High Demand 症例に対する鏡視下 Bankart 修復術の成績

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Arthroscopic Bankart Repair with suture anchors had been thought not to be suitable for high demand patients. The purpose of this study was to compare the results of arthroscopic Bankart repair using suture anchors between high demand patients and non high demand patients in traumatic anterior glenohumeral instability. 74 shoulders in 74 patients with traumatic unilateral anterior shoulder instability were evaluated using the Rowe score, rate of recurrence, range of motion at an average 38 months after arthroscopic surgery. Of the 74 shoulders, 45 shoulders (45 patients) were high demand patients, participating in judo, karate, boxing, wakeboarding, snowboarding, basketball, handball, baseball, or rugby. In the 45 high demand patients, the average Rowe score improved from 30.2 to 92.4 points, and was not statistically different from that in non high demand patients (from 31.5 to 90.6 points). The high demand patients had lost a mean of 4 degrees of external rotation in abduction, and this was not statistically different from that in non high demand patients (3 degrees of external rotation). There was no significant differentiation between the recurrence rate in the high demand patients (4.4% 2 of 45) and that in non high demand patients (3.4% one of 29). All patients returned to their respective sports at the same. Arthroscopic stabilization is as reliable a procedure in high demand patients as it is non high demand patients.
日本肩関節学会の論文
2008-06-30

High Demand 症例に対する鏡視下 Bankart 修復術の成績

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