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
Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Strategies Trauma Limb Reconstr. 2013 Nov;8(3):141-7. doi: 10.1007/s11751-013-0171-x. Epub 2013 Aug 9.
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.
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。
