摘要：【目的】分析肩关节镜下Bankart修补并Remplissage术治疗合并Hill-Sachs损伤的复发性肩关节前脱位的临床疗效。【方法】2011年 3月～2012年3月，我科共采用肩关节镜下Bankart修补并Remplissage术治疗合并Hill-Sachs损伤的复发性肩关节前脱位13 例，术后随访12个月，并评定其疗效。【结果】采用肩关节ASES评分和Rowe评分对13例随访病人的术前及术后肩关节功能进行评估。13例病人术前、术后ASES评分为69.8和93.7，具有统计学意义;Rowe评分为31.3和84.2，具有统计学意义。13例患者术后均未出现再发脱位，更远期的结果需进一步临床随访。【结论】肩关节镜下Bankart修补并Remplissage术是治疗复发性肩关节前脱位Bankart合并Hill- Sachs损伤合理、有效的治疗方法。

关键词：肩关节镜;Remplissage术;肩关节脱位;复发性

The analysis of the Recurrence Dislocation of the Shoulder with Bankart repair combined with Remplissage Technique

Ning Fanyou, Zhang Zuojun, Niu Suling, Chang Zhongxiao, Zhang Chuan

Department of extremitas superior, LuoYang Orthopedic-Traumatological Hospital, Luoyang 471002, China

Abstract: [-ive] To analyze the curative effect of the Recurrence Dislocation of the Shoulder engaging Hill-Sachs lesion with Bankart repair combined with Remplissage Technique. [Method] from March 2011 to March 2012, 13 patients with the Recurrence Dislocation of the Shoulder engaging Hill-Sachs lesion were cured by Bankart repair combined with Remplissage Technique. All the patients obtained postoperative clinical results over 12 months.[Result] According to rating scale of ASES(American Shoulder and Elbow Surgeons) and Rowe, Significant improvement was detected with regard to the ASES score(69.8 vs 93.7, P