Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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견관절 습관성 탈구의 관혈적 관절막 전위술과 관절경적 Bankart 병변 수복술

Open Capsular Shift versus Arthroscopic Bankart Repair for Recurrent Dislocation of Shoulder

  • 김정만 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 서정태 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 장정호 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 김택수 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실)
  • Kim Jung-Man (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Seo Jeong-Tae (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Chang Cheong-Ho (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Kim Tac-Soo (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine)
  • 발행 : 1999.06.01
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초록

The results of open capsular shift(Group 1) and arthroscopic trans glenoid Bankart repair(Group 2) for the recurrent anterior dislocation of the shoulder were compared. During a 4-year period, 25 patients were surgically treated. Fourteen shoulders had open Bankart procedure and capsular shift, and II shoulders were treated arthroscopically. A Bankart lesion was found in 12 out of 14 patients in Group I and all 11 patients in Group 2. Average follow-up period was 46 months for Group 1 and 23.4 months for Group 2. Group 1 showed 71.4% good to excellent results with 1 recurrent dislocation. Group 2 showed 90.9% good to excellent results with no recurrent dislocation. The cause of less favorable results of Group I compared with Group 2 was loss of external rotation postoperatively. The study showed that the results of arthroscopic Bankart repair was comparable to the open capsular shift in terms of stability, and the postoperative function was better than open capsular shift.

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