Singer G C, Kirkland P M, Emery R J
Central Middlesex Hospital, London, England, UK.
J Bone Joint Surg Br. 1995 Jan;77(1):73-6.
We report the 20-year results of Bonnin's modification of the Bristow-Latarjet procedure in 14 patients operated on by one surgeon. All but one patient had had traumatic dislocations. At review, the Rowe scores were excellent in five, good in eight and fair in one. The functional outcome was satisfactory, with a mean Constant-Murley score of 80 points (68 to 95), but 12 patients had restriction of external rotation (86%). There were radiological degenerative changes in ten shoulders (71%): six in Samilson grade I, one in grade II, and three in grade III. Isometric power was considerably reduced in patients with grade-III degenerative change. This operation provides good long-term shoulder stability, but the high incidence of radiological degenerative change is a cause for concern.
我们报告了一位外科医生对14例患者实施的Bonnin改良版Bristow-Latarjet手术的20年结果。除1例患者外，其余患者均有创伤性脱位。复查时，Rowe评分5例为优秀，8例为良好，1例为一般。功能结果令人满意，Constant-Murley平均评分为80分（68至95分），但12例患者存在外旋受限（86%）。10个肩关节出现放射学退行性改变（71%）：6例为Samilson I级，1例为II级，3例为III级。III级退行性改变患者的等长肌力明显降低。该手术可提供良好的长期肩部稳定性，但放射学退行性改变的高发生率令人担忧。
