关节镜下髂骨游离悬吊植骨治疗肩关节复发性脱位
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1.大连医科大学附属第二医院;2.大连医科大学附属第三医院

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Arthroscopic Iliac Crest Bone Grafting of the Glenoid for Shoulder Stabilization
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1.The Second Hospitol Of Dalian Medical University;2.The Third Hospitol Of Dalian Medical University;3.The Second Hospitol Of Dalian Medical University

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    摘要:

    [目的]评价介绍取自体髂骨关节盂游离悬吊植骨治疗肩关节复发性脱位的手术技术及短期疗效。[方法]自2013年3月至2019年3月,采用关节镜下自体髂骨关节盂游离悬吊植骨结合Bankart修补和Remplissage治疗肩关节复发性脱位患者27例,其中男24例,女3例;年龄自18岁~54岁,平均26.7岁;关节盂骨缺损面积0%~30%,平均10.3%;均合并Hill-sacks损伤;无多发韧带松弛患者。术后随访6~38个月,平均13.3个月。评估患者满意度、再脱位率、重返运动及工作情况、恐惧实验阳性率、及肩关节UCLA和Constant评分等。[结果]27例患者均得到随访。植骨块愈合时间6~8周。没有并发症发生。患者满意率100%,无再脱位患者,所有患者均恢复到伤前的工作或运动状态,恐惧实验均阴性。末次随访肩关节UCLA评分34.2±0.7,Constant评分91.5±2.3。[结论]关节镜下髂骨游离悬吊植骨治疗肩关节复发性脱位的短期疗效满意,无再脱位患者,远期疗效有待进一步随访结果。

    Abstract:

    [Aims] To evaluate the short-term efficacy of arthroscopic iliac crest bone grafting of the glenoid for recurrent dislocation of shoulder joints.[Materials and Methods]From 2013.03~2019.03, total 27 cases accepted arthroscopic iliac crest bone grafting of the glenoid for recurrent dislocation of shoulder joints,Male:24,Female:3, age 18~54years,average:26.7years. Glenoid defect: 0%~30%,average:10.3%. All combined with Hill-sacks defects. No multiple ligament laxity. Following time: 6~38months,average:13.3months. Assess patient satisfaction, re-dislocation rate, re-entry and work, fear test positive rate, and shoulder UCLA and Constant scores.[Results]All 27 patients were followed up. Bone graft healing time 6weeks~8 weeks.No complications occurred. Patient satisfaction rate of 100%, no re-dislocation of patients. All patients have returned to pre-injury work or exercise state, fear test negative. Last follow-up patients have returned to pre-injury work or exercise state, fear test negative. Last follow-up shoulder UCLA score 34.2 ±0.7, Constant score 91.5±2.3. Conclusion: The short-term efficacy of the treatment of recurrent dislocation of shoulder joints under the arthroscopic iliac crest bone grafting of the glenoid was satisfactory, and there were no re-dislocation patients, and the long-term effect needed further follow-up results.

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  • 收稿日期:2020-03-16
  • 最后修改日期:2020-08-10
  • 录用日期:2020-08-21
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