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复发性创伤性肩关节前脱位。218例连续病例采用改良Magnuson-Stack手术治疗并随访2至18年。

Recurrent traumatic anterior dislocation of the shoulder. 218 consecutive cases treated by a modified Magnuson-Stack procedure and follow for 2-18 years.

作者信息

Karadimas J E

机构信息

Department of Orthopaedics, University of Athens, Greece.

出版信息

Acta Orthop Scand Suppl. 1997 Oct;275:69-71.

PMID:9385271
Abstract

Over a period of 30 years (1961-1991), 218 patients with recurrent anterior dislocation of the shoulder were operated on at the Naval Hospital of Greece using a modified Magnuson-Stack method. The modification involved transfer of the subscapularis tendon not only laterally to the bicipital groove, but also 1 cm distally (Karadimas et al. 1980). 210 patients (213 shoulders) were examined after a follow-up of 9 (2-18) years. Results were evaluated according to pain, limitation of motion, muscular power and atrophy. 183 patients (87%) had very good results, 21 cases (10%) had good results, while 6 cases (3%) had fair results. Only 3 recurrences (1%) were recorded.

摘要

在30年期间(1961 - 1991年),希腊海军医院采用改良的马格努森 - 斯塔克方法,对218例复发性肩关节前脱位患者进行了手术。改良方法不仅包括将肩胛下肌腱向外侧转移至二头肌沟,还包括向远侧转移1厘米(卡拉迪马斯等人,1980年)。在随访9年(2 - 18年)后,对210例患者(213个肩关节)进行了检查。根据疼痛、活动受限、肌肉力量和萎缩情况对结果进行评估。183例患者(87%)效果非常好,21例(10%)效果良好,6例(3%)效果尚可。仅记录到3例复发(1%)。

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