Angeles,UCLA)肩關節(jié)評分及Constant-Murely評分評價肩關節(jié)功能,并對術前和末次隨訪時的評分進行比較。結果:本組16例患者均獲隨訪,隨訪時間 12～36個月,中位數(shù)23個月; 術后1 d的CT檢查結果示關節(jié)面臺階<2 mm 11例、2～4 mm 4例、>4 mm 1例; 骨折均愈合,愈合時間6～16周,中位數(shù)10周。末次隨訪時,恐懼試驗均為陰性,肩關節(jié)疼痛VAS評分較術前降低[(6.88±1.59)分,(1.94±1.23)分,t=14.738,P=0.000],肩關節(jié)功能Rowe評分、ASES評分、UCLA評分、Constant-Murely評分均較術前提高[(57.68±12.61)分,(89.13±5.15)分,t=11.489,P=0.001;(20.50±5.72)分,(32.94±4.70)分,t=6.254,P=0.002;(40.38±9.58)分,(89.44±5.59)分,t=23.182,P=0.000;(67.56±7.90)分,(91.69±3.20)分,t=12.601,P=0.001]。術后均無肩關節(jié)再脫位、骨塊吸收等并發(fā)癥發(fā)生。結論:肩關節(jié)鏡下雙滑輪雙排縫合技術治療骨性Bankart損傷,骨折復位、愈合好,可緩解疼痛,有利于肩關節(jié)功能恢復,并發(fā)癥少。

參考文獻/References:

[1] MCDONALD L S,THOMPSON M,ALTCHEK D W,et al.Double-row capsulolabral repair increases load to failure and decreases excessive motion[J].Arthroscopy,2016,32(11):2218-2225.
[2] WHEELER J H,RYAN J B,ARCIERO R A,et al.Arthroscopic versus non- operative treatment of acute shoulder dislocations in young athletes[J].Arthroscopy,1989,5(3):213-217.
[3] PORCELLINI G,CAMPI F,PALADINI P.Arthroscopic approach to acute bony Bankart lesion[J].Arthroscopy,2002,18(7):764-769.
[4] KIM Y K,CHO S H,SON W S,et al.Arthroscopic repair of small and medium-sized bony Bankart lesions[J].Am J Sports Med,2014,42(1):86-94.
[5] 胡永成.骨科疾病療效評價標準[M].北京:人民衛(wèi)生出版社,2012:64-65.
[6] RICHARDS R R,AN K N,BIGLIANI L U,et al.A standar-dized method for the assessment of shoulder function[J].J Shoulder Elbow Surg,1994,3(6):347-352.
[7] 田子睿,姚敏,王擁軍,等.中文版Constant-Murley肩關節(jié)評分量表的研制與應用[J].中醫(yī)正骨,2019,31(5):20-21.
[8] NAKAGAWA S,MIZUNO N,HIRAMATSU K,et al.Absorption of the bone fragment in shoulders with bony Bankart lesions caused by recurrent anterior dislocations or subluxations:when does it occur?[J].Am J Sports Med,2013,41(6):1380-1386.
[9] OZBAYDAR M,ELHASSAN B,DILLER D,et al.Results of arthroscopic capsulolabral repair:Bankart lesion versus an-terior labroligamentous periosteal sleeve avulsion lesion[J].Arthroscopy,2008,24(11):1277-1283.
[10] ADAM M,ATTIA A K,ALHAMMOUD A,et al.Arthrosco-pic Bankart repair for the acute anterior shoulder dislocation:systematic review and meta-analysis[J].Int Orthop,2018,42(10):2413-2422.
[11] IWASO H,UCHIYAMA E,SAKAKIBARA S I,et al.Modified double-row technique for arthroscopic Bankart repair:surgical technique and preliminary results[J].Acta Orthop Belg,2011,77(2):252-257.
[12] MURPHY A I,HURLEY E T,HURLEY D J,et al.Long-term outcomes of the arthroscopic Bankart repair:a syste-matic review of studies at 10-year follow-up[J].J Shoulder Elbow Surg,2019,28(11):2084-2089.
[13] PARK I,LEE J H,HYUN H S,et al.Effects of Bone incorporation after arthroscopic stabilization surgery for bony Bankart lesion based on preoperative glenoid defect size[J].Am J Sports Med,2018,46(9):2177-2184.
[14] MILLETT P J,BRAUN S.The“bony Bankart bridge”procedure:a new arthroscopic technique for reduction and internal fixation of a bony Bankart lesion[J].Arthroscopy,2009,25(1):102-105.
[15] ZHANG J,JIANG C.A new“double-pulley”dual-row technique for arthroscopic fixation of bony Bankart lesion[J].Knee Surg Sports Traumatol Arthrosc,2011,19(9):1558-1562.
[16] DRISCOLL M D,BURNS J P,SNYDER S J.Arthroscopic transosseous bony bankart repair[J].Arthrosc Tech,2015,4(1):e47-e50.
[17] KIM D S,YOON Y S,CHUNG H J.Single-row versus double-row capsulolabral repair:a comparative evaluation of contact pressure and surface area in the capsulolabral complex-glenoid bone interface[J].Am J Sports Med,2011,39(7):1500-1506.
[18] GILES J W,PUSKAS G J,WELSH M F,et al.Suture anchor fixation of bony Bankart fractures:comparison of single-point with double-point“suture bridge”technique[J].Am J Sports Med,2013,41(11):2624-2631.
[19] PARK J Y,LEE J H,CHUNG S W,et al.Does anchor placement on the glenoid affect functional outcome after arthroscopic Bankart repair?[J].Am J Sports Med,2018,46(10):2466-2471.
[20] POULIART N,GAGEY O.Concomitant rotator cuff and capsuloligamentous lesions of the shoulder:a cadaver study[J].Arthroscopy,2006,22(7):728-735.

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備注/Memo

備注/Memo:
通訊作者:施林軍 E-mail:[email protected]
更新日期/Last Update: 1900-01-01