| 关节镜辅助下髂骨块高强度缝线固定治疗合并高脱位风险的肩关节前向不稳定 |
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Received:January 07, 2025
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| 作者 | Author | 单位 | Unit | E-Mail |
| 蒋科杰 |
JIANG Ke-jie |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310052 |
Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University Shool of Medicine, Hangzhou 310052, Zhejiang, China |
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| 戴雪松 |
DAI Xue-song |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310052 |
Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University Shool of Medicine, Hangzhou 310052, Zhejiang, China |
daixshz@163.com |
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| 期刊信息：《中国骨伤》2025年38卷，第3期，第252-257页 |
| DOI：10.12200/j.issn.1003-0034.20240611 |
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目的: 探讨采用高强度缝线关节镜下固定髂骨植骨块治疗合并高脱位风险的肩关节前向不稳定的临床疗效。
方法: 回顾性分析2021年1月至2023年1月采用高强度缝线关节镜下固定髂骨植骨块治疗的22例合并高脱位风险的肩关节前向不稳定患者的临床资料,男14例,女8例;年龄17~46(26.50±8.26)岁;脱位4~22(11.08±5.82)次;左侧7例,右侧15例。分别于术前、术后12个月采用美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分、美国加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分、Constant-Murley评分评估肩关节功能恢复情况,并行三维CT重建评估术前、术后即刻及12个月时肩胛盂骨缺损修复情况、骨改建及骨愈合情况。
结果: 所有患者获得随访,时间12~24(18.68±3.92)个月。所有患者未发生再次脱位或半脱位。ASES、UCLA、Constant-Murley评分分别由术前的(69.50±2.26)、(23.86±2.27)、(75.64±3.58)分,提高至术后12个月的(91.09±1.57)、(32.27±2.03)、(91.95±3.00)分,差异有统计学意义(P<0.05)。术前、术后即刻和术后12个月,肩胛盂骨缺损程度分别为(12.41±7.55)、(-37.23±3.75)、(-22.41±3.58)%,手术前后比较差比较异有统计学意义(P<0.05)。术后12个月髂骨植骨块均已获得骨性愈合。
结论: 采用高强度缝线关节镜下固定髂骨植骨块治疗合并高脱位风险的肩关节前向不稳定有效恢复肩关节稳定性、减少了手术损伤安全有效。 |
| [关键词]:肩关节前向不稳 高脱位风险 关节镜 髂骨移植 骨缺损 |
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| Arthroscopic high strength suture fixation of iliac bone mass for the treatment of shoulder joint forward instability with high risk of dislocation |
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Abstract:
Objective To explore clinical effect of iliac bone graft fixed with high strength suture arthroscopy in treating shoulder joint forward instability with high risk of dislocation.
Methods The clinical data of 22 patients with shoulder forward instability with high risk of dislocation treated with iliac bone graft fixed with high-strength suture arthroscopy from January 2021 to January 2023 were retrospectively analyzed,including 14 males and 8 females,aged from 17 to 46 years old with an average of (26.50±8.26) years old;the times of dislocation ranged from 4 to 22 (11.08±5.82) times;7 patients on the left side and 15 patients on the right side. American Shoulder and Elbow Surgeons (ASES) score,University of California at Los Angeles (UCLA) score and Constant-Murley score were to evaluate the improvement of shoulder joint function before operation and 12 months after operation. Three-dimensional CT reconstruction was performed to evaluate the repair of glenoid bone defect,bone remodeling and bone healing before operation,immediately after and 12 months after operation.
Results All patients were followed up for 12 to 24 months with an average of (18.68±3.92) months. No further dislocation or subluxation occurred in all patients. Scores of ASES,UCLA and Constant-Murley were improved from (69.50±2.26),(23.86±2.27),(75.64±3.58) before operation to (91.09±1.57),(32.27±2.03),(91.95±3.00) at 12 months after operation (P<0.05). The defect of glenoid bone was (12.41±7.55)%,(-37.23±3.75)%,(-22.41±3.58)% before opertaion,immediately and 12 months after operation,respectively,and the difference was statistically significant (P<0.05). Bone healing of iliac bone graft was achieved at 12 months after operation.
Conclusion High strength suture arthroscopy to fix iliac bone graft for the treatment of shoulder forward instability with high dislocation risk is a safe and effective method,which could effectively restore shoulder stability and reduce surgical injury. |
| KEYWORDS:Anterior shoulder instability High risk of dislocation Arthroscopy Iliac bone graft Bone defects |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 蒋科杰,戴雪松.关节镜辅助下髂骨块高强度缝线固定治疗合并高脱位风险的肩关节前向不稳定[J].中国骨伤,2025,38(3):252~257 |
| 英文格式: | JIANG Ke-jie,DAI Xue-song.Arthroscopic high strength suture fixation of iliac bone mass for the treatment of shoulder joint forward instability with high risk of dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(3):252~257 |
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