Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, Ramsay Santé, Lyon, France.
Department of Orthopaedics and Traumatology, AZ Sint-Lucas Brugge, Bruges, Belgium.
Arch Orthop Trauma Surg. 2024 Jan;144(1):1-6. doi: 10.1007/s00402-023-04957-0. Epub 2023 Aug 3.
Posterior capsulolabral repair (posterior Bankart) is effective to restore shoulder stability and relieve pain, though a recent meta-analysis reported recurrent instability in 9.5% of patients, and that only 62.7% were able to resume sports. The purpose of this study was to assess the outcomes of arthroscopic posterior capsulolabral repair in a population of unselected patients, in terms of recurrence of instability, clinical scores, and return to sports.
The authors retrospectively studied a consecutive series of 22 patients that underwent posterior capsulolabral repair between 2009 and 2019. Patients were assessed before posterior capsulolabral repair and at a minimum follow-up of 24 months, in terms of subjective shoulder value (SSV), Western Ontario Shoulder Instability Index (WOSI), as well as level of sport. Following surgery, all complications, reoperations or episodes of instability were noted.
The cohort comprised 21 men (95%) and 1 woman (5%), aged 38.8 ± 12.5 years (range 17-61) at index surgery. Of the 20 patients that performed sports, only 2 (10%) stopped sports after surgery, while 18 resumed their main sport (90%). At a follow-up of 65.4 ± 34.8 months (range 25-146), the SSV was 85.1 ± 14.7, pain on VAS was 1.9 ± 2.1, and the Constant-Murley score was 71.6 ± 17.9. Five patients had subjective instability without dislocation (23%). Nine patients (41%) had no pain (0 points), 6 patients (27%) had mild pain (1-2 points), 4 patients (18%) had moderate pain (3 points), while 3 patients (14%) had severe pain (5-8 points).
Arthroscopic posterior capsulolabral repair prevented recurrent dislocation in patients with posterior shoulder instability at a minimum follow-up of 2 years, despite persistent pain in 32%, and subjective instability in 23%. These complications were mainly observed in patients with work-related accidents and glenoid cartilage lesions.
III, case series.
经关节镜下后囊盂唇修复（Bankart 修复术）可有效恢复肩关节稳定性并缓解疼痛，但最近的一项荟萃分析显示，9.5%的患者出现复发性不稳定，只有 62.7%的患者能够恢复运动。本研究旨在评估在未经选择的患者人群中，行关节镜下后囊盂唇修复的结果，包括不稳定复发、临床评分和重返运动情况。
作者回顾性研究了 2009 年至 2019 年间连续接受后囊盂唇修复的 22 例患者。在接受后囊盂唇修复术前和至少 24 个月的随访时，采用主观肩价值（SSV）、Western Ontario 肩不稳定指数（WOSI）以及运动水平评估患者。术后记录所有并发症、再次手术或不稳定发作情况。
该队列包括 21 名男性（95%）和 1 名女性（5%），手术时年龄为 38.8±12.5 岁（17-61 岁）。20 名进行运动的患者中，仅 2 名（10%）在手术后停止运动，而 18 名患者恢复了主要运动（90%）。随访 65.4±34.8 个月（25-146 个月）时，SSV 为 85.1±14.7，VAS 疼痛评分为 1.9±2.1，Constant-Murley 评分为 71.6±17.9。5 名患者（23%）有主观不稳定但无脱位。9 名患者（41%）无疼痛（0 分），6 名患者（27%）轻度疼痛（1-2 分），4 名患者（18%）中度疼痛（3 分），3 名患者（14%）重度疼痛（5-8 分）。
至少 2 年的随访显示，关节镜下后囊盂唇修复可防止肩关节后向不稳定患者出现复发性脱位，尽管有 32%的患者持续疼痛，23%的患者有主观不稳定。这些并发症主要见于与工作相关的事故和肩盂软骨损伤的患者。
III，病例系列研究。
