지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.6
- 수록면
- 78 - 83 (6page)
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초록· 키워드
오류제보하기
Background: We investigated the risk factors for the recurrence of anterior shoulder instability after arthroscopic surgery with suture anchors and the clinical outcomes after reoperation.
Methods: A total of 281 patients (February 2001 to December 2012) were enrolled into our study, and postoperative subluxation and dislocation were considered as recurrence of the condition. We analyzed radiologic results and functional outcome including the American Shoulder and Elbow Surgeons Evaluation Form, the Korean Shoulder Society Score, and the Rowe scores.
Results: Of the 281 patients, instability recurred in 51 patients (18.1%). Sixteen out of 51 patients (31.4%) received a reoperation. In terms of the functional outcome, we found that the intact group, comprising patients without recurrence, had a significantly better functional outcome than those in the recurrent group. Age and the size of glenoid defect at the time of initial surgery significantly differed between intact and recurrent group (p<0.05). We found that the number of dislocations, the time from the initial presentation of symptoms to surgery, and the number of anchor points significantly differed between initial operation and revision group (p<0.05). The functional outcome after revision surgery was comparable to intact group after initial operation.
Conclusions: Eighteen percent of recurrence occurred after arthroscopic instability surgery, and 5.6% received reoperation surgery. Risk factors for recurrence were young age and the initial size of glenoid defect. In cases of revision surgery, good clinical outcomes could be achieved using additional suture anchor.
Methods: A total of 281 patients (February 2001 to December 2012) were enrolled into our study, and postoperative subluxation and dislocation were considered as recurrence of the condition. We analyzed radiologic results and functional outcome including the American Shoulder and Elbow Surgeons Evaluation Form, the Korean Shoulder Society Score, and the Rowe scores.
Results: Of the 281 patients, instability recurred in 51 patients (18.1%). Sixteen out of 51 patients (31.4%) received a reoperation. In terms of the functional outcome, we found that the intact group, comprising patients without recurrence, had a significantly better functional outcome than those in the recurrent group. Age and the size of glenoid defect at the time of initial surgery significantly differed between intact and recurrent group (p<0.05). We found that the number of dislocations, the time from the initial presentation of symptoms to surgery, and the number of anchor points significantly differed between initial operation and revision group (p<0.05). The functional outcome after revision surgery was comparable to intact group after initial operation.
Conclusions: Eighteen percent of recurrence occurred after arthroscopic instability surgery, and 5.6% received reoperation surgery. Risk factors for recurrence were young age and the initial size of glenoid defect. In cases of revision surgery, good clinical outcomes could be achieved using additional suture anchor.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (14)
참고문헌 신청
[학술지(정기간행물)] - Abrams JS / 2002 / Recent advances in the evaluation and treatment of shoulder instability:anterior, posterior, and multidirectional / Arthroscopy 18 (9 Suppl 2) : 1 ~ 13
[학술지(정기간행물)] - Flinkkilä T / 2010 / Arthroscopic bankart repair : results and risk factors of recurrence of instability / Knee Surg Sports Traumatol Arthrosc 18 (12) : 1752 ~ 1758
[학술지(정기간행물)] - Boileau P / 2006 / Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair / J Bone Joint Surg Am 88 (8) : 1755 ~ 1763
[학술지(정기간행물)] - Itoi E / 2000 / The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair : a cadaveric study / J Bone Joint Surg Am 82 (1) : 35 ~ 46
[학술지(정기간행물)] - Mologne TS / 2007 / Arthroscopic stabilization in patients with an inverted pear glenoid : results in patients with bone loss of the anterior glenoid / Am J Sports Med 35 (8) : 1276 ~ 1283
[학술지(정기간행물)] - Flinkkilä T / 2010 / Arthroscopic bankart repair : results and risk factors of recurrence of instability / Knee Surg Sports Traumatol Arthrosc 18 (12) : 1752 ~ 1758
[학술지(정기간행물)] - Boileau P / 2006 / Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair / J Bone Joint Surg Am 88 (8) : 1755 ~ 1763
[학술지(정기간행물)] - Itoi E / 2000 / The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair : a cadaveric study / J Bone Joint Surg Am 82 (1) : 35 ~ 46
[학술지(정기간행물)] - Mologne TS / 2007 / Arthroscopic stabilization in patients with an inverted pear glenoid : results in patients with bone loss of the anterior glenoid / Am J Sports Med 35 (8) : 1276 ~ 1283
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UCI(KEPA) : I410-ECN-0101-2017-514-000829783