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中华肩肘外科电子杂志 ›› 2024, Vol. 12 ›› Issue (03) : 262 -270. doi: 10.3877/cma.j.issn.2095-5790.2024.03.010

综述

Bankart损伤的关节镜下修复进展
王涵宇1, 王蕾1,()   
  1. 1. 200025 上海交通大学医学院附属瑞金医院骨科/运动医学中心
  • 收稿日期:2024-01-05 出版日期:2024-08-05
  • 通信作者: 王蕾

Advances in arthroscopic repair of Bankart lesions

Hanyu Wang, Lei Wang()   

  • Received:2024-01-05 Published:2024-08-05
  • Corresponding author: Lei Wang
引用本文:

王涵宇, 王蕾. Bankart损伤的关节镜下修复进展[J]. 中华肩肘外科电子杂志, 2024, 12(03): 262-270.

Hanyu Wang, Lei Wang. Advances in arthroscopic repair of Bankart lesions[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2024, 12(03): 262-270.

Bankart损伤是肩关节不稳定中的最常见类型,其主要病理机制为肩胛盂前下方盂唇关节囊韧带复合体的分离。关节镜下Bankart修复是主要治疗手段,能够有效降低肩关节不稳定复发率。对于合并关节盂或肱骨头骨缺损的复杂Bankart损伤,具体手术指征仍有争议。一般认为,关节盂骨缺损小于15%可进行关节镜下单纯Bankart修复,但大于此范围或合并Hill-Sachs损伤的患者,应考虑Remplissage手术或Latarjet手术。关节镜下Bankart修复的手术入路、技术操作、植入物位置以及数量等近期仍有改进,有助于进一步优化手术效果。在手术植入物选择上,生物复合材料锚钉有良好的固定效果和低并发症发生率,而全缝线锚钉对骨质破坏更小,有良好应用前景。

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