Walch G, Charret P, Pietro-Paoli H, Dejour H
Rev Chir Orthop Reparatrice Appar Mot. 1986;72(8):541-55.
Seventy-nine recurrences have been seen after surgical procedures for recurrent dislocation of the shoulder. There were 58 "true" recurrences, 17 shoulders with anterior instability and 4 with instability in all directions. The "true" recurrences were more frequent in young people with a mean age of 20 years at the time of the first surgical procedure. Two-thirds of them occurred on the dominant side. Most of the cases had been treated by distal displacement or lengthening of the coracoid process (38 Trillat procedures, 8 Latarjet procedures and 8 Oudart procedures). Only two had been treated by a Bankart procedure. The main cause of recurrence was a failure of repair of the antero-inferior part of the joint. Twenty three cases were operated on again, the most usual procedures being the Trillat procedure and rarely the Latarjet or Eden Hybinette procedures. Six cases recurred once again. Cases with anterior instability were observed after the Trillat procedure. They were due to capsular laxity and did not have to be operated on again. Instability in multiple directions was observed in young women who continued to dislocate their shoulder inferiorly or posteriorly, despite two or three surgical procedures.
在针对复发性肩关节脱位的外科手术后，共出现了79例复发情况。其中有58例为“真性”复发，17例肩关节存在前向不稳定，4例存在全方位不稳定。“真性”复发在年轻人中更为常见，首次手术时的平均年龄为20岁。其中三分之二发生在优势侧。大多数病例采用了喙突远端移位或延长术进行治疗（38例Trillat手术、8例Latarjet手术和8例Oudart手术）。只有2例采用了Bankart手术。复发的主要原因是关节前下部分修复失败。23例再次接受手术，最常用的手术是Trillat手术，很少采用Latarjet或Eden Hybinette手术。6例再次复发。Trillat手术后观察到存在前向不稳定的病例。这是由于关节囊松弛所致，无需再次手术。在年轻女性中观察到多方向不稳定，尽管进行了两到三次手术，她们的肩关节仍持续向下或向后脱位。
