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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Risk Factors for the Postoperative Recurrence of Instability After Arthroscopic Bankart Repair in Athletes
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Risk Factors for the Postoperative Recurrence of Instability After Arthroscopic Bankart Repair in Athletes

机译：关节镜Bankart修复运动员后不稳定术后复发的危险因素

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Background: Several risk factors for the postoperative recurrence of instability after arthroscopic Bankart repair have been reported, but there have been few detailed investigations of the specific risk factors in relation to the type of sport. Purpose: This study investigated the postoperative recurrence of instability after arthroscopic Bankart repair without additional reinforcement procedures in competitive athletes, including athletes with a large glenoid defect. The purpose of this study was to investigate risk factors related to the postoperative recurrence of instability in athletes. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 115 athletes (123 shoulders) were classified into 5 groups according to type of sport: rugby (41 shoulders), American football (32 shoulders), other collision sports (18 shoulders), contact sports (15 shoulders), and overhead sports (17 shoulders). First, the recurrence rate in each sporting category was investigated, with 113 shoulders followed up for a minimum of 2 years. Then, factors related to postoperative recurrence were investigated in relation to the type of sport. Results: Postoperative recurrence of instability was noted in 23 of 113 shoulders (20.4%). The recurrence rate was 33.3% in rugby, 17.2% in American football, 11.1% in other collision sports, 14.3% in contact sports, and 12.5% in overhead sports. The most frequent cause of recurrence was tackling, and recurrence occurred with tackling in 12 of 16 athletes playing rugby or American football. Reoperation was completed in 11 shoulders. By univariate analysis, significant risk factors for postoperative recurrence of instability included playing rugby, age between 10 and 19 years at surgery, preoperative glenoid defect, small bone fragment of bony Bankart lesion, and capsular tear. However, by multivariate analysis, the most significant factor was not the type of sport but younger age at operation and a preoperative glenoid defect with small or no bone fragment. Compared with the other sports, there was a significantly greater recurrence rate among rugby players without the aforementioned significant risk factors (small glenoid defect, ≤10%; medium or large bone fragment, >5%; and no capsular tear). Conclusion: Younger age at operation and preoperative glenoid defect with small or no bone fragment significantly influenced recurrent instability among competitive athletes.
机译：背景：已经报道了关节镜行Bankart修复后不稳定术后复发的几种危险因素，但很少有关于与运动类型有关的特定危险因素的详细研究。目的：本研究调查了在没有附加加固程序的情况下，对竞技运动员（包括关节盂有较大缺损的运动员）进行关节镜Bankart修复后，术后复发的不稳定性。这项研究的目的是调查与运动员不稳定术后复发有关的危险因素。研究设计：病例对照研究;证据级别：3。方法：根据运动类型，将115位运动员（123个肩部）分为5组：橄榄球（41个肩部），美式橄榄球（32个肩部），其他碰撞运动（18个肩部），接触运动（15个肩膀）和高架运动（17个肩膀）。首先，对每个运动类别的复发率进行了调查，其中113例肩关节接受了至少2年的随访。然后，研究了与运动类型有关的与术后复发有关的因素。结果：113例肩膀中有23例出现了术后复发性不稳定性（20.4％）。橄榄球的复发率为33.3％，美式橄榄球为17.2％，其他碰撞运动为11.1％，接触运动为14.3％，高架运动为12.5％。复发的最常见原因是铲球，而在橄榄球或美式橄榄球的16名运动员中，有12名运动员的铲球复发。再次手术完成了11个肩膀。通过单因素分析，术后不稳定复发的重要危险因素包括打橄榄球，手术年龄在10至19岁，术前盂盂缺损，骨Bankart病变的小骨碎片和荚膜撕裂。但是，通过多变量分析，最重要的因素不是运动的类型，而是手术年龄年轻，术前盂状缺损，骨碎片少或没有。与其他运动相比，没有上述明显危险因素（小关节盂缺损，≤10％;中或大骨碎片，> 5％;无包膜撕裂）的橄榄球运动员复发率明显更高。结论：术中年龄较小和术前盂状缺损伴小或无骨碎片显着影响竞技运动员的复发性不稳定。

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