Owens Brett D, DeBerardino Thomas M, Nelson Bradley J, Thurman John, Cameron Kenneth L, Taylor Dean C, Uhorchak John M, Arciero Robert A
William Beaumont Army Medical Center, El Paso, TX 79920-5001, USA.
Am J Sports Med. 2009 Apr;37(4):669-73. doi: 10.1177/0363546508328416. Epub 2009 Feb 13.
Little is known of the long-term results of acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations.
Acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations will provide good results at long-term follow-up.
Case series; Level of evidence, 4.
The authors evaluated a cohort of young patients who sustained first-time anterior glenohumeral dislocations and were acutely treated with arthroscopic Bankart repair using bioabsorbable tacks. Subjective outcome measures were obtained at a mean follow-up of 11.7 years (range, 9.1-13.9 years).
Thirty-nine patients (40 shoulders) were available of the original cohort of 49 shoulders (82%). Two of the 9 who were lost to follow-up had revision surgery before being lost and are carried forward in the calculations of recurrent instability and revision surgery but are not included in the calculation of the functional scores. The mean Single Assessment Numeric Evaluation was 91.7, the mean Western Ontario Shoulder Instability score was 371.7, the mean subjective Rowe score was 25.3, the mean Simple Shoulder Test was 11.1, the mean American Shoulder and Elbow Society score was 90.9, the mean Short Form-36 Physical Component score was 94.4, and the mean Tegner score was 6.5. Six patients sustained recurrent dislocations for a redislocation rate of 14.3%. Nine patients (21.4%) reported experiencing subluxation events. Six patients (14.3%) underwent revision stabilization surgery.
At long-term follow-up, acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations resulted in excellent subjective function and return to athletics in young, active patients with an acceptable rate of recurrence and reoperation.
对于首次创伤性肩关节前脱位行急性关节镜下Bankart修复术的长期疗效知之甚少。
首次创伤性肩关节前脱位行急性关节镜下Bankart修复术在长期随访中会取得良好效果。
病例系列研究；证据等级，4级。
作者评估了一组首次发生肩关节前脱位并接受急性关节镜下使用可吸收钉进行Bankart修复术治疗的年轻患者。在平均11.7年（范围9.1 - 13.9年）的随访中获得主观结果指标。
最初的49例肩关节中有39例患者（40个肩关节）可供评估（82%）。9例失访患者中有2例在失访前接受了翻修手术，在复发性不稳定和翻修手术的计算中纳入，但不包括在功能评分计算中。单项评估数字评定平均分为91.7，西安大略肩关节不稳定评分平均分为371.7，主观Rowe评分平均分为25.3，简单肩关节测试平均分为11.1，美国肩肘外科协会评分平均分为90.9，简明健康状况调查简表身体成分评分平均分为94.4，Tegner评分平均分为6.5。6例患者发生复发性脱位，再脱位率为14.3%。9例患者（21.4%）报告有半脱位事件。6例患者（14.3%）接受了翻修稳定手术。
在长期随访中，首次创伤性肩关节前脱位行急性关节镜下Bankart修复术在年轻、活跃的患者中可获得优异的主观功能并能恢复运动，复发率和再次手术率可接受。
