关节盂软骨损伤的镜下手术治疗
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甘志勇,主治医师,研究方向:骨与关节损伤,(电话)15880215927,(电子信箱)304542406@qq.com

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R687.4

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Arthroscopic treatment of glenolabral articular disruption
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    摘要:

    目的] 探讨关节镜下盂唇修补治疗关节盂软骨 (glenolabral articular disruption, GLAD) 损伤的临床效果。[方法] 2011 年 1 月—2018 年 12 月,12 例 GLAD 损伤接受关节镜下盂唇修补手术治疗,均为男性,平均年龄 (21.60±5.22) 岁。[结果]所有患者均顺利完成手术,手术时间平均(28.50±7.50) min,术中失血量平均(32.30±4.20) ml。患者术后均无感染、关节腔积血、神经损伤、关节粘连并发症发生。所有患者平均随访(13.60±3.65)个月,完全负重活动时间为(15.70±1.50)周。 末次随访时,ASES 评分、Constant-Murley 评分、Rowe 评分均较术前显著改善 (P<0.05),但患者术后肩关节前屈上举、中立位体侧内旋及体侧外旋活动度与术前相比无明显差异(P>0.05)。影像检查见盂肱对位和内置物位置良好。[结论]关节镜下前方关节囊清创修补治疗 GLAD 损伤的临床效果满意。

    Abstract:

    [Objective] To evaluate the clinical outcomes of arthroscopic labrum repair for glenolabral articular disruption (GLAD) . [Methods] From January 2011 to December 2018, 12 patients who were all males and aged (21.60±5.22) years on an average underwent ar- throscopic labial repair for GLAD injury. [Results] All patients had the operations performed successfully with operation time of (28.50± 7.50) min, intraoperative blood loss of (32.30±4.20) ml. No complications, such as infection, hemoarthrosis, nerve injury and joint adhesion, happened in anyone of them. All patients were followed up for (13.60±3.65) months on average with the time to resume full weight-bearing activity of (15.70±1.50) weeks. At the last follow-up, the ASES, Constant-Murley and Rowe scores significantly improved compared with those preoperatively (P<0.05) , but the range of motions, including shoulder forward flexion and upward lift, lateral internal rotation, as well as lateral external rotation in neutral position remained unchanged (P>0.05) . Radiographic examination showed that the glenohumeral alignment and implants were in good position. [Conclusion] The clinical outcomes of arthroscopic debridement and repair of anterior joint capsule is satisfactory for GLAD.

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甘志勇,张少战,黄长明,等. 关节盂软骨损伤的镜下手术治疗[J]. 中国矫形外科杂志, 2022, 30 (11): 1043-1046. DOI:10.3977/j. issn.1005-8478.2022.11.19.
GAN Zhi- yong, ZHANG Shao- zhan, HUANG Chang- ming, et al. Arthroscopic treatment of glenolabral articular disruption[J]. ORTHOPEDIC JOURNAL OF CHINA , 2022, 30 (11): 1043-1046. DOI:10.3977/j. issn.1005-8478.2022.11.19.

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  • 收稿日期:2021-05-01
  • 最后修改日期:2021-08-20
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  • 在线发布日期: 2023-06-13
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