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关节镜下Bankart修复术:我们在孟加拉国医科大学的早期经验。

Arthroscopic Bankart Repair: Our Early Experience at Bangladesh Medical University.

作者信息

Faisal M A, Chowdhury A Z, Kundu I K, Mahmud C I, Runa S P, Hossain M A, Sarker M M, Bose S K, Sikder M A, Sarker M, Choudhury M E

机构信息

Dr Md Ali Faisal, Associate Professor, Arthroscopy & Arthroplasty Unit, Department of Orthopaedic Surgery, Bangladesh Medical University (BMU), Dhaka, Bangladesh; E-mail:

出版信息

Mymensingh Med J. 2025 Jul;34(3):801-809.

Abstract

The arthroscopic Bankart repair method is the latest technique for traumatic anterior shoulder instability. In this series includes a minimum of one year of clinical outcomes of bioabsorbable suture anchors used in post-traumatic anterior dislocation of the shoulder. Clinical and radiological information from 15 patients were collected and analyzed for a minimum of 2 years (January 2019 to December 2020). Each patient underwent arthroscopic Bankart repair using bio-absorbable suture anchors for their shoulder instability. Over the time period, all operations were performed by a single surgeon. All study population were assessed using two different outcome measurement tools: one is the University of California at Los Angeles (UCLA) shoulder rating scale and another is the Simple Shoulder Test (SST) score. The scores were calculated before surgery and at the 1 year follow-up. Range of motion (ROM), as well as postoperative function and return to sporting activities, were evaluated. Results of the 12 domains showed a significant improvement from a pre-operative mean of 6.0±2.8 to post operative 10.5±0.8 after the 1 year follow-up (p<0.0001). Data from the UCLA scale showed a Pre and Post Operative Mean of 20.5±5.0 and 33.4±3.8, respectively (p<0.0001). Twelve had excellent postoperative scores, one had good score, one had fair score, and one had poor score. Eighty percent (80.0%) of the patients returned to sports, but none of them developed a recurrence of shoulder dislocation or subluxation. Arthroscopic Bankart repair using suture anchors is a reliable treatment method, with good clinical outcomes, excellent postoperative shoulder motion, and low recurrence rate.

摘要

关节镜下Bankart修复术是治疗创伤性前肩不稳的最新技术。本系列研究纳入了使用生物可吸收缝线锚钉治疗创伤性肩关节前脱位的至少1年临床结果。收集并分析了15例患者在至少2年(2019年1月至2020年12月)期间的临床和影像学资料。每位患者均接受了关节镜下Bankart修复术,使用生物可吸收缝线锚钉治疗其肩部不稳。在此期间,所有手术均由同一外科医生完成。所有研究对象均使用两种不同的疗效评估工具进行评估:一种是加利福尼亚大学洛杉矶分校(UCLA)肩关节评分量表,另一种是简单肩关节测试(SST)评分。在手术前和术后1年随访时计算得分。评估了活动范围(ROM)以及术后功能和恢复体育活动的情况。12个领域的结果显示,在1年随访后,从术前平均6.0±2.8显著改善至术后10.5±0.8(p<0.0001)。UCLA量表的数据显示,术前和术后平均得分分别为20.5±5.0和33.4±3.8(p<0.0001)。12例患者术后评分优秀,1例良好,1例中等,1例差。80.0%的患者恢复了运动,但均未出现肩关节脱位或半脱位复发。使用缝线锚钉的关节镜下Bankart修复术是一种可靠的治疗方法,临床效果良好,术后肩关节活动优良,复发率低。

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