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复发性创伤性肩关节前脱位改良Putti-Platt手术后的结果

Outcome after modified Putti-Platt procedure for recurrent traumatic anterior shoulder dislocations.

作者信息

Iordens Gijs I T, Van Lieshout Esther M M, Van Es Bernd C, Schep Niels W L, Breederveld Roelf S, Patka Peter, Den Hartog Dennis

机构信息

Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.

出版信息

Strategies Trauma Limb Reconstr. 2013 Nov;8(3):141-7. doi: 10.1007/s11751-013-0171-x. Epub 2013 Aug 9.

Abstract

Most recent studies on procedures for stabilizing the glenohumeral joint focus on arthroscopic techniques. A relatively simple open procedure is the modified Putti-Platt procedure. The aim of these retrospective case series was to evaluate the functional outcome, patient satisfaction, and quality of life of patients who underwent this procedure. After a median follow-up time of 4.7 (P25-P75 1.7-6.8) years, fifty-one patients could be enrolled with a mean age of 25 (21-39) years. Five patients (10 %) reported re-dislocations. The median Constant score for the affected side was 84 (P25-P75 75-91). Median loss of motion in abduction, elevation, external rotation, and external rotation in 90° of abduction did not exceed 10° when compared to the healthy shoulder. A median Rowe score of 92 (P25-P75 75-95) was measured. The WOSI score and SF-36 showed excellent quality of life. The VAS proved high patient satisfaction with the outcome; 7.9 (6.8-9.5). We concluded that the modified Putti-Platt procedure leads to excellent outcome scores and only marginal restriction in range of motion combined with a high patient satisfaction. Our data prove that excellent results can be obtained with a relatively simple open procedure.

摘要

最近关于稳定盂肱关节手术的研究主要集中在关节镜技术上。一种相对简单的开放手术是改良的普蒂-普拉特手术。这些回顾性病例系列的目的是评估接受该手术患者的功能结果、患者满意度和生活质量。在中位随访时间4.7(四分位间距1.7 - 6.8)年之后,纳入了51例患者,平均年龄25(21 - 39)岁。5例患者(10%)报告有再脱位情况。患侧的Constant评分中位数为84(四分位间距75 - 91)。与健侧相比,外展、上举、外旋以及外展90°时的外旋活动度丧失中位数均未超过10°。测得Rowe评分中位数为92(四分位间距75 - 95)。WOSI评分和SF - 36显示生活质量良好。VAS评分表明患者对结果满意度较高;评分为7.9(6.8 - 9.5)。我们得出结论,改良的普蒂-普拉特手术可带来优异的结果评分,仅在活动度上有轻微受限,同时患者满意度较高。我们的数据证明,采用相对简单的开放手术就能获得优异的结果。

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Management of acute anterior shoulder instability in adolescents.
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