PDF(Pubmed)
Abstract：
BACKGROUND: With stiff competition from alternative albeit more expensive counterparts, it has become important to establish the applicability of metallic anchors for shoulder instability in the modern era. This can be accomplished, in part, by analysing long-term outcomes.
OBJECTIVE: To analyse minimum 10-year outcomes from 30 patients following arthroscopic anterior stabilisation using metallic anchors.
METHODS: Prospectively collected data from arthroscopic Bankart repairs performed using metal anchors during 2007P-2010 were retrospectively analysed in this single-surgeon study. Comprehensive data collection included historical and clinical findings, dislocation details, operative specifics, and follow-up radiological and clinical findings including shoulder scores. The primary outcomes were patient-reported scores (Constant, American Shoulder and Elbow Surgeons [ASES], and Rowe scores) and pain and instability on a visual analogue scale (VAS).
RESULTS: A 3% recurrence rate of dislocation was noted at the final follow-up. Total constant scores at 10 years postoperatively measured between 76 and 100 (mean 89) were significantly better than preoperative scores (mean 62.7). Congruous improvements were also noted in the Rowe and ASES scores and VAS at the 10-year review.
CONCLUSIONS: Reliable long-term outcomes with metallic anchors in surgery for shoulder instability can be expected. Our results provide additional evidence of their continued, cost-effective presence in the modern scenario.
OBJECTIVE: To analyse minimum 10-year outcomes from 30 patients following arthroscopic anterior stabilisation using metallic anchors.
METHODS: Prospectively collected data from arthroscopic Bankart repairs performed using metal anchors during 2007P-2010 were retrospectively analysed in this single-surgeon study. Comprehensive data collection included historical and clinical findings, dislocation details, operative specifics, and follow-up radiological and clinical findings including shoulder scores. The primary outcomes were patient-reported scores (Constant, American Shoulder and Elbow Surgeons [ASES], and Rowe scores) and pain and instability on a visual analogue scale (VAS).
RESULTS: A 3% recurrence rate of dislocation was noted at the final follow-up. Total constant scores at 10 years postoperatively measured between 76 and 100 (mean 89) were significantly better than preoperative scores (mean 62.7). Congruous improvements were also noted in the Rowe and ASES scores and VAS at the 10-year review.
CONCLUSIONS: Reliable long-term outcomes with metallic anchors in surgery for shoulder instability can be expected. Our results provide additional evidence of their continued, cost-effective presence in the modern scenario.
摘要：
背景：由于来自更昂贵的替代品的激烈竞争，在现代，建立金属锚对肩部不稳定的适用性已经变得很重要。这是可以实现的，在某种程度上,通过分析长期结果。
目的：分析使用金属锚进行关节镜前路稳定治疗的30例患者的至少10年结局。
方法：回顾性分析了在2007P-2010年期间使用金属锚进行的关节镜Bankart修复的数据。全面的数据收集包括历史和临床发现，位错细节，手术细节，以及随访的放射学和临床发现，包括肩关节评分。主要结果是患者报告的评分(常数，美国肩肘外科医师[ASES]，和Rowe评分）以及视觉模拟量表（VAS）上的疼痛和不稳定。
结果：在最后一次随访中发现脱位复发率为3%。术后10年的总恒定评分在76至100之间（平均89）显着优于术前评分（平均62.7）。在10年审查中，Rowe和ASES分数以及VAS也取得了一致的进步。
结论：在肩关节不稳定手术中使用金属锚钉可获得可靠的长期结果。我们的结果为他们的持续提供了额外的证据，在现代场景中具有成本效益的存在。
目的：分析使用金属锚进行关节镜前路稳定治疗的30例患者的至少10年结局。
方法：回顾性分析了在2007P-2010年期间使用金属锚进行的关节镜Bankart修复的数据。全面的数据收集包括历史和临床发现，位错细节，手术细节，以及随访的放射学和临床发现，包括肩关节评分。主要结果是患者报告的评分(常数，美国肩肘外科医师[ASES]，和Rowe评分）以及视觉模拟量表（VAS）上的疼痛和不稳定。
结果：在最后一次随访中发现脱位复发率为3%。术后10年的总恒定评分在76至100之间（平均89）显着优于术前评分（平均62.7）。在10年审查中，Rowe和ASES分数以及VAS也取得了一致的进步。
结论：在肩关节不稳定手术中使用金属锚钉可获得可靠的长期结果。我们的结果为他们的持续提供了额外的证据，在现代场景中具有成本效益的存在。
