反復性肩関節前方脱臼に対する Bankart-Bristow 合併手術の長期成績

概要

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Since 1984 we have used a combined Bankart-Bristow procedure for recurrent anterior dislocation of the shoulder. We investigated the long-term results by direct examination of the patients. We evaluated 75 patients, 78 shoulders, who were followed -up for more than five years post-operatively. The average age at the time of operation was 24 years old (range15-53 years old), and the average follow-up period was 9.6 years (range5.0-16.4 years). All the patients had a physical and X-ray examination. The following parameters were evaluated using the JSS Shoulder Instability Score and the JSS Shoulder Sports Score. One shoulder had a re-dislocation and another had a subluxation. The recurrence rate was 2.6%. The mean loss of external rotation compared with the opposite side was 16.4 degrees. Radiographs revealed osteoarthrotic changes of the glenohumeral joint in two shoulders. In both cases, arthrosis was mild. The return to heavy contact sports was achieved in 28 of 32 patients (87.5%). The average JSS Shoulder Sports Score was 86.5 points (range54-100points). The average JSS Shoulder Instability Score was 95.4 points (range72-100points). We concluded that this procedure gave good results for a recurrent anterior dislocation of shoulders with a low recurrence rate and a high rate of returning to heavy contact sports activities.
日本肩関節学会の論文
2002-01-01