Kjeldsen S R, Tordrup P J, Hvidt E P
Department of Orthopaedic Surgery, Viborg Hospital, Denmark.
Scand J Med Sci Sports. 1996 Dec;6(6):346-51. doi: 10.1111/j.1600-0838.1996.tb00105.x.
Sixteen athletes suffering anterior instability of the shoulder after primary or recurrent traumatic anterior dislocation were followed for a mean of 23.9 months after an open Bankart operation using Mitek anchors. Nine patients resumed sports an average of 4.4 months postoperatively, while the remaining seven patients did not return to sports at all. By comparing the group of athletes who had resumed sports and the group who had not, we found in the former group a lower mean age, a higher number of athletes who had inflicted their first anterior dislocation during sports and a larger number of people injured on the dominant arm. However, none of the above-mentioned differences were statistically significant, and there were no differences in range of motion, degree of disability or stability of the operated shoulders in the two groups: returned vs. not-returned to sports. All the athletes performing sports at elite-level returned to sports, whereas all the recreational athletes did not. Among the reasons for not resuming sport, 71% gave sociopsychological reasons such as anxiety or lack of time. Two athletes (12.5%) had suffered redislocations after 12 and 19 months, respectively. No complications or other problems related to the use of Mitek anchors were observed.
16名在初次或复发性创伤性前脱位后出现肩关节前不稳定的运动员,在使用Mitek锚钉进行开放性Bankart手术后,平均随访23.9个月。9名患者术后平均4.4个月恢复运动,而其余7名患者完全没有恢复运动。通过比较恢复运动的运动员组和未恢复运动的运动员组,我们发现前一组的平均年龄较低,在运动中首次发生前脱位的运动员数量较多,且优势手臂受伤的人数较多。然而,上述差异均无统计学意义,两组(恢复运动组与未恢复运动组)手术肩部的活动范围、残疾程度或稳定性也没有差异。所有从事精英水平运动的运动员都恢复了运动,而所有从事娱乐性运动的运动员都没有恢复。在未恢复运动的原因中,71%给出了社会心理原因,如焦虑或缺乏时间。两名运动员(12.5%)分别在12个月和19个月后出现了再脱位。未观察到与使用Mitek锚钉相关的并发症或其他问题。