关节镜下单排带线锚钉固定治疗Ⅰ、Ⅱ型骨性Bankart损伤  

Arthroscopic single row suture anchor fixation to treat typeⅠand typeⅡ bony Bankart lesion

作　　者：孙鲁宁[1] 沈计荣[1] 袁滨[1] 

机构地区：[1]江苏省中医院骨科,江苏南京210029

出　　处：《临床骨科杂志》2013年第6期677-679,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨关节镜下单排带线锚钉固定治疗Ⅰ、Ⅱ型肩关节骨性Bankart损伤的临床效果。方法在关节镜下采用单排带线锚钉对11例肩关节前向不稳伴Ⅰ、Ⅱ型骨性Bankart损伤患者进行复位固定。术后行渐进性康复训练。手术前后采用Rowes评分和UCLA评分系统进行评估,并了解术后肩关节稳定性和活动度。结果患者均获24个月随访。Rowes评分:术前和术后24个月分别为20分±7.07分和90分±2.74分(P<0.05);UCLA评分:术前和术后24个月分别为6.20分±1.30分和29.20分±1.10分(P<0.05);患者肩关节运动能力均较术前改善。结论关节镜下单排带线锚钉固定治疗Ⅰ、Ⅱ型骨性Bankart损伤具有创伤小、固定可靠的优点,能够很好地恢复肩关节稳定性和运动功能。Objective To observe the result of arthroscopic single row suture anchor fixation to treat type I and type II bony Bankart lesion. Methods 11 patients with shoulder anterior instability accompanied with type I and type II bony Bankart lesion were treated with single row suture anchor fixation arthroscopicaUy. All patients got progressive rehabilitation. The patients were followed up and evaluated according to Rowes score and UCLA system. The stability and the range of motion of the shoulder were evaluated. Results The patients were followed up for 24 months. The Rowes score were 20 ＋ 7.07 preoperatively and 90 ± 2.74 twenty-four months postoperatively （P 〈 0.05 ）. The UCLA system were 6. 20 ± 1.30 preoperatively and 29. 20 ± 1.10 twenty-four months postoperatively （P 〈 0. 05 ）. The sport ability were improved in all cases postoperatively. Conclusions To treat the type I and type II bony Bankart lesion, arthroscopic single row suture anchor fixation technique has the advantages of less invasion and reliable fixation. It can restore the stability and function of the shoulder commendably.

关 键 词：关节镜检查 肩关节不稳 骨折固定术 

分 类 号：R684.7[医药卫生—骨科学] R687.4[医药卫生—外科学]