Farooq Omer, Hafeez Sohail
Department of Orthopaedics, Combined Military Hospital, Rawalpindi.
J Coll Physicians Surg Pak. 2012 Jan;22(1):23-6.
To evaluate the efficacy of cancellous screws as suture anchors, in open Bankart repair.
Case series.
Department of Orthopaedics, Combined Military Hospital, Rawalpindi, from March 2009 to October 2010.
Fourteen patients with recurrent anterior dislocation were included in the study. Through anterior approach three 4 mm partially threaded cancellous screws were placed at the anterior Glenoid rim. Prolene-1 suture was tied around these screws which acted as anterior anchors and was used to re-attach the capsule and labrum back to bone. The mean duration of follow-up was 8 months. The patients were evaluated at 3 monthly intervals with a physical examination, radiographs, the modified shoulder rating scale of Rowe and Zarins and American Shoulder and Elbow Surgeons score.
The mean operating time was 58 minutes. There was no immediate/early postoperative complication. At the last follow-up none of the patients had recurrence or radiological evidence of hardware failure/complication. Eleven patients (79%) had a score of 90 points on the scale of Rowe and Zarins and 12 patients (85.7%) had a score of at least 90 points on the scale of the American Shoulder and Elbow Surgeons scale. Ten patients (71%) had full range of motion in all planes.
Use of cancellous screws as a suture anchor is a safe and cost-effective substitute of commercially available suture anchors in open Bankart repair.
评估松质骨螺钉作为缝合锚钉在开放性Bankart修复术中的疗效。
病例系列研究。
2009年3月至2010年10月，拉瓦尔品第联合军事医院骨科。
本研究纳入14例复发性前脱位患者。经前路在肩胛盂前缘置入3枚4毫米部分螺纹的松质骨螺钉。将普理灵1号线缝合在这些作为前锚钉的螺钉上，用于将关节囊和盂唇重新固定于骨面。平均随访时间为8个月。每隔3个月对患者进行体格检查、影像学检查、Rowe和Zarins改良肩关节评分量表以及美国肩肘外科医师学会评分评估。
平均手术时间为58分钟。术后无即刻/早期并发症。末次随访时，所有患者均无复发，也无硬件故障/并发症的影像学证据。11例患者（79%）在Rowe和Zarins量表上的评分为90分，12例患者（85.7%）在美国肩肘外科医师学会量表上的评分至少为90分。10例患者（71%）各平面活动范围均正常。
在开放性Bankart修复术中，使用松质骨螺钉作为缝合锚钉是一种安全且经济有效的方法，可替代市售缝合锚钉。
