PDF(Pubmed)
Abstract：
UNASSIGNED: Post-arthroscopic Bankart repair failure/re-dislocation rates are influenced by several risk factors, including anatomic defects. There is limited evidence on the role of anatomic defects, especially for Hill-Sachs size in on-track lesions. This study aimed to assess glenoid bone loss, Hill-Sachs lesion and labral tear size and evaluate their contribution to post-operative instability after a primary repair.
UNASSIGNED: Across 169 patients with on-track Bankart lesions who underwent primary arthroscopic Bankart repair from 2010 to 2015, this study matched 14 failure with 14 non-failure cases based on age/gender. Patient demographics, pre-operative radiological parameters (including size of glenoid bone loss and Hill-Sachs lesion) and labral tear size were compared between the failure and non-failure groups.
UNASSIGNED: All patients were male with a mean age of 21.01 ± 4.97. Significantly greater glenoid bone loss (p = 0.024) and labral tear size (p = 0.039) were found in the failure group. However, there was no significant difference in mean volume of Hill-Sachs lesion between the two groups (p = 0.739).
UNASSIGNED: Extensive glenoid bone loss and labral tears are risk factors for post-arthroscopic Bankart failure. However, the size of Hill-Sachs lesion is not a risk factor for failure, in a specific group of on-track Hill-Sachs lesions.
UNASSIGNED: Retrospective Study, Level IV.
UNASSIGNED: Across 169 patients with on-track Bankart lesions who underwent primary arthroscopic Bankart repair from 2010 to 2015, this study matched 14 failure with 14 non-failure cases based on age/gender. Patient demographics, pre-operative radiological parameters (including size of glenoid bone loss and Hill-Sachs lesion) and labral tear size were compared between the failure and non-failure groups.
UNASSIGNED: All patients were male with a mean age of 21.01 ± 4.97. Significantly greater glenoid bone loss (p = 0.024) and labral tear size (p = 0.039) were found in the failure group. However, there was no significant difference in mean volume of Hill-Sachs lesion between the two groups (p = 0.739).
UNASSIGNED: Extensive glenoid bone loss and labral tears are risk factors for post-arthroscopic Bankart failure. However, the size of Hill-Sachs lesion is not a risk factor for failure, in a specific group of on-track Hill-Sachs lesions.
UNASSIGNED: Retrospective Study, Level IV.
摘要：
■关节镜Bankart术后修复失败/再脱位率受到几个危险因素的影响，包括解剖缺陷。关于解剖缺陷的作用的证据有限，特别是对于在赛道上的病变中的希尔萨克斯大小。本研究旨在评估关节盂骨丢失，Hill-Sachs病变和唇撕裂大小，并评估其对初次修复后术后不稳定的贡献。
■在2010年至2015年接受原发性关节镜Bankart修复的169例轨道上Bankart病变患者中，这项研究根据年龄/性别匹配了14例失败和14例非失败病例。患者人口统计学，在失败组和非失败组之间比较了术前放射学参数(包括关节盂骨丢失和Hill-Sachs病变的大小)和唇撕裂大小.
■所有患者均为男性，平均年龄为21.01±4.97。在失败组中发现了更大的关节盂骨丢失（p=0.024）和唇撕裂大小（p=0.039）。然而,两组间Hill-Sachs病灶平均体积无显著差异(p=0.739).
■广泛的关节盂骨丢失和唇膜撕裂是关节镜术后Bankart衰竭的危险因素。然而,Hill-Sachs病变的大小不是失败的危险因素，在一组特定的轨道上的希尔-萨克斯病变中。
■回顾性研究，四级。
■在2010年至2015年接受原发性关节镜Bankart修复的169例轨道上Bankart病变患者中，这项研究根据年龄/性别匹配了14例失败和14例非失败病例。患者人口统计学，在失败组和非失败组之间比较了术前放射学参数(包括关节盂骨丢失和Hill-Sachs病变的大小)和唇撕裂大小.
■所有患者均为男性，平均年龄为21.01±4.97。在失败组中发现了更大的关节盂骨丢失（p=0.024）和唇撕裂大小（p=0.039）。然而,两组间Hill-Sachs病灶平均体积无显著差异(p=0.739).
■广泛的关节盂骨丢失和唇膜撕裂是关节镜术后Bankart衰竭的危险因素。然而,Hill-Sachs病变的大小不是失败的危险因素，在一组特定的轨道上的希尔-萨克斯病变中。
■回顾性研究，四级。
