Tokish John M, Lafosse Laurent, Giacomo Giovanni Di, Arciero Robert
Fellowship Director, Steadman Hawkins Clinic of the Carolinas, Professor, University of South Carolina School of Medicine, Department of Orthopaedics, Greenville Health System, Steadman Hawkins Clinic of the Carolinas, Greenville, South Carolina.
Instr Course Lect. 2017 Feb 15;66:79-89.
Arthroscopic Bankart repair has become the most common treatment option for patients who have anterior shoulder instability. Although arthroscopic Bankart repair is generally an effective treatment method, it may be insufficient for the treatment of many patients who have anterior shoulder instability. Risk factors for failure of arthroscopic Bankart repair include younger age, level and type of sport, and shoulder specific risks, such as ligamentous laxity and the presence of bone loss. Recently, researchers have defined the limits of arthroscopic Bankart repair and more clearly defined treatment options for patients who have a high risk for failure after arthroscopic Bankart repair. Surgeons must recognize patients with anterior shoulder instability in whom a more aggressive surgical approach should be considered as well as patients who have a high risk for failure after arthroscopic Bankart repair to optimize outcomes in this patient population.
关节镜下Bankart修复术已成为前肩不稳患者最常见的治疗选择。尽管关节镜下Bankart修复术通常是一种有效的治疗方法，但对于许多前肩不稳患者的治疗可能并不充分。关节镜下Bankart修复术失败的风险因素包括年龄较小、运动水平和类型，以及肩部特定风险，如韧带松弛和骨质流失。最近，研究人员已经明确了关节镜下Bankart修复术的局限性，并更明确地为关节镜下Bankart修复术后失败风险高的患者定义了治疗选择。外科医生必须识别出应考虑采用更积极手术方法的前肩不稳患者，以及关节镜下Bankart修复术后失败风险高的患者，以优化该患者群体的治疗效果。
