鏡視下 Bankart 修復術における新しい複合体固定法の改良

概要

論文の詳細を見る
We introduced a new arthroscopic Bankart repair technique that provided a double layer footprint fixation by bridging suture using a sliding knot. We investigated four male patients with traumatic anterior shoulder instability. The mean age at operation was 22.5 years old and the mean follow-up period was 7 months. After resurfacing the glenoid rim, the anchor(A) was inserted on the glenoid at the 5 oclock position. A 2nd anchor with tied suture(B) was placed medially to the glenoid rim at the 4 oclock position. Both of the end of B suture were passed through the inferior glenohumeral ligament - labral complex with mattress stitches. After making post of suture A and one end of suture B together as post suture, sliding knot was tied( suture-reel technique ). A 3rd anchor(C) was inserted on the glenoid at the 3 oclock position. Suture C and another end of suture B were tied in the same manner. The shoulders were immobilized in internal rotation for 3 weeks. We evaluated the complications and postoperative JSS shoulder instability score. There was no neurovascular injury and recurrence of dislocation. The mean postopearative JSS-SIS was 97.8. This method is considered to be a secure fixation and a further follow-up is needed.
日本肩関節学会の論文