肩关节镜带线锚钉内固定术治疗复发性肩关节脱位

Clinical Research of Arthroscopic Suture Anchor Fixation Treatment with Recurrent Shoulder Joint Dislocation

目的:探讨肩关节镜下带线锚钉内固定术治疗复发性肩关节脱位的效果。方法:选取复发性肩关节脱位患者76例,随机分为观察组与对照组各38例,观察组采用肩关节镜下带线锚钉内固定术治疗,对照组给予改良Bristow手术治疗。结果:观察组UCLA评分(33.13±1.49)分,VAS评分(0.54±0.49)分,外展90°位外旋角度(73.62±13.98)°,肩关节前屈上举角度为(157.24±17.38)°,优良率97.37%,均优于对照组的78.9%(P<0.05)。结论:肩关节镜下带线锚钉内固定术治疗复发性肩关节脱位,具有良好的应用价值,改善肩关节功能。

Objective To investigate the clinical effects of arthroscopic suture anchor fixation in the treatment with recurrent shoulder joint dislocation. Methods A total of 76 patients were included in study, were divided into observation group and control group randomly. Observation group were treated with arthroscopic suture anchor fixation, control group were treated with improved surgical bristow. Results In observation group after surgery, the UCLA score was （33.13±1.49）, the VAS score was （0.54±0.49）, the abduction and external rotation angle of 90° position was （73.62±13.98）°, the shoulder flexion angle was （157.24±17.38）°, the excellent rate was 97.37%. All indicators had significant differences compared with control group （P〈0.05）. Conclusion These results suggest that recurrent shoulder joint dislocation in the treatment of arthroscopic suture anchor fixation has the exact value, can improve joint function.