Evaluation of range of motion and functional outcomes after combined remplissage and bankart repair in recurrent anterior shoulder dislocation with off-track Hill-Sachs lesion and glenoid bone loss (

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چکیده

Purpose: For anterior shoulder instability with off-track Hill-Sachs lesion (HSL) and subcritical loss of glenoid bone (less than 20%), Bankart repair Remplissage (BRR) has been recommended. The goal this work was to assess the functional outcomes following BRR among individuals HSL less 20%.Methods: used manage 41 who had under 20%. They were monitored for a median 23 months after surgery. Western Ontario Shoulder Instability Index (WOSI) American & Elbow Surgeons score (ASES) evaluate result. range motion including external rotation at side (ERs), forward flexion (FF), internal in abduction (IRa) (ERa), recorded. Results: postoperative ASES WOSI scores each participant significantly improved when compared their preoperative values, mean difference 46.1%±19.5 29.2±13.3 correspondingly. decrease ERa, ERs, FF, IRa (13.09%±8.2), (22.5%±16.18), (2.46%±1.92), (10.12%±6) respectively. There no correlation between limitation ER.Conclusion: In patients 20% HSL, combined arthroscopic remplissage results satisfactory outcomes. Over duration trial, rate recurrence 2.5 percent. statistically significant mainly rotation. However, functionally insignificant.Level evidence: Therapeutic Level IV, case series study

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ژورنال

عنوان ژورنال: International Journal of Orthopaedics Sciences

سال: 2023

ISSN: ['2395-1958']

DOI: https://doi.org/10.22271/ortho.2023.v9.i3a.3399