外傷性肩関節前方不安定症に対する非吸収糸を用いた Caspari 変法の長期成績

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We wish to report on long term follow-up results of Caspari method for traumatic anterior shoulder instability.Fifty-four of 127 patients, who underwent Caspari method, were followed for more than 5 years and reviewed. The mean follow up period was 75.5 months (60-100). The Bankart lesions were classified into 5 types according to the arthroscopic findings. Type1, type2, type3, type4, and type5 were seen in 12 patients, in 20, in 14, in 1, and in 7 respectively. Only absorbable sutures were used for 32 patients, and both absorbable and nonabsorbable sutures were used for 22 patients. According to Rowes evaluation, 39 patients were excellent, 4 were good, 6 were fair, and 5 were poor. The 11 patients scored as fair and poor were recurrent, and the recurrent rate was 20.4%. Recurrence was seen in 3 of 12 patients in type 1,3, of 20 in type2.2 of 14 in type 3, 0 of 1 in type4, and 3 of 7 in type 5. The recurrent rate was high (31%) in the absorbable suture alone, and was low (5%) in the mixed sutures. The long term recurrent rate of Caspari method was 20.4%. The recurrent rate was high in absorbable suture alone and was low in the mixed sutures. The recurrent rate of mixed sutures was compatible with an open Bankart procedure.
日本肩関節学会の論文
2002-01-01