ARTHROSCOPIC STAPLE CAPSULORRHAPHY - A LONG-TERM FOLLOW-UP

被引：63

作者：

LANE, JG ^{[1
]}

SACHS, RA ^{[1
]}

RIEHL, B ^{[1
]}

机构：

[1] KAISER PERMANENTE,DEPT ORTHOPAED SURG,SAN DIEGO,CA

来源：

ARTHROSCOPY | 1993年 / 9卷 / 02期

关键词：

SHOULDER INSTABILITY; SHOULDER; STAPLE; ARTHROSCOPIC STABILIZATION; SURGICAL COMPLICATIONS;

D O I：

10.1016/S0749-8063(05)80373-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Fifty-four shoulders with recurrent anterior shoulder instability were evaluated following arthroscopic staple capsulorrhaphy. Average follow-up for those with only the index surgery was 39 months. Eighteen patients (33%) experienced at least one episode of postoperative instability. Ten underwent an open reconstructive procedure. Routine radiographs at time of follow-up demonstrated loose staples in 15% of asymptomatic patients. Range of motion was preserved following surgery. There was no loss of forward elevation. An average of 5-degrees of external rotation and one spinal segment in internal rotation were lost following surgery. Forty-three percent of overhead athletes were able to return to their preinjury level of activity. Caution should be taken when considering arthroscopic staple capsulorrhaphy as recurrence rates are higher than those following open reconstruction. However, range of motion and functional level are well-maintained. When capsulorrhaphy is performed, consideration should be given to routine staple removal following adequate capsular healing.

引用

页码：190 / 194

页数：5

共 24 条

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