Bodey W N, Denham R A
Injury. 1983 Nov;15(3):184-8. doi: 10.1016/0020-1383(83)90011-6.
An operation to prevent recurrent anterior dislocation of the shoulder by insertion of a free iliac bone graft into an anterior glenoid osteotomy is described and has been performed on 16 shoulders in 15 patients. No additional fixation of the graft was used and the divided subscapularis tendon was not sutured. The average follow-up was 7 years and 8 months, no serious complications occurred, there were no recurrences, there was no evidence of degenerative osteoarthrosis and only 4 patients had any detectable loss of power. Only 2 patients had noticed any restriction of movement. There was some loss of external rotation in 13 shoulders. All patients returned to their desired levels of work and sporting activity after operation. The operation is technically easy to perform and has comparably excellent results to other published series.
描述了一种通过将游离髂骨移植到肩胛盂前部截骨处来预防复发性肩关节前脱位的手术,该手术已在15例患者的16个肩部进行。未对移植骨进行额外固定,未缝合切断的肩胛下肌腱。平均随访时间为7年8个月,未发生严重并发症,无复发,无退行性骨关节炎证据,仅有4例患者有可检测到的力量丧失。只有2例患者注意到有任何活动受限。13个肩部有一定程度的外旋丧失。所有患者术后均恢复到期望的工作和体育活动水平。该手术在技术上易于实施,与其他已发表的系列相比有相当出色的效果。