关节镜下生物骨锚钉修复肩关节Bankart损伤  

Arthroscopic repair of Bankart lesion with bioabsorbable suture anchors

作　　者：齐玮[1] 李春宝[1] 鹿鸣[1] 安明扬 张柏青 朱娟丽[1] 刘玉杰[1] QI Wei;LI Chun-bao;LU Ming;An Ming-yang;ZHANG Bai-qing;ZHU Juan-li;LIU Yu-jie(Department of Orthopaedics,Chinese PLA General Hospital,Beijing100000,China)

机构地区：[1]解放军总医院第四医学中心骨科医学部,北京100000

出　　处：《中国骨伤》2020年第12期1111-1115,共5页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨关节镜下采用生物骨锚钉固定缝合治疗肩关节Bankart损伤的方法及疗效。方法:自2010年1月至2017年6月收治23例肩关节复发性脱位患者,诊断为单纯肩关节Bankart损伤,男20例,女3例;年龄19~34(23.4±3.9)岁;右肩14例,左肩9例;军事训练伤17例,运动损伤5例,摔伤1例。受伤至手术时间3~36(10.9±5.8)个月。使用双线生物骨锚钉行关节盂前方肩关节囊-韧带-盂唇复合体提拉紧缩缝合术。采用肩关节Rowe评分评价临床疗效。结果:23例均获随访,时间18~39(24.5±3.7)个月,末次随访时,患侧肩关节无再发脱位,均恢复正常运动及工作。肩关节Rowes评分术前(53.91±11.67)分,术后(91.74±12.30)分,评价分级术前优0例、良0例、可9例、差14例,术后优16例、良4例、可3例、差0例(P<0.01)。结论:关节镜下生物骨锚钉缝合修复肩关节Bankart损伤是一种可靠有效、性价比高的治疗方法,适用于Bankart损伤翻修手术。Objective:To evaluate early clinical effects of bioabsorbable suture anchors for the treatment of Bankart lesion.Methods:Total 23 patients with the Bankart lesion were treated with arthroscopic repair using bioabsorbable suture anchors from January 2010 to June 2017.There were 20 males and 3 females,with an average age of(23.4±3.9)years old(ranged,19 to 34 years old).Fourteen patients had injuries on the right shoulder joint and 9 patients had the injuries on the left side.The mechanism of primary dislocation included 17 cases of training,5 cases of sports injury and 1 case of falling down.The mean interval time from injury to surgery was(10.9±5.8)months(ranged,3 to 36 months).The Bankart lesion was repaired by bio-cortical suture anchors.The Rowes rating system for Bankart repair was used to evaluate therapeutic effects.Results:All 23 patients were followed up,with a mean duration of(24.5±3.7)months(ranged,18 to 39 months).At the latest follow-up,there was no recurrent dislocation occurred,and all patients had returned to sports and work.The Rowes rating system for Bankart repair was 53.91±11.67 pre-operationally and 91.74±12.30 post operationally,respectively(P<0.01).According to the Rowes rating system,there were 0 case of excellent,0 case of fine,9 cases of good and 14 cases of bad pre-operationally;16 cases of excellent,4 case of fine,3 cases of good and 0 cases of bad post operationally;the difference was statistically significant(P<0.01).Conclusion:Applying bio-cortical bone suture anchors for the Bankart lesion is a reliable,efficient and cost-effective treatment,which is also suitable for the revision of the Bankart lesion.

关 键 词：关节镜 肩脱位 BANKART损伤 骨移植 

分 类 号：R684[医药卫生—骨科学]