Treatment of Old Anterior Shoulder Dislocation by Open Reduction and Bankart Lesion Repair (Affiliated the Analysis of a Case Series Including 6 Patients)
Abstract: Object: Open reduction with different fixation operations has been introduced for most chronic shoulder anterior dislocation. However, open reduction and simultaneous Bankart lesion repair without the joint fixation were used in our study. The aim was to evaluate the outcomes of our method. Methods: Six patients with chronic anterior dislocation of shoulder underwent open re-duction and capsulolabral complex repair after an average delay of 11 weeks after injury. Early motion was allowed the day after surgery in the function position. Then the clinical and radio-graphic results were analyzed at a mean follow-up of 8 months according to Rowe and Zarin’s cri-teria. Results: The average Rowe and Zarin’s score was 83 points. Three out of six shoulders were graded as excellent, two as good and one as fair. All patients were able to complete their daily ac-tivities with either mild or no pain. Anterior active forward flexion loss averaged 20˚, external active rotation loss averaged 20˚ and internal active rotation loss averaged 2 vertebral body levels. Conclusion: The results show that the overall prognosis for this method of operation is more fa-vorable than the previous methods and we recommend open reduction and capsulolabral complex repair for the treatment of old anterior shoulder dislocation.
文章引用: 寇玉相 , Bariki Exaud Kajange (2015) 开放复位并修复Bankart损伤治疗陈旧性肩关节前脱位(附6例病例分析)。 外科， 4， 21-25. doi: 10.12677/HJS.2015.43004
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