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普蒂-普拉特手术治疗复发性盂肱关节前脱位

The Putti-Platt operation in the treatment of recurrent anterior dislocation of the glenohumeral joint.

作者信息

Tervo T, Kähärä V, Lemmetty A, Aho H, Rokkanen P

出版信息

Ann Chir Gynaecol. 1979;68(5-6):165-8.

PMID:546321
Abstract

In this prospective follow-up investigation the results in 65 patients treated by the Putti-Platt operation for recurrent dislocation of the glenohumeral joint were analysed. The data was collected at follow-up examinations performed one year after operation and from the replies to a questionnaire distributed to the patients 2--6 years postoperatively. Analysis of the data showed that 95% of the patients considered the condition of the shoulder joint as good or at least as better than preoperatively. During the period of follow-up 23 redislocations occurred and 25% of the patients experienced postoperative pain in the operated shoulder joint. Postoperative limitation of movement of the joint was in general slight and did not hinder normal activities. Owing to the high frequency of redislocation the Putti-Platt operation is not recommended in any event for active sportsmen, since redislocation occurred to a statistically significant extent more often in this group than in other patients.

摘要

在这项前瞻性随访研究中,分析了65例因肩肱关节复发性脱位接受普蒂-普拉特手术治疗的患者的结果。数据收集于术后一年的随访检查以及术后2至6年分发给患者的问卷调查回复。数据分析表明,95%的患者认为肩关节状况良好或至少比术前有所改善。在随访期间,发生了23次再脱位,25%的患者在手术的肩关节出现术后疼痛。关节术后活动受限一般较轻,不影响正常活动。由于再脱位发生率较高,无论如何都不建议活跃的运动员接受普蒂-普拉特手术,因为该组再脱位的发生率在统计学上显著高于其他患者。

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