后路骨块阻挡术治疗肩关节后向不稳定的临床疗效：多中心回顾性研究 66 例。
Clinical outcomes of posterior bone block procedures for posterior shoulder instability: Multicenter retrospective study of 66 cases.
机构信息
Upper Limb Surgery Unit, CCOM, 10, avenue Baumann, 67400 Illkirch, France.
Upper Limb Surgery Unit, CCOM, 10, avenue Baumann, 67400 Illkirch, France.
出版信息
Orthop Traumatol Surg Res. 2017 Dec;103(8S):S193-S197. doi: 10.1016/j.otsr.2017.08.006. Epub 2017 Sep 2.
BACKGROUND
The posterior bone block procedure is a well-known treatment option for posterior shoulder instability. The goal of this retrospective multicenter study was to evaluate the clinical and radiological outcomes of this procedure.
MATERIAL AND METHODS
The study cohort consisted of 66 patients (55 men, 11 women) with an average age of 27.8 years who were evaluated clinically and radiologically using a standardized questionnaire after posterior bone block surgery.
RESULTS
The Constant score significantly improved postoperatively (P<0.0001). The postoperative Walch-Duplay score was 81.5. The Rowe score was 86.5 points. The pain level (VAS) was significantly reduced after this procedure (P<0.0001). Eighty-five percent of patients were satisfied or very satisfied with the outcome.
CONCLUSION
This multicenter study of 66 patients shows that the posterior bone block procedure is an effective technique with good subjective and objective outcomes; however, the possibility of complications cannot be ignored.
CLINICAL STUDY
Level of evidence IV.
背景
后路骨块阻挡术是治疗后肩不稳的一种知名治疗选择。本回顾性多中心研究的目的是评估该手术的临床和影像学结果。
材料与方法
研究队列包括 66 名患者（55 名男性，11 名女性），平均年龄为 27.8 岁，在接受后路骨块阻挡手术后，使用标准化问卷进行临床和影像学评估。
结果
Constant 评分术后显著改善（P<0.0001）。术后 Walch-Duplay 评分为 81.5。Rowe 评分为 86.5 分。疼痛水平（VAS）在手术后显著降低（P<0.0001）。85%的患者对结果满意或非常满意。
结论
这项针对 66 名患者的多中心研究表明，后路骨块阻挡术是一种有效技术，具有良好的主观和客观结果；然而，不能忽视并发症的可能性。
临床研究
证据等级 IV。
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