Arthroscopic Bankart-repair Combined with Thermal Capsular Shrinkage for Recurrent Shoulder Dislocation

在關節鏡下Bankart氏修補合併微波熱處理對於復發性肩關節脫臼之治療

謝承樸(Chen-Pu Hsieh) ； 張櫻霖(Ing-Lin Chang) ； 胡仲行(Chung-Shing Hu) ； 于振東(Chen-Tung Yu)

《The Changhua Journal of Medicine》 10卷2期 (2005/04) Pp. 59-64

並列摘要

Background and purpose: Recurrent shoulder dislocation can be caused by many different etiologies such as acute trauma, repetitive micro-trauma or inherent capsule redundancy. Traditionally, the treatments for recurrent shoulder dislocation include conservative treatments and open surgeries. However, patients who received conservative treatments tend to have a higher rate of recurrence especially for the young patient groups and those who had open surgeries frequently resulted in limited range of motion especially in the external rotation motion. The results from these two methods alone are not satisfactory.
In 1980s, the arthroscopic reconstruction for recurrent shoulder dislocation was introduced. However, even with the new technique, the recurrent rate remained high. Nevertheless this procedure has been popular. In recent decade, the radio-frequency thermal capsulorraphy has been used to assist the arthroscopic reconstruction. The combined procedure initially produced good clinical results. In our research, we examined how the use of the combined procedure can improve the arthroscopic reconstruction for shoulder recurrent dislocation.
Methods: From January 1999 to January 2004, we performed 24 reconstruction procedures for 24 patients who suffered recurrent shoulder dislocation. All dislocations were resulted from trauma. The reconstruction procedures used in the research included Bankart repair with Revo screws and thermal shrinkage capsulorraphy. The Rowe Shoulder Score was used to evaluate the immediate post-operative result and long-term stability of the shoulders.
Results: After the shoulder reconstruction procedures, only two patients suffered the recurrent shoulder dislocation with a recurrent rate of 8.3%. Most patients were evaluated to have got good to excellent results. No complications occurred.
Conclusion: These results suggest that thermal shrinkage capsulorraphy combined with Bankart-repair can produce better prognosis in treating recurrent shoulder dislocation than just treating with arthroscopic Bankart-repair. The operation wounds are limited and the rate of recurrence is low.

並列關鍵字

radiofrequency thermal shrinkage capsulorraphy ； Bankart repair ； shoulder recurrent dislocation