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目的观察关节镜下Bankart修复治疗训练伤所致慢性肩关节前方不稳的临床疗效。方法选择21例肩关节前方不稳的患者,关节镜下锚钉修复盂唇损伤,同时修复合并出现的上盂唇前后(SLAP)损伤,较大的Hill-sachs损伤。采用UCLA功能评分标准和SST评分进行疗效的评估,记录术前和终末随访的得分。结果术后患者随访12~45个月,平均随访27个月。SST得分术前为(6.72±2.38)分,术后终末随访评分为(11.24±1.46)分,同术前比较差异有统计学意义(P<0.01)。术前UCLA平均得分为(19.55±5.02)分,术后终末随访评分为(33.19±4.61)分,与术前比较差异有统计学意义(P<0.01)。结论关节镜下Bankart修复治疗训练伤所致肩关节前方不稳疗效满意,可以很好恢复肩关节功能。
Objective To observe the clinical effect of arthroscopic Bankart repair on the anterior instability of chronic shoulder joint caused by traumatic injury. Methods Twenty-one patients with unstable anterior shoulder were selected. Arthroscopic anchors were used to repair the labrum injury. At the same time, SLAP injury and larger Hill-sachs injury were repaired. UCLA function score and SST score were used to evaluate the curative effect. The scores of preoperative and final follow-up were recorded. Results The patients were followed up for 12 to 45 months with an average follow-up of 27 months. The preoperative score of SST was (6.72 ± 2.38) points, and the postoperative final follow-up score was (11.24 ± 1.46) points, which was significantly different from that before operation (P <0.01). The mean preoperative UCLA score was (19.55 ± 5.02) points, and the postoperative final follow-up score was (33.19 ± 4.61) points, which was significantly different from preoperative values (P <0.01). Conclusion Bankart arthroscopy treatment of injury caused by injury in front of the shoulder joint instability is satisfactory, can well restore shoulder joint function.