摘要
目的探讨肩关节镜下治疗运动性骨性Ⅰ、Ⅱ型Bankart损伤的疗效。方法选取2019年5月~2020年7月长春骨伤医院收治的90例运动性骨性Ⅰ、Ⅱ型Bankart损伤患者作为研究对象,所有患者均使用肩关节镜下进行复位,同时应用金属缝合锚钉固定术治疗,术后进行康复锻炼,评估手术前后患者的Rowes评分与加州大学肩关节系统(UCLA)评分,比较手术前后患者的肩关节活动情况以及Constant-Murley评分、美国肩肘外科协会(ASES)评分等指标。结果治疗后Rowes评分与UCLA评分均高于治疗前,差异有统计学意义(P<0.05);治疗前后肩关节前屈上举、体侧外旋以及内旋活动角度比较,差异无统计学意义(P>0.05),治疗后Constant-Murley评分、ASES评分均高于治疗前,差异有统计学意义(P<0.05)。结论肩关节镜下带线锚钉技术治疗运动性骨性Ⅰ、Ⅱ型Bankart损伤具有较好的效果,术后愈合速度快,创伤小,值得临床深入探究。
Objective To explore the curative effect of shoulder arthroscopy on sports skeletal typeⅠandⅡBankart injuries.Methods A total of patients with sports skeletal typeⅠandⅡBankart injuries admitted to Changchun Orthopedic Hospital from May 2019 to July 2020 were selected as the research objects.All patients were reduced under shoulder arthroscopy and metal suture anchors were used at the same time,accepted nail fixation treatment,accepted postoperative rehabilitation exercise,the Rowes score and the University of California Shoulder System(UCLA)score were evaluated before and after surgery,and the patient′s shoulder joint activity before and after surgery were compared with Constant-Murley score,American Society of Shoulder and Elbow Surgery(ASES)score and other indicators.Results After treatment,Rowes score and UCLA score were both higher than before treatment,the differences were statistically significant(P<0.05);there were no significant difference in the angles of shoulder flexion and elevation,lateral external rotation and internal rotation before and after treatment(P>0.05),the Constant-Murley score and ASES score after treatment were higher than those before treatment,and the differences were statistically significant(P<0.05).Conclusion Shoulder arthroscopy with wire anchoring technology has a good effect on the treatment of sports skeletal type I and II Bankart injuries.The postoperative healing speed is fast and the trauma is small.It is worthy of in-depth clinical investigation.
作者
王宇
WANG Yu(Department of Joint Surgery,Changchun Orthopedic Hospital,JiLin Province,Changchun 130000,China)
出处
《中国当代医药》
CAS
2021年第15期105-107,111,共4页
China Modern Medicine
