自衛官の外傷性肩関節不安定症に対する鏡視下Bankart法の術後成績
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概要
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<B>Background:</B> We evaluated the postoperative outcomes of arthroscopic Bankart repair for Self Defense Forces personnel with traumatic shoulder instability.<BR><B>Methods:</B> From 2003 to 2012, 91 patients (97 shoulders) underwent arthroscopic Bankart repair in our hospital and 59 patients (63 shoulders) were available for this study either by examination or telephone survey. The mean age at the surgery was 25.6 years (18 to 42 years) and the mean duration of follow-up was 42.1 months (12 to 105 months). Clinical outcomes were evaluated on the JSS Shoulder Instability Score (SIS), JSS Shoulder Sport Score (SSS), JOA score, Rowe scale, UCLA scale and DASH score.<BR><B>Results:</B> Fifty five cases (93%) recovered to the preoperative military trainings. Postoperative re-dislocation occurred in 2 shoulders (3.2%). The mean JSS-SIS was increased from 59.1 points to 88.7 points, the mean JSS-SSS was increased from 58.0 points to 83.3 points, the mean JOA score was increased from 74.7 points to 96.2 points, the mean Rowe scale was increased from 48.9 points to 96.3 points, the mean UCLA scale was increased from 19.3 points to 28.3 points, the mean DASH score was improved from 11.0 points to 3.2 points. All of these scores showed significant improvement (p < 0.01).<BR><B>Conclusion:</B> A Self Defense Forces usually demanded highly activity from personnel, especially in the young, so open Bankart & Bristow procedure was recommended for these patients with traumatic shoulder instability. However, arthroscopic Bankart repair showed satisfactory results as well as open Bankart & Bristow procedure.
- 日本肩関節学会の論文
日本肩関節学会 | 論文
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