Ekin Ahmet, Ozkan Mustafa, Bölükbaşi Selçuk, Kanatli Ulunay, Karci Tolga
Dokuz Eylül Universitesi Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali, Balçova, Izmir.
Acta Orthop Traumatol Turc. 2005;39 Suppl 1:83-9.
The principles and procedures for multidirectional instability do not substantially differ from those for anterior instability. Correct diagnosis is difficult, but it is important for a successful treatment. Conservative treatment should be attempted before surgery. Open surgical treatment using the inferior capsular shift procedure is the gold standard. It can be carried out either anteriorly or posteriorly. We prefer a laterally-based capsular shift because it facilitates capsular plication.
多向不稳定的原则和手术步骤与前向不稳定的原则和步骤没有实质性差异。正确诊断很困难，但对成功治疗很重要。手术前应尝试保守治疗。采用下方囊袋移位术的开放手术治疗是金标准。该手术可从前侧或后侧进行。我们更倾向于基于外侧的囊袋移位术，因为它便于囊袋折叠。
