改良小切口Bristow手术治疗习惯性肩关节前下脱位的临床随访观察  

Clinical outcomes of modified Bristow operation with mini-open incision in treatment of recurrent anteroinferior shoulder dislocation

作　　者：徐格[1] 唐康来[1] 吴雪晖[1] 谢肇[1] 谭晓康[1] 龚继承[1] 汪华清[1] 杨会峰[1] 许建中[1] 

机构地区：[1]第三军医大学附属西南医院骨科、全军矫形外科中心,重庆400038

出　　处：《中华创伤杂志》2008年第10期814-816,共3页Chinese Journal of Trauma

摘　　要：目的介绍改良小切口Bristow手术治疗习惯性肩关节前下脱位方法，并观察其临床疗效。方法肩关节复发性前下脱位11例。取肩关节前方约3～5mm切口，采用“移动窗”技术，暴露喙突并予以截骨，通过肩袖间隙将喙突连带肱二头肌短头固定于肩胛颈前下方。11例术后采用Rowe肩关节修正评分进行临床随访，平均随访15．8个月（6～48个月）。结果手术时间平均为45min（40～65min）。术后Rowe肩关节修正评分80～95分，结果全为优，成功率100％。随访期间无复发与并发症。结论改良小切口Bristow手术较传统Bristow手术切口小，手术创伤小，手术时间短，临床效果好。Objective To introduce a new modified Bristow operation with mini-open incision and evaluate its clinical outcomes in treatment of recurrent anteroinferior shoulder dislocation. Methods A total of 11 patients with recurrent anteroinferior shoulder dislocation were treated with modified Bristow operation with mini-open incision. The anterior skin incision with 3-5 mm was made to explore the coracoid process with ＂moving window＂ technique. Then, the coracoid process and its short head of biceps were osteotomied, transferred and fixed on the anteroinferior portion of scapular neck through the rotator cuff interspace. All patients were followed up for an average period of 15.8 months （6-48 months） by using modified Rowe score. Results The average operation time was 45 minutes （40-65 minutes）. The modified Rowe score ranged from 80 to 95 points, excellent in all patients, with success rate of 100% and without any recurrence or complication. Conclusions Compared with traditional operation, the modified Bristow operation has smaller incision, less trauma, shorter operation duration and better clinical results.

关 键 词：肩关节 肩脱位 外科手术 

分 类 号：R687.4[医药卫生—骨科学]