除了关节镜稳定外,用于非接触性Hill Sachs病变的Remplissage程序:系统审查
Harjind Singh Kahlon1, Helena Son2, Prushoth Vivekanantha3
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Current reviews in musculoskeletal medicine
|January 27, 2026
概括
与Bankart修复单独 (BR) 相比,Bankart修复与补充 (BR-R) 显著减少反复的不稳定性和担忧,用于在赛道上的Hill-Sachs病变. BR-R还显示了WOSI和ROWE分数的改善结果,并发症与BR相似.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩膀的不稳定性 肩膀的不稳定性
背景情况:
- 希尔-萨克斯病变 (HSL) 在肩部不稳定性中很常见.
- 在轨或不参与的HSL存在独特的管理挑战.
- 班卡特修复 (BR) 是一种标准的治疗方法,但可以改善结果.
研究的目的:
- 为了比较班卡特修复 (BR) 与班卡特修复与补充 (BR-R) 的临床结果,用于在赛道上或非接触的Hill-Sachs病变.
- 评估辅助补充在减少复发性不稳定性和改善功能评分方面的有效性.
主要方法:
- 对比BR和BR-R的研究进行系统审查和元分析.
- 在MEDLINE,EMBASE和PubMed数据库中进行了搜索.
- 包括9项与1006名患者的研究,分析了复发性不稳定性,重新位移,修订,恢复体育运动,运动范围和患者报告的结果.
主要成果:
- 与BR相比,BR-R的反复不稳定率 (3.7%与16.1%相比),重新位移 (2.8%与8.8%) 和修订 (2.8%与9.4%) 显著降低.
- 在BR-R之后观察到更高的体育回归率 (RTS).
- WOSI和ROWE分数偏好BR-R,而其他功能分数是可比的. 在BR之后,恐惧更频繁 (12.1%与26.8%相比).
结论:
- 带补充的班卡特修复 (BR-R) 与在赛道上Hill-Sachs病变的患者中复发不稳定和恐惧的风险降低有关.
- 与单独的Bankart维修相比,BR-R提供了可比或改进的功能结果和体育回归.
- 需要进一步的研究,以确定辅助补充在管理轨道/非接触HSL的具体指示.
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