摘要：
目的：研究分析肩关节前向不稳患者应用全关节镜下弹性固定Latarjet手术治疗对肩关节功能的影响。方法：此次研究运用回顾性分析，针对在2023年1月至2024年6月于本院接受全关节镜下弹性固定Latarjet手术来治疗的24例肩关节前向不稳定患者展开了临床资料的系统收集以及整理。并记录手术指标（手术时间和出血量）。术后6个月对患者进行随访，查看患者的愈合情况。结果：本研究得出的术中数据说明，手术持续的时间为55分钟~82分钟，其平均手术时长为（70.12±6.52）min，而术中失血量的范围是在24mL至86mL，平均出血量为（36.52±8.20）mL，所有被纳入到研究中的病例都完成了随访，随访的周期并不相同，在14个月至38个月，平均随访时长为（21.52±1.25）个月。经过对术前以及术后1个月、6个月以及末次随访时的临床指标展开对比分析，可发现VAS疼痛评分、Rowe评分、ASES评分以及0°外旋和90°外展位外旋活动度等各项参数均呈现出了改善的趋势（P＜0.05），且各个时间点比较，均具有统计意义（P＜0.05），两组均未有患者发生严重的并发症，所有患者未发现明显骨块骨折、肩关节脱位等情况。术后6个月随访时骨块均已愈合。结论：全关节镜下弹性固定Latarjet手术治疗肩关节前向不稳患者效果显著，能降低患者的疼痛感，提高患者的肩关节功能恢复，术后并发症较低，安全有效。

关键词：肩关节前向不稳；全关节镜；弹性固定Latarjet手术；临床疗效

Abstract:
Objective: To study and analyze the effect of total arthroscopic elastic fixation Latarjet surgery on shoulder function in patients with anterior shoulder instability. Methods: In this study, 24 patients with anterior shoulder instability who underwent total arthroscopic elastic fixation Latarjet surgery from January 2023 to June 2024 were systematically collected and organized using retrospective analysis. Surgical parameters (operative time and bleeding) were recorded. The patients were followed up at 6 months postoperatively to check their healing status. Results: The intraoperative data derived from this study illustrated that the duration of surgery ranged from 55 minutes to 82 minutes, with a mean duration of surgery of (70.12±6.52) min, while intraoperative blood loss ranged from 24mL to 86mL, with a mean bleed of (36.52±8.20) mL, and all cases included in the study were followed up, with varying follow-up periods ranging between 14 months to 38 months, with a mean follow-up of (21.52±1.25) months. Comparison of the clinical indicators at the preoperative and postoperative periods of 1 month, 6 months, and the final follow-up showed that the VAS pain score, Rowe score, ASES score, and external rotation mobility of the 0° external rotation and 90° external rotation tables showed a trend of improvement (P < 0.05), and the comparison of the time points was statistically significant (P < 0.05), and no serious complication occurred in the two groups. No serious complications occurred in patients, and no obvious bone fracture or shoulder dislocation was found in all patients. The bone mass was healed at the 6-month postoperative follow-up. Conclusion: Total arthroscopic elastic fixation Latarjet surgery is effective in treating patients with anterior instability of the shoulder joint, which can reduce the pain of the patients and improve the recovery of shoulder function, and the postoperative complications are low, safe and effective.

Keywords: Anterior shoulder instability; Total arthroscopy; Elastic fixation Latarjet surgery; Clinical efficacy

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