Zheng Wuyuan, Zheng Jiapeng, Lin Dasheng, Xie Yibo, Xu Weikai, Wu Qingquan, Xiao Qi, Deng Huiyun, Jiang Huixiang, Feng Guodong
Department of Joint Surgery, the Marine Corps Hospital of Chinese PLA, Chaozhou Guangdong, 521000, P. R. China.
Orthopaedic Center of Chinese PLA, the 909th Hospital of Chinese PLA (Southeast Hospital Affiliated to Xiamen University), Zhangzhou Fujian, 363000, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 May 15;37(5):538-544. doi: 10.7507/1002-1892.202301046.
To explore the effectiveness and advantages of using Fastpass Scorpion suture passer to stitch the inferior capsulolabral complex in arthroscopic Bankart repair compared with traditional arthroscopic suture shuttle.
The clinical data of 41 patients with Bankart lesion, who met the selection criteria and were admitted between August 2019 and October 2021, was retrospectively analyzed. Under arthroscopy, the inferior capsulolabral complex was stitched with Fastpass Scorpion suture passer in 27 patients (FS group) and with arthroscopic suture shuttle in 14 patients (ASS group). There was no significant difference between the two groups ( >0.05) in gender, age, injured side, frequency of shoulder dislocation, time from first dislocation to operation, and preoperative Rowe score of shoulder. Taking successful suture and pull-tightening as the criteria for completion of repair, the number of patients that were repaired at 5∶00 to 6∶00 (<6:00) and 6∶00 to 7∶00 positions of the glenoid in the two groups was compared. The operation time, and the difference of Rowe shoulder score betwee pre- and post-operation, the occurrence of shoulder joint dislocation, the results of apprehension test, and the constituent ratio of recovery to the pre-injury movement level between the two groups at 1 year after operation.
Both groups completed the repair at 5∶00 to 6∶00 (<6∶00), and the constituent ratio of patients completed at 6∶00 to 7∶00 was significantly greater in the FS group than in the ASS group ( <0.05). The operation time was significantly shorter in the FS group than in the ASS group ( <0.05). All incisions in the two groups healed by first intention. All patients were followed up 12-36 months (mean, 19.1 months). No anchor displacement or neurovascular injury occurred during follow-up. Rowe score of shoulder in the two groups significantly improved at 1 year after operation than preoperative scores ( <0.05), and there was no significant difference in the difference of Rowe shoulder score between pre- and post-operation between the two groups ( >0.05). At 1 year after operation, no re-dislocation occurred, and there was no significant difference in the apprehension test and the constituent ratio of recovery to the pre-injury movement level between the two groups ( >0.05).
Compared with the arthroscopic suture shuttle, using Fastpass Scorpion suture passer to stitch the inferior capsulolabral complex in arthroscopic Bankart repair is more convenient, saves operation time, and has good effectiveness.
探讨与传统关节镜缝合穿梭器相比，使用Fastpass Scorpion缝合穿针器在关节镜下Bankart修复术中缝合下盂唇复合体的有效性和优势。
回顾性分析2019年8月至2021年10月期间收治的41例符合入选标准的Bankart损伤患者的临床资料。在关节镜下，27例患者（FS组）使用Fastpass Scorpion缝合穿针器缝合下盂唇复合体，14例患者（ASS组）使用关节镜缝合穿梭器。两组在性别、年龄、患侧、肩关节脱位频率、首次脱位至手术时间以及术前肩关节Rowe评分方面无显著差异（>0.05）。以成功缝合并拉紧作为修复完成标准，比较两组在肩胛盂5∶00至6∶00（<6:00）和6∶00至7∶00位置修复的患者数量。比较两组的手术时间、术前和术后Rowe肩关节评分的差异、肩关节脱位的发生情况、恐惧试验结果以及术后1年两组恢复至伤前运动水平的构成比。
两组均在5∶00至6∶00（<6∶00）完成修复，FS组在6∶00至7∶00完成修复的患者构成比显著高于ASS组（<0.05）。FS组的手术时间显著短于ASS组（<0.05）。两组所有切口均一期愈合。所有患者均获随访12 - 36个月（平均19.1个月）。随访期间未发生锚钉移位或神经血管损伤。两组术后1年肩关节Rowe评分均较术前显著提高（<0.05），且两组术前和术后Rowe肩关节评分的差异无显著差异（>0.05）。术后1年，两组均未发生再脱位，恐惧试验及恢复至伤前运动水平的构成比两组间无显著差异（>0.05）。
与关节镜缝合穿梭器相比，在关节镜下Bankart修复术中使用Fastpass Scorpion缝合穿针器缝合下盂唇复合体更方便，节省手术时间，且效果良好。
