中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2008年
10期
814-816
,共3页
徐格%唐康来%吴雪晖%谢肇%谭晓康%龚继承%汪华清%杨会峰%许建中
徐格%唐康來%吳雪暉%謝肇%譚曉康%龔繼承%汪華清%楊會峰%許建中
서격%당강래%오설휘%사조%담효강%공계승%왕화청%양회봉%허건중
肩关节%肩脱位%外科手术
肩關節%肩脫位%外科手術
견관절%견탈위%외과수술
Shoulder joint%Shoulder dislocation%Surgical procedures,operative
目的 介绍改良小切口Bristow手术治疗习惯性肩关节前下脱位方法,并观察其临床疗效. 方法 肩关节复发性前下脱位11例.取肩关节前方约3～5 mm切口,采用"移动窗"技术,暴露喙突并予以截骨,通过肩袖间隙将喙突连带肱二头肌短头固定于肩胛颈前下方.11例术后采用Rowe肩关节修正评分进行临床随访,平均随访15.8个月(6～48个月). 结果 手术时间平均为45 min(40～65 min).术后Rowe肩关节修正评分80～95分,结果伞为优,成功率100%.随访期间无复发与并发症. 结论 改良小切口Bristow手术较传统Bristow手术切口小,手术创伤小,手术时间短,临床效果好.
目的 介紹改良小切口Bristow手術治療習慣性肩關節前下脫位方法,併觀察其臨床療效. 方法 肩關節複髮性前下脫位11例.取肩關節前方約3～5 mm切口,採用"移動窗"技術,暴露喙突併予以截骨,通過肩袖間隙將喙突連帶肱二頭肌短頭固定于肩胛頸前下方.11例術後採用Rowe肩關節脩正評分進行臨床隨訪,平均隨訪15.8箇月(6～48箇月). 結果 手術時間平均為45 min(40～65 min).術後Rowe肩關節脩正評分80～95分,結果傘為優,成功率100%.隨訪期間無複髮與併髮癥. 結論 改良小切口Bristow手術較傳統Bristow手術切口小,手術創傷小,手術時間短,臨床效果好.
목적 개소개량소절구Bristow수술치료습관성견관절전하탈위방법,병관찰기림상료효. 방법 견관절복발성전하탈위11례.취견관절전방약3～5 mm절구,채용"이동창"기술,폭로훼돌병여이절골,통과견수간극장훼돌련대굉이두기단두고정우견갑경전하방.11례술후채용Rowe견관절수정평분진행림상수방,평균수방15.8개월(6～48개월). 결과 수술시간평균위45 min(40～65 min).술후Rowe견관절수정평분80～95분,결과산위우,성공솔100%.수방기간무복발여병발증. 결론 개량소절구Bristow수술교전통Bristow수술절구소,수술창상소,수술시간단,림상효과호.
Objective To introduce a new modified Bristow operation with mini-open incision and evaluate jts clinical outcomes in treatment of recurrent anteroinferior shoulder dislocation. Methods A total of 11 patients with recurrent anteroinferior shoulder dislocation were treated with modified Bristow op-eration with mini-open incision.The anterior skin incision with 3-5 mm was made to explore the coracoid process with"moving window"technique.Then.the coracoid process and its short head of biceps were os-teotornjed.transferred and fixed on the anteroinferior potion of scapular neck through the rotator cuff inter-space.All patients were followed up for an average period of 15.8 months(6-48 months)by using modified Rowe score. Results The average operation time was 45 minutes(40-65 minutes).The modified Rowe 8core ranged from 80 to 95 points.excellent in all patients, with SUCCESS rate of 100% and without any re-currence or complication. Conclusions Compared with traditional operation.the modified Bristow oper-ation has smaller incision,less trauma.shorter operation duration and better clinical results.
