Torg氏改良的Bristow术式治疗肩关节复发性前脱位

目的:探讨Torg氏改良的Bristow术式治疗复发性肩关节前脱位的方法及疗效。方法:2002年~2006年间于本院行Torg氏改良的Bristow术式治疗复发性肩关节前脱位患者25例,所有病例依据病史、典型的恐惧试验以及至少一次的肩关节前脱位X线片检查得以明确诊断。肩关节前方切口,行喙突-肱二头肌短头、喙肱肌联合腱截骨后,由肩胛下肌上缘下压肩胛下肌,采用钛质空心钉固定肩胛盂颈部中下1/3处。结果:所有病例通过肩关节镜探查,均有典型的Bankart损伤和Hillsach损伤;随访1~5年,再脱位1例,患者主观满意度良好,肩关节不稳定恐惧感均明显改善。rowe评分:优18例(72%)、良6例(24%)、一般1例(4%)、差0例。结论:采用Torg氏改良的Bristow术式治疗肩关节复发性前脱位复发率低,患者满意度高。

Torg''s Modified Bristow Procedure for Recurrent Anterior Dislocation of the Shoulder Joint

Objective To introduce Torg's modified Bristow procedure for recurrent anterior dislocation of the shoulder joint,and to evaluate it's clinical result.Methods 25 shoulders with recurrent anterior dislocation were treated with Torg's modified Bristow procedure from January 2002 to December 2006.Based on history,physical examination and X-ray examination,all the diagnosis were confirmed.The follow-up period ranged from 1 to 5 years,with an average of 3.1 years.Results All the cases had Hillsachs lesions and Bankart lesions.After 2 years,only one shoulder had redislocated and 96% of patients were satisfied with the operative repair.The Rowe standard rating scale:excellent 72%;good 24%;fair 4%;poor 0%.Conclusion Torg's modified Bristow procedure provided a good functional result in patients with recurrent shoulder dislocations.