Latarjet术治疗伴盂骨缺损的复发性肩关节脱位
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大连医科大学

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Effect of Latarjet surgery on recurrent anterior dislocation of shoulder joint with shoulder glenoid defect
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Dalian Medical University

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    摘要:

    目的 探讨latarjet手术方法治疗伴有肩关节盂骨缺损的复发性肩关节前脱位的临床疗效。 方法 回顾性分析2010年1月-2016年8月接受Latarjet手术治疗的伴有肩关节盂骨缺损复发性肩关节前脱位患者35例,对比治疗前后患者的肩关节主动活动度、ASES评分、UCLA评分、Constant-Murley评分、Rowe评分、VAS评分等变化情况。并在术后第二天与末次随访时拍摄肩关节X线与三维重建CT,明确转位骨块位置、愈合状态、有无发生关节退行性病变情况。 结果 35例患者其中32例完成3年以上随访时间,随访时间平均(41±5.79)个月。末次随访显示术后所有患者肩关节均未出现再次脱位。所有患者肩关节疼痛与功能均显著改善,各项指标分别对比术前与术后末次随访结果,差异均具有统计学意义(P<0.05)。 结论 应用Latarjet手术治疗伴有肩关节盂骨缺损的复发性肩关节前脱位效果突出,手术时间短,骨块固定可靠,神经血管损伤发生率低,可以显著改善肩关节功能,获得良好的临床疗效。

    Abstract:

    Objective To investigate the clinical effect of latarjet surgical method in treating recurrent anterior dislocation of the shoulder joint with shoulder glenoid defect. Methods A retrospective analysis of 35 patients with recurrent anterior shoulder dislocation associated with shoulder glenoid defect treated with Latarjet surgery from January 2010 to August 2016.Compare and record the changes of shoulder joint active activity, ASES score, UCLA score, Constant-Murley score, Rowe score, VAS score before and after treatment.The shoulder joint X-ray and three-dimensional reconstruction CT were taken on the second day after operation and at the last follow-up to determine the position of the translocated bone block, the healing state, and whether there was joint degenerative disease. Results Among the 35 patients, 32 patients had completed follow-up for more than 3 years, with an average follow-up time of (41 ± 5.79) months. The last follow-up showed that all patients had no dislocation of shoulder joint after operation. Shoulder pain and function of all patients were significantly improved. The indicators were compared with the results of the last follow-up before and after the operation, and the differences were statistically significant (P <0.05). Conclusion Latarjet surgery is effective in treating recurrent anterior dislocation of the shoulder joint with shoulder glenoid defect, short operation time, reliable fixation of bone mass, and low incidence of neurovascular injury. It can significantly improve shoulder function and obtain good clinical results.

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  • 收稿日期:2020-04-02
  • 最后修改日期:2020-07-01
  • 录用日期:2020-07-27
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