König D P, Rütt J, Treml O, Hackenbroch M H
Department of Orthopaedic Surgery, Cologne University, Germany.
Int Orthop. 1997;21(2):72-6. doi: 10.1007/s002640050123.
Thirty-five patients who had operations for recurrent anterior dislocation of the shoulder were reviewed, with a further 26 answering a questionnaire; the results were not as good as reported by others. The mean follow up was 26.9 years. Ten out of 43 patients had recurrent dislocations after the Putti-Platt and 6 out of 18 after the Eden-Hybbinette operation. Osteoarthritis developed in 15 shoulders of 26 patients who were followed-up after the former procedure and in 8 out of 9 shoulders after the latter. These sequelae depend on the age at the first dislocation rather than the number of dislocations. The overall satisfaction rate was acceptable for both procedures.
对35例因复发性肩关节前脱位接受手术的患者进行了回顾性研究,另有26例患者回复了问卷;结果不如其他人报告的那样好。平均随访时间为26.9年。在接受普蒂-普拉特手术的43例患者中,有10例出现复发性脱位,在接受伊登-希伯内特手术的18例患者中,有6例出现复发性脱位。在接受前一种手术的26例患者中,有15例肩部出现骨关节炎,在接受后一种手术的9例肩部中,有8例出现骨关节炎。这些后遗症取决于首次脱位时的年龄,而非脱位次数。两种手术的总体满意率均可接受。