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普蒂-普拉特(Putti-Platt)手术和伊登-许比内特(Eden-Hybbinette)手术治疗复发性肩关节脱位后的骨关节炎及复发情况

Osteoarthritis and recurrences after Putti-Platt and Eden-Hybbinette operations for recurrent dislocation of the shoulder.

作者信息

König D P, Rütt J, Treml O, Hackenbroch M H

机构信息

Department of Orthopaedic Surgery, Cologne University, Germany.

出版信息

Int Orthop. 1997;21(2):72-6. doi: 10.1007/s002640050123.

Abstract

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.

摘要

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。

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