| 关节镜下生物骨锚钉修复肩关节Bankart损伤 |
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Received:October 13, 2020
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| 作者 | Author | 单位 | Unit | E-Mail |
| 齐玮 |
QI Wei |
解放军总医院第四医学中心骨科医学部, 北京 100000 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100000, China |
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| 李春宝 |
LI Chun-bao |
解放军总医院第四医学中心骨科医学部, 北京 100000 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100000, China |
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| 鹿鸣 |
LU Ming |
解放军总医院第四医学中心骨科医学部, 北京 100000 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100000, China |
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| 安明扬 |
An Ming-yang |
解放军总医院第四医学中心骨科医学部, 北京 100000 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100000, China |
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| 张柏青 |
ZHANG Bai-qing |
解放军总医院第四医学中心骨科医学部, 北京 100000 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100000, China |
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| 朱娟丽 |
ZHU Juan-li |
解放军总医院第四医学中心骨科医学部, 北京 100000 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100000, China |
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| 刘玉杰 |
LIU Yu-jie |
解放军总医院第四医学中心骨科医学部, 北京 100000 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100000, China |
liuyujie301@163.com |
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| 期刊信息：《中国骨伤》2020年33卷，第12期，第1111-1115页 |
| DOI：10.12200/j.issn.1003-0034.2020.12.006 |
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目的：探讨关节镜下采用生物骨锚钉固定缝合治疗肩关节Bankart损伤的方法及疗效。
方法：自2010年1月至2017年6月收治23例肩关节复发性脱位患者，诊断为单纯肩关节Bankart损伤，男20例，女3例；年龄19~34（23.4±3.9）岁；右肩14例，左肩9例；军事训练伤17例，运动损伤5例，摔伤1例。受伤至手术时间3~36（10.9±5.8）个月。使用双线生物骨锚钉行关节盂前方肩关节囊-韧带-盂唇复合体提拉紧缩缝合术。采用肩关节Rowe评分评价临床疗效。
结果：23例均获随访，时间18~39（24.5±3.7）个月，末次随访时，患侧肩关节无再发脱位，均恢复正常运动及工作。肩关节Rowes评分术前（53.91±11.67）分，术后（91.74±12.30）分，评价分级术前优0例、良0例、可9例、差14例，术后优16例、良4例、可3例、差0例（P<0.01）。
结论：关节镜下生物骨锚钉缝合修复肩关节Bankart损伤是一种可靠有效、性价比高的治疗方法，适用于Bankart损伤翻修手术。 |
| [关键词]:关节镜 肩脱位 Bankart损伤 骨移植 |
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| Arthroscopic repair of Bankart lesion with bioabsorbable suture anchors |
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Abstract:Objective: To evaluate early clinical effects of bioabsorbable suture anchors for the treatment of Bankart lesion.
Methods: Total 23 patients with the Bankart lesion were treated with arthroscopic repair using bioabsorbable suture anchors from January 2010 to June 2017. There were 20 males and 3 females,with an average age of (23.4±3.9) years old (ranged,19 to 34 years old). Fourteen patients had injuries on the right shoulder joint and 9 patients had the injuries on the left side. The mechanism of primary dislocation included 17 cases of training,5 cases of sports injury and 1 case of falling down. The mean interval time from injury to surgery was(10.9±5.8) months (ranged,3 to 36 months). The Bankart lesion was repaired by bio-cortical suture anchors. The Rowes rating system for Bankart repair was used to evaluate therapeutic effects.
Results: All 23 patients were followed up,with a mean duration of(24.5±3.7) months(ranged,18 to 39 months). At the latest follow-up,there was no recurrent dislocation occurred,and all patients had returned to sports and work. The Rowes rating system for Bankart repair was 53.91±11.67 pre-operationally and 91.74±12.30 post operationally,respectively (P<0.01). According to the Rowes rating system,there were 0 case of excellent,0 case of fine,9 cases of good and 14 cases of bad pre-operationally;16 cases of excellent,4 case of fine,3 cases of good and 0 cases of bad post operationally;the difference was statistically significant(P<0.01).
Conclusion: Applying bio-cortical bone suture anchors for the Bankart lesion is a reliable,efficient and cost-effective treatment,which is also suitable for the revision of the Bankart lesion. |
| KEYWORDS:Arthroscopes Shoulder dislocation Bankart lesion Bone transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 齐玮,李春宝,鹿鸣,安明扬,张柏青,朱娟丽,刘玉杰.关节镜下生物骨锚钉修复肩关节Bankart损伤[J].中国骨伤,2020,33(12):1111~1115 |
| 英文格式: | QI Wei,LI Chun-bao,LU Ming,An Ming-yang,ZHANG Bai-qing,ZHU Juan-li,LIU Yu-jie.Arthroscopic repair of Bankart lesion with bioabsorbable suture anchors[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(12):1111~1115 |
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