关节镜下Bankart损伤修复联合Remplissage填塞术治疗合并Hill-Sachs缺损的成年人复发性肩关节前脱位

目的:探讨关节镜下Bankart损伤修补术联合Remplissage填塞术治疗复发性肩关节前脱位合并Hill-Sachs损伤的方法和临床疗效.方法:回顾性分析2016年3月至2019年3月行关节镜下Bankart损伤修复治疗关节盂骨缺损＜20％的复发性肩关节前脱位患者106例,其中男76例,女30例;年龄18～45(2...

Arthroscopic Bankart repair combined with Reimplissage for the treatment of recurrent anterior dislocation of shoulder in adults with Hill-Sachs defect

Objective: To investigate the method and clinical effects of the treatment of recurrent anterior dislocation of shoulder with Hill-Sachs injury by arthroscopic Bankart repair and Remplissage.Methods: From March 2016 to March 2019,106 patients with recurrent anterior dislocation of shoulder with glenoid bone defect less than 20% underwent arthroscopic Bankart repair,including 76 males and 30 females,aged from 18 to 45 (27.3±8.6) years,59 cases of left shoulder and 47 cases of right shoulder. Range of motion (ROM),American Shoulder and Elbow Surgeons(ASES) score,Constant-Murley score and Rowe score were used to evaluate shoulder function and stability before and after operation.Results: All patients were followed up,and the duration ranged from 21 to 60 months,with a mean of (41.5±8.5) months. One patient developed infection after operation,and the infection was controlled after arthroscopic debridement again. The remaining patients did not have clinical complications such as infection,intra-articular hematocele and redislocation. Shoulder flexion and lifting increased from (158.33±15.72) ° preoperatively to (169.43±10.04) ° at the latest follow-up,and internal rotation changed from T7 (T4 to T10) preoperatively to T8 (T5 to T10) at the latest follow-up;the average lateral external rotation and abduction 90 ° external rotation decreased from (58.46±15.51) ° preoperatively and (99.37±14.09) ° to (53.18±14.90) ° and (92.52±13.10) ° at the latest follow-up,respectively. The ASES score,Constant-Murley score and Rowe score were significantly improved.Conclusion: The clinical effect of rehabilitation of Bankart repair combined with Remplissage under arthroscopy in the treatment of recurrent dislocation of shoulder joint in adults with Hill-Sachs defect is satisfactory. Although the external rotation function is weaker than that before operation,it can effectively reconstruct the shoulder function and avoid the occurrence of dislocation after operation