使用两个杆,一个单载加一个双载;用修改技术进行前性研究
Saeed Kokly1,2, Alessandro Castagna3, Ramin Etemadi1,2
1Department of Orthopedic Surgery, 5th Azar hospital, Golestan University of Medical Sciences, Gorgan, Iran.
The archives of bone and joint surgery
|January 24, 2025
概括
这项研究表明,修改后的关节镜Bankart修复使用两个和三个是有效的前肩不稳定. 该技术取得了出色的临床结果,并且在骨损失最小的患者中复发率低.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 关节镜检查 (arthroscopy) 是一种关节镜检查.
背景情况:
- 前肩部不稳定性与最小的状骨损失为Bankart修复提供了多种手术选择.
- 关节镜Bankart修复是稳定肩关节的常见程序.
研究的目的:
- 为了评估修改的关节镜Bankart修复技术的临床结果.
- 评估使用双重和单重加载线 (共3个) 的双修复.
主要方法:
- 38名前肩不稳定的患者接受了修改的关节镜班卡特修复.
- 随访时间平均为40个月,评估了运动范围,恒定分数和视觉模拟尺度 (VAS).
- 结果包括亚脱位,脱位和其他并发症的复发.
主要成果:
- 在常数得分 (80.32到94.45) 和VAS得分 (2.74到0.63) (P<0.001) 中观察到显著改善.
- 肩部的运动范围,包括外侧旋转和向前曲,在术后得到保留.
- 报告指出,非临床分离率低 (5.3%),没有临床分离,再脱位或神经血管并发症.
结论:
- 经过修改的两关节镜三针班卡特修复,获得了可接受的临床结果.
- 这种技术是在经过精心挑选的患者中,对于创伤性前肩部不稳定性是一个可行的选择.
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