男性自衛官の反復性肩関節脱臼に対するオープンBankart & modified Bristow法の長期成績

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The purpose of this study was to evaluate long term result of open Bankart and modified Brisow procedure for young, highly active, male patients with recurrent anterior instability. We telephoned 23patients, 24shoulders, who underwent open Bankart and modified Bristow procedures and determined treatment outcome according to subjective outcome measures. The mean age at surgery was 25.9 years old (range, 19-34 years old). The mean period from surgery to telephone questionnaires was 10.2 years (range, 7.6-14.3 years). 9 shoulders were dominant side and 15 shoulders were non dominant side. None of the shoulders have ever experienced recurrence except one nondominant shoulder which had the sense of subluxation. In the nondominant group, the mean JSS score was 89.2points, the mean Rowe score was 95 points and the mean of the degree of satisfaction was 9.3 points (10points full). In the dominant group, the mean JSS score was 64.4 points,the mean Rowe score was 86.8 points and the mean of the degree of satisfaction was 8.3 points. Almost all shoulders were able to do push-up and chin-up exercises at the previous level. However, 5 of 9 dominant shoulders were not able to throw at the previous level because of pain or apprehension and it led to a low score of subjective outcome measures. Open Bankart and modified Bristow procedure are considered a reliable treatment to avoid recurrence of shoulder dislocation in young, highly active men who do not require to return to the previous throwing level.

男性自衛官の反復性肩関節脱臼に対するオープンBankart & modified Bristow法の長期成績

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