肩关节镜下Bankart合并Remplissage手术治疗创伤性肩关节脱位的效果研究

Efficacy of Bankart Combined with Remplissage Operation Under Arthroscopy in the Treatment of Traumatic Dislocation of Shoulder

目的:探讨采用肩关节镜下Bankart合并Remplissage手术治疗创伤性肩关节脱位的患者的临床疗效,为创伤性复发性肩关节脱位的临床治疗提供参考依据。方法:回顾性分析2014年12月-2016年12月就诊于吉林市中心医院的创伤性复发性肩关节脱位的52例患者住院期间的临床资料,均采用Bankart合并Remplissage手术治疗。临床疗效分析采用重复测量资料的方差分析以确定手术治疗的单独效用。结果:术后4个月和6个月,患者的Rowe评分和Constant-Murley评分均高于术前(P<0.05);患者术后的VAS评分较术前明显所降低(P<0.05),但术后关节活动度(肩关节平均前屈上举角度和平均外展90度外旋角度)的改变无统计学差异(P>0.05);所有患者在术后6个月内未出现术后再脱位、半脱位现象。结论:Bankart修复联合Remplissage术对创伤性复发性肩关节前脱位患者的治疗具有较好的临床效果,可显著降低复发率。

Objective： To analyze the clinical efficacy of arthroscopic Bankart combined with Remplissage technology in the treatment of traumatic shoulder dislocation, and provide reference for the clinical treatment of traumatic recurrent shoulder dislocation. Methods：The clinical data of 52 cases of patients with traumatic recurrent dislocation of shoulder joint in Jilin Central Hospital. All patients were treated by Bankart combined with Remplissage operation. Results： At 4 months and 6 months after surgery, the Rowe score and Constant-Murley score were higher than preoperative score（P〈0.05）; the postoperative VAS score was significantly decreased than preoperative score（P〈0.05）, but the change of ROM of shoulder flexion（average lift angle and average 90 degrees rotation abduction the change of angle） showed no statistical difference preoperation and postopration（P〈0.05）; no postoperative dislocation, subluxation Was found in 52 cases of patients in 6 months after operation. Conclusion： Bankart combined with Remplissage operation had a good clinical effect in the treatment of traumatic recurrent anterior dislocation of shoulder which could reduce the recurrence rate of patients.