反復性肩関節前方脱臼に対する Bankart&Bristow 変法の術後長期成績

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We wish to report on the long-term postoperative results of a Bankart and modified Bristow procedure for the treatment of recurrent anterior shoulder dislocation.There were 27 patients (27 shoulders) who had undergone a Bankart and modified Bristow procedure for the treatment of recurrent anterior shoulder dislocations at our clinics and related facilities and were observed for 10 or more years of follow-up. The patients were 21 males and 6 females with a mean age of 22.9 years old(range: 17-46). Candidates for surgery were cases with a high degree of shoulder instability that caused the shoulder to dislocate easily during daily activities, and cases where a high degree of shoulder stability was required, such as involvement in contact sports. The operation involved a Bankart repair with a capsular shift, with the addition of a modified Bristow procedure. Patients were cleared to resume daily activities without restrictions after 4 weeks, and to participate in sports activities after 3 months. A questionnaire survey was conducted in order to evaluate the patients ranges of motion, JSS shoulder instability scores, satisfaction, rate of recurrent dislocation, and complications. As X-ray evaluations could not be obtained, the mean JSS shoulder instability score was 86 on a 90-points scale. Regarding patient satisfaction, 24 patients were completely satisfied, 3 were somewhat satisfied, and none were dissatisfied or somewhat dissatisfied. While no recurrence of shoulder dislocation was observed postoperatively, subluxation was detected in 2 patients each only once. The long-term clinical outcome of the reported procedure was favorable, and it was effective for maintaining long-term shoulder stability.
日本肩関節学会の論文

反復性肩関節前方脱臼に対する Bankart&Bristow 変法の術後長期成績

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