中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/23823

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(1)138. Bankart. (acetabular dysplasia) (labral lesion) 29 Bankart (modified Bankart-type repair) 2006;11:138-42. Bankart. 5 1. (developmental hip dysplasia). 2001. 12. (adduction) (glenoid). Bankart. (internal 3. rotation) X. (Bankart's lesion) Bankart. (. 29 2000. ). (posterolateral approach) 11. (short external rotators) T 7. 404. (glenoid). 2. Bankart 2005. 10. 24. 2005. 12. 19. 11. 2005. 12. 7. (. ).

(2) 139. (capsulorrhaphy). (refresh) 8. 10 T 10 8. X. 8 (. 10. ). 2 2 4. Altheck. T 7. (glenoid). Bankart. T. 11. [1]. [2]. (acetabular dysplasia) Dorrell. 1986. 11. (click sound) X-ray (central-edge angle) 8. 10. 10. 25.

(3) 140. [7-9] 20%. 8. 40%. 10. [3] X-ray 40. 1. Altchek DW, Warren RF, Skyhar MJ, et al. T-plasty modification. Xray. of. the. Bankart. procedure. for. multidirectional instability of the anterior and inferior types. J Bone Joint Surg Am 1991;73:105-12. 2. Levine WN, Richmond JC, Donaldson WR. Use of the suture anchor in open Bankart reconstruction. A followup report. Am J Sports Med 1994;22:723-6.. X-ray. 3. Dorrell JH, Catterall A. The torn acetabular labrum. J Bone Joint Surg Br 1986;68:400-3. 4. Lieberman JR, Altchek DW, Salvati EA. Recurrent dislocation of a hip with a labral lesion: treatment with a modified Bankart-type repair. Case report. J Bone Joint Surg Am 1993;75:1524-7.. [4]. 5. Armstrong JR. Traumatic dislocation of the hip joint: review of one hundred and one dislocations. J Bone. Armstrong. 1948. 101. Joint Surg Br 1948;30:430-45.. [5] Brav. 1962. 230. 6. Brav EA. Traumatic dislocation of the hip: army experience and results over a twelve-year period. J Bone Joint Surg Am 1962;44:1115-34.. [6]. 7. Calkins MS, Zych G., Latta L, et al. Computed.

(4) 141. tomography evaluation of stability in posterior fracture dislocation of the hip. Clin Orthop Relat Res 1988; 227:152-63. 8. Keith JE Jr, Brashear HR Jr, Guilford WB. Stability of posterior fracture-dislocation of the hip. Quantitative. assessment using computed tomography. J Bone Joint Surg Am 1988;70:711-4. 9. Vailas JC, Hurwitz S, Wiesel SW. Posterior acetabular fracture-dislocation: fragment size, joint capsule, and stability. J Trauma 1989;29:1494-6..

(5) 142. Recurrent Dislocation of the Hip with Labral Lesion: Treatment by Modified Bankart-type Repair Wei-Chun Lin, Horng-Chaung Hsu Department of Orthopedics, China Medical University Hospital, Taichung, Taiwan, R.O.C.. We present a patient with recurrent dislocation of the hip. The initial injury had been a posterior wall fracture of the acetabulum which was corrected by open reduction with staple fixation in another hospital. The hip had not been immobilized or protected from weight-bearing activities after treatment. Recurrent dislocation occurred 8 months after the initial treatment. Exploration of the unstable hip revealed complete union of the fracture without an acetabular bony defect; however, disruption of the posterosuperior labrum by a pouch which had formed between the posterior acetabular wall and the short rotator muscles was noted. The capsule was repaired using T-plasty for reinforcement and only soft tissue procedures were done. After a two-year follow-up, no hip dislocation had occurred. This case report demonstrates the importance of the capsule and labrum in the stability of the hip. ( Mid Taiwan J Med 2006;11:138-42 ). Key words labral lesion, modified Bankart-type repair, recurrent hip dislocation. Received : 24 October 2005.. Revised: 7 December 2005.. Accepted : 19 December 2005. Address reprint requests to : Der-Yean Wang, Department of Orthopaedics, China Medical University Hospital, 2 Yuh-Der Road, Taichung 404, Taiwan. R.O.C..

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