Mishra Amit, Sharma Pulak, Chaudhary Deepak
Department of Orthopaedics, Central Institute of Orthopedics, VMMC and Safdarjung Hospital, New Delhi, India.
Indian J Orthop. 2012 Nov;46(6):668-74. doi: 10.4103/0019-5413.104205.
The Bankart lesion represents the most common form of labro-ligamentous injury in patients with traumatic dislocations of the shoulder leading to shoulder instability. We report the clinical outcome of arthroscopic repair of Bankart lesion in 50 patients.
Sixty five patients with posttraumatic anterior dislocation of shoulder were treated by arthroscopic repair from Jan 2005 to Nov 2008. Fifty patients, with an average age of 26.83 years (range 18-45 years), were reviewed in the study. The average followup period was 27 months (range 24-36 months). University of California Los Angeles shoulder rating scale was used to determine the outcome after surgery. The recurrence rates, range of motion, as well as postoperative function and return to sporting activities were evaluated.
Thirty six patients (72.0%) had excellent results, whereas seven patients (14.0%) had good results. The mean pre- and postoperative range of external rotation was 80.38° and 75.18°, respectively. Eighty-six percent patients had stability compared with the normal sided shoulder and were able to return to sports. There were no cases of redislocation observed in this study; however, three cases had mild laxity of the joint.
Arthroscopic Bankart repair with the use of suture anchors is a reliable treatment method, with good clinical outcomes, excellent postoperative shoulder motion and low recurrence rates.
Bankart损伤是创伤性肩关节脱位患者导致肩关节不稳定的最常见的盂唇韧带损伤形式。我们报告了50例Bankart损伤关节镜修复的临床结果。
2005年1月至2008年11月，对65例创伤性肩关节前脱位患者进行关节镜修复治疗。本研究纳入了50例患者，平均年龄26.83岁（范围18 - 45岁）。平均随访时间为27个月（范围24 - 36个月）。采用加州大学洛杉矶分校肩关节评分量表来确定术后结果。评估复发率、活动范围以及术后功能和恢复体育活动的情况。
36例患者（72.0%）结果为优，7例患者（14.0%）结果为良。术前和术后平均外旋活动范围分别为80.38°和75.18°。86%的患者与健侧肩关节相比具有稳定性，并且能够恢复运动。本研究中未观察到再脱位病例；然而，有3例患者关节有轻度松弛。
使用缝线锚钉进行关节镜下Bankart修复是一种可靠的治疗方法，临床效果良好，术后肩关节活动度佳，复发率低。
