Takeda H, Watarai K, Ganev G G, Oguro K, Higashi A, Tateishi A
Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Int Orthop. 1998;22(6):361-5. doi: 10.1007/s002640050278.
Thirty-four athletes (34 shoulders) with recurrent anterior glenohumeral instability were treated with a modified Bankart procedure, using a T-shaped capsular incision in the anterior capsule. The inferior flap was advanced medially and/or superiorly and rigidly fixed at the point of the Bankart lesion by a small cancellous screw and a spike-washer. The superior flap was advanced inferiority and sutured over the inferior flap. Twenty-five athletes (median age: 22) were evaluated over a mean period of follow-up of 65 months. The clinical results were graded, according to Rowe, as 22 (88%) excellent, 3 (12%) good, and none as fair or poor. The mean postoperative range of movement was 92 degrees of external rotation in 90 degrees of abduction. Elevation and internal rotation was symmetrical with the opposite side. Twenty-four patients returned to active sport, 22 at their previous level. This modified Bankart procedure is an effective treatment for athletes with recurrent anterior glenohumeral instability.
34例患有复发性前盂肱关节不稳的运动员（34个肩关节）接受了改良Bankart手术治疗，在前关节囊采用T形切口。下瓣向内和/或向上推进，并通过一枚小的松质骨螺钉和一个尖垫圈在Bankart损伤处牢固固定。上瓣向下推进并缝合在下瓣上。对25名运动员（中位年龄：22岁）进行了平均65个月的随访评估。根据Rowe标准，临床结果分级为：22例（88%）为优，3例（12%）为良，无一般或差的病例。术后平均活动范围为外展90度时外旋92度。抬高和内旋与对侧对称。24例患者恢复了运动，其中22例恢复到之前的运动水平。这种改良Bankart手术是治疗复发性前盂肱关节不稳运动员的有效方法。
