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The Archives of Bone and Joint Surgery، جلد ۶، شماره ۳، صفحات ۰-۰
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عنوان انگلیسی Results of Open Bankart Surgery for Recurrent Anterior Shoulder Dislocation with Glenoid Bone Defect and Concomitant Hill-Sachs Lesion
چکیده انگلیسی مقاله Background: Open Bankart surgery is a main treatment procedure in the patients with recurrent anterior shoulder dislocation , especially in cases with glenoid bone defect . The goal of this study is to determine results after open Bankart surgery in cases of recurrent anterior shoulder dislocation with glenoid bone defect and concomitant Hill-Sachs lesion. Methods:Between 2006 and 2010, 89 patients with recurrent anterior shoulder dislocation with glenoid bone defects (10-30%) and Hill-Sachs lesions undergoing open Bankart surgery were reviewed. mean Follow-up after the surgery was 7 years (5.5-9.5 years).The recurrence rate was determined and the degree of shoulder pain and daily activity level were determined subjectively based on VAS (Visual Analogue Scale) and ADL (Activity Daily Living).Shoulder ROM in abduction and external rotation compared with contralateral side and finally, ASES (American Shoulder and Elbow Score) and CMS (Constant-Murley score) were calculated . Results: Over 7 years of follow-up, a total of 15 patients (16.8%) undergoing surgery had instability (3 patients (3.3%) had dislocation and 12 patients had (13.4%) Subluxation). There were larger glenoid bone defect (p value =0.0001) and Hill-Sachs lesion(p value=0.019) in these patient versus patient without postsurgical instability. Mean loss of forward flexion compared with the normal contralateral side was 4º and Mean loss of external rotation between both sides was 5º.In the final visit, average VAS was 0.4 (out of 10). ADL was 28.97 (range,25-30) and ASES=96.1(range 78.3-100) . The mean value of CMS was 93.9( range 82-100). Conclusion: Open Bankart surgery with anteroinferior capsular shift for recurrent anterior shoulder dislocation with up to 30% glenoid bone defect and Hill-Sachs lesion provided desirable results in terms of shoulder function and recurrence rate . It is a successful and practical option in these patients and can be considered as an alternative to other procedures.
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نویسندگان مقاله | Aliasghar Kousari
Bone and joint reconstraction research center,shafa orthopaedic hospital,Iran university of medical science,Tehran,IR Iran


| Morteza Nakhaie
Bone and joint reconstraction research center,shafa orthopaedic hospital,Iran university of medical science,Tehran,IR Iran
نشانی اینترنتی http://abjs.mums.ac.ir/article_10286.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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