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題名 | Modified Bankart Reconstruction for Recurrent Anterior Shoulder Dislocation-Using Mitek GII Suture Anchors=以Mitek GII錨釘治療復發性肩關節脫臼 |
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作者 | 李宏滿; 譚傳明; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:3 民86.05-06 |
頁次 | 頁186-193 |
分類號 | 416.61 |
關鍵詞 | Mitek GII錨釘; 復發性肩關節脫臼; Recurrent shoulder dislocation; Suture anchor; |
語文 | 英文(English) |
中文摘要 | 23位患者因復發性肩關節脫白而接受手術。手術主要重建前肩關節�堙A 關節孟唇及下孟肪韌帶複合體且以Mttek帶縫線之錨釘固定,術後追蹤平均8.7 月。以Rowing計分標準給予患者評分,百分之91病患覺得滿意,所以病患於術後 評估期間,無一肩關節復發脫白。 以Mitek帶縫線錨釘縫補關節孟唇及部份前關節囊之好處在於能縮短手術時間及 避免肩關腔內軟骨過度受到破壞。以水平式切開關節囊取代傳統T型切開法之好 處在於能避免造成術後關節囊過度緊縮而影響復健及日後患者肩關節囿限。 我們提出此一手術經驗,短期評估此方法是為可行且成功率極高,然而長期評估 仍待更進一步證實。 |
英文摘要 | Twenty-three patients undergoing a modified anterior capsulolabral reconstruction fixed with Mitek Gil suture anchors for recurrent anteriorshoulder dislocation were evaluated 9 to 32 months after surgery. We usedthe modified Rowing Scoring System; results were excellent in 13 (56.5),good in 8 (34.8), fair in 2 (8.7). The good to excellent results stood forabout 91. There were no recurrence, whatsoever. There are two majoradvantages for this procedure. Firstly, suture anchors are used allowingquick and secure capsule reattachment thereby preventing violation of theglenoid articular surface. Secondly, a horizontal capsulotomy is performedinstead of T-capsulotomy, which is a more likely an anatomical reconstruction preventing capsulolabral overtightening. Although the early resultswould seem promising, long-term follow up is necessary to determine theeffectiveness of this procedure. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。