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
- 2017.9
- 수록면
- 138 - 146 (9page)
이용수
초록· 키워드
오류제보하기
Background: Arthroscopic fixations for large and comminuted bony Bankart lesions are technically difficult. We developed an arthroscopic multiple pulled suture (MPS) technique to restore large and comminuted bony Bankart lesions.
Methods: Ten patients (mean age, 49.8 years; range, 31–79 years) underwent bony Bankart repair using the illustrated MPS technique and were then followed for a mean of 27.3 months. A plain radiograph series and three-dimensional computed tomography scans were taken at the initial clinical evaluation and 3 months postoperatively. Outcome measurements included the American Shoulder and Elbow Surgeons (ASES) score, Rowe score, University of California at Los Angeles (UCLA) score, and subjective patient satisfaction, along with surgical complications.
Results: Union of an osseous fragment with the glenoid rim was confirmed in all patients on a computed tomography scan 3 months after operation. The osseous fragment was restored to proper articular congruence and reduction. The affected shoulder was stable in nine of the 10 patients. One patient presented with a redislocation after a sports injury 3 years postoperatively. The ASES, Rowe, and UCLA scores improved at the final evaluation, and median patient satisfaction at the final follow-up was 9 of 10 points (range, 6–10 points).
Conclusions: The arthroscopic MPS technique for bony Bankart lesions with large or comminuted osseous fragments was a relatively easy and safe method for stable fixation of the osseous fragment. Therefore, the arthroscopic MPS technique resulted in good restoration of stability with high patient satisfaction and low complication rates.
Methods: Ten patients (mean age, 49.8 years; range, 31–79 years) underwent bony Bankart repair using the illustrated MPS technique and were then followed for a mean of 27.3 months. A plain radiograph series and three-dimensional computed tomography scans were taken at the initial clinical evaluation and 3 months postoperatively. Outcome measurements included the American Shoulder and Elbow Surgeons (ASES) score, Rowe score, University of California at Los Angeles (UCLA) score, and subjective patient satisfaction, along with surgical complications.
Results: Union of an osseous fragment with the glenoid rim was confirmed in all patients on a computed tomography scan 3 months after operation. The osseous fragment was restored to proper articular congruence and reduction. The affected shoulder was stable in nine of the 10 patients. One patient presented with a redislocation after a sports injury 3 years postoperatively. The ASES, Rowe, and UCLA scores improved at the final evaluation, and median patient satisfaction at the final follow-up was 9 of 10 points (range, 6–10 points).
Conclusions: The arthroscopic MPS technique for bony Bankart lesions with large or comminuted osseous fragments was a relatively easy and safe method for stable fixation of the osseous fragment. Therefore, the arthroscopic MPS technique resulted in good restoration of stability with high patient satisfaction and low complication rates.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (31)
참고문헌 신청
[학술지(정기간행물)] - Bankart AS / 1923 / Recurrent or habitual dislocation of the shoulderjoint / Br Med J 2 (3285) : 1132 ~ 1133
[학술지(정기간행물)] - Griffith JF / 2008 / Prevalence, pattern, and spectrum of glenoid bone loss in anterior shoulder dislocation:CT analysis of 218 patients / AJR Am J Roentgenol 190 (5) : 1247 ~ 1254
[학술지(정기간행물)] - Sugaya H / 2003 / Glenoid rim morphology in recurrent anterior glenohumeral instability / J Bone Joint Surg Am 85 (5) : 878 ~ 884
[학술지(정기간행물)] - Yamamoto N / 2010 / Stabilizing mechanism in bone-grafting of a large glenoid defect / J Bone Joint Surg Am 92 (11) : 2059 ~ 2066
[학술지(정기간행물)] - Fujii Y / 2006 / Histologic analysis of bony Bankart lesions in recurrent anterior instability of the shoulder / J Shoulder Elbow Surg 15 (2) : 218 ~ 223
[학술지(정기간행물)] - Griffith JF / 2008 / Prevalence, pattern, and spectrum of glenoid bone loss in anterior shoulder dislocation:CT analysis of 218 patients / AJR Am J Roentgenol 190 (5) : 1247 ~ 1254
[학술지(정기간행물)] - Sugaya H / 2003 / Glenoid rim morphology in recurrent anterior glenohumeral instability / J Bone Joint Surg Am 85 (5) : 878 ~ 884
[학술지(정기간행물)] - Yamamoto N / 2010 / Stabilizing mechanism in bone-grafting of a large glenoid defect / J Bone Joint Surg Am 92 (11) : 2059 ~ 2066
[학술지(정기간행물)] - Fujii Y / 2006 / Histologic analysis of bony Bankart lesions in recurrent anterior instability of the shoulder / J Shoulder Elbow Surg 15 (2) : 218 ~ 223
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