Kim Dong Hyeon, Kim Joo Yeon, Park Juho, Talwar Mika, Jenkins Sarah, Gardner Brandon, McGahan Patrick, Chen James L
Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.
Arthrosc Tech. 2022 Feb 18;11(3):e419-e425. doi: 10.1016/j.eats.2021.11.011. eCollection 2022 Mar.
The use of arthroscopic Bankart repair to treat anterior shoulder instability has become increasingly widespread. However, high rates of recurrent instability within the presence of glenohumeral bony defects, specifically Hill-Sachs lesions, have well documented a key concern regarding the arthroscopic Bankart repair process. Our technique describes the pairing of a remplissage to fill the Hill-Sachs lesion with the Bankart repair, preventing loss in shoulder stiffness and stability. This technique involves a double-pulley-combined remplissage and Bankart repair to maintain a low-failure, minimally invasive procedure.
使用关节镜下Bankart修复术治疗肩关节前向不稳已越来越普遍。然而,在存在盂肱关节骨缺损(特别是Hill-Sachs损伤)的情况下,复发性不稳的发生率很高,这已充分证明了关节镜下Bankart修复过程中的一个关键问题。我们的技术描述了将用于填充Hill-Sachs损伤的 remplissage与Bankart修复相结合,以防止肩部僵硬和稳定性的丧失。该技术包括双滑轮联合remplissage和Bankart修复,以维持低失败率的微创手术。