Sports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland.
Royal College of Surgeons in Ireland, Dublin, Ireland.
Knee Surg Sports Traumatol Arthrosc. 2022 Jun;30(6):2092-2098. doi: 10.1007/s00167-021-06803-5. Epub 2021 Nov 23.
The purpose of this study was to evaluate the outcomes of athletes 5-years post-operatively following arthroscopic Bankart repair, and to evaluate factors associated with satisfaction and shoulder function, as defined by subjective shoulder value.
A retrospective review of athletes who underwent arthroscopic Bankart repair, with a minimum of 5-year follow-up was performed. Recurrence, Visual Analogue Scale (VAS) score, Subjective Shoulder Value (SSV), satisfaction, and whether they would undergo the same surgery again, and rate, level and timing of return to play, and Shoulder Instability-Return to Sport after Injury (SIRSI) score were evaluated. Multi-linear regression models were used to evaluate factors affecting postoperative Satisfaction, and SSV level.
Overall, 144 athletes who underwent arthroscopic Bankart repair were included, with a mean age of 26.9 years (SD: 8.1), 132 (91.7%) were males, and mean follow-up of 75.7 months. At final follow up, 82.6% were satisfied/very satisfied, and the mean SSV was 85.8 (SD: 14.4). Overall, the rate of return to play was 80.5%, with 63.9% returning at the same level at a mean of 6.2 months (SD: 2.7). Overall, there was 18 (12.5%) had recurrent instability, and a further procedure was performed in 15 (10.4%) patients. Linear regression revealed that the SIRSI score (p < 0.0001), SSV (p < 0.0001), VAS (p < 0.0031), no sleep trouble (p = 0.0129) was associated with satisfaction. Logistic regression revealed whether a patient required revision surgery (p = 0.0029), or had re-dislocation (p = 0.0031) was also associated with satisfaction. Linear regression revealed that the SIRSI score (p < 0.0001), VAS score (p < 0.0001), and no sleep trouble (p < 0.0001), were associated with SSV score.
There was a high rate of satisfaction at 5-year follow-up, with excellent patient-reported outcomes and a high rate of return to play among athletes. However, there was a moderate rate of recurrent instability and further revision surgery. This study identified that the SIRSI score, VAS score, no sleep trouble and ability to return to play at the same level were associated with both satisfaction and SSV score.
III.
本研究旨在评估接受关节镜下 Bankart 修复术后 5 年的运动员的术后结果，并评估与满意度和肩部功能相关的因素，以主观肩部值来定义。
对接受关节镜下 Bankart 修复术且随访时间至少为 5 年的运动员进行回顾性研究。评估复发、视觉模拟评分（VAS）、主观肩部值（SSV）、满意度、是否会再次接受相同手术，以及重返赛场的比例、水平和时间，以及肩不稳定-损伤后重返运动（SIRSI）评分。使用多元线性回归模型评估影响术后满意度和 SSV 水平的因素。
共有 144 名接受关节镜下 Bankart 修复术的运动员纳入本研究，平均年龄 26.9 岁（标准差：8.1），132 名（91.7%）为男性，平均随访时间为 75.7 个月。在最终随访时，82.6%的患者对手术结果感到满意/非常满意，平均 SSV 为 85.8（标准差：14.4）。总体而言，重返赛场的比例为 80.5%，63.9%的患者在 6.2 个月（标准差：2.7）时以相同水平重返赛场。总体而言，有 18 名（12.5%）患者出现复发性不稳定，15 名（10.4%）患者进一步接受手术。线性回归显示 SIRSI 评分（p<0.0001）、SSV（p<0.0001）、VAS（p<0.0031）、无睡眠问题（p=0.0129）与满意度相关。逻辑回归显示是否需要翻修手术（p=0.0029）或再次脱位（p=0.0031）与满意度相关。线性回归显示 SIRSI 评分（p<0.0001）、VAS 评分（p<0.0001）和无睡眠问题（p<0.0001）与 SSV 评分相关。
在 5 年随访时，运动员的满意度非常高，患者报告的结果非常好，重返赛场的比例很高。然而，仍有中度的复发性不稳定和进一步的翻修手术。本研究发现 SIRSI 评分、VAS 评分、无睡眠问题和能够以相同水平重返赛场与满意度和 SSV 评分相关。
III 级。
