Yamashita Toshihiko, Okamura Kenji, Hotta Tomonobu, Wada Takuro, Aoki Mitsuhiro, Ishii Seiichi
Department of Orthopaedic Surgery, Sapporo Medical University, Japan.
Acta Orthop Scand. 2002 Oct;73(5):553-7. doi: 10.1080/000164702321022839.
126 patients (100 men) with recurrent anterior shoulder dislocation or subluxation with severe Bankart lesion were treated with a combined Bankart and modified Bristow procedure and reviewed for this study. The mean age at operation was 25 (14-69) years, and mean follow-up period 41 (24-75) months. Averages of the Rowe score, the Constant score and the ASES score at final follow-up were 90, 95 and 91 points, respectively. The clinical outcome was excellent in 97 patients (77%), good in 16 (13%) and fair in 13 (10%). 2 patients had resubluxation, while no patient had a complete redislocation. The average loss of range of motion of external rotation, as compared to the contralateral shoulder side was 13 degrees. 67 of 72 patients returned to sports. No major postoperative complications occurred. This procedure had an excellent clinical outcome in cases of recurrent anterior shoulder dislocation or subluxation.
126例（100例男性）复发性肩关节前脱位或半脱位伴严重Bankart损伤的患者接受了Bankart手术联合改良Bristow手术治疗，并纳入本研究进行随访。手术时的平均年龄为25（14 - 69）岁，平均随访时间为41（24 - 75）个月。末次随访时Rowe评分、Constant评分和ASES评分的平均值分别为90分、95分和91分。临床结果优97例（77%），良16例（13%），可13例（10%）。2例患者出现再半脱位，无患者出现完全性再脱位。与对侧肩部相比，外旋活动度平均损失13度。72例患者中有67例恢复运动。未发生重大术后并发症。该手术在复发性肩关节前脱位或半脱位病例中具有出色的临床效果。
