Remplissage手术治疗肩关节Hill-Sachs损伤的临床疗效  

The clinical effect of Remplissage operation on Hill-Sachs injury of shoulder

作　　者：吴浩[1] 李桂石[1] 王光达[1] 张咸中 齐晓军[1] 徐强[1] 

机构地区：[1]烟台市毓璜顶医院关节外科,山东烟台264000 [2]郭昌毕骨伤科医院,重庆408000

出　　处：《实用手外科杂志》2015年第4期395-397,400,共4页Journal of Practical Hand Surgery

摘　　要：目的观察Remplissage手术治疗复发性肩关节前脱位合并肱骨头缺损的治疗效果。方法回顾性分析2011年1月-2013年1月采用Remplissage技术治疗的17例Hill—SacIts损伤的疗效。该手术使用缝合锚钉将冈下肌腱、肩关节囊固定缝合于骨缺损以填充Hill-Sachs损伤，并对前盂唇行Bankart修复术。结果患者的Rowe评分、不稳定VAS评分、肩关节前屈上举度数与术前比较差异有统计学意义（P〈0．001）。在研究的运动测量中，术后肩关节内外旋活动度、外旋肌力方面没有影响（P〉0．05）。结论Remplissage手术效果优于以往报道的单纯施行关节镜下前盂唇修复的手术效果。研究表明，本手术方式产生并发症概率低，应优先选用本技术对伴有肱骨头骨缺损的复发性肩关节前脱位合并盂唇损伤的病例进行修复。Objective To detect the therapeutic effect of the Remplissage operation on recurrent anterior dislocation of shoulder joint combine with humerus head defect. Methods Seventeen patients who had the Remplissage operation, the operation used suture anchor to fixe and sutured okada tendon and shoulder joint capsule to the bone defect for filling the HiU-Sachs damage, and then repaired the anterior glenoid labrum by Bankart method. Results The patient＇s average Rome scale improved from 36.1 before the surgery to 87.6 （P〈0.001）, in the kinematic surveying study, the postoperative shoulder joint inside, outside activities, outside screw strength were not affected （P〉0.05）. Conclusion The effect of the Remplissage operation is better than that of the previous reported pure proceeded anterior glenoid labrum repairmen by shoulder arthroscopy surgery. Studies shows that the operation complication probability is low, we should preferably use this technology to repair the recurrent anterior dislocation of shoulder joint combined with humerus head defect and labrum injury.

关 键 词：Remplissage手术 Hill—Sachs损伤 肩关节镜 

分 类 号：R684.7[医药卫生—骨科学]