Lafosse Laurent, Boyle Simon, Gutierrez-Aramberri Mikel, Shah Anup, Meller Rupert
Alps Surgery Institute, Clinique Generale, 4 Chemin Tour la Reine, Annecy 74000, France.
Orthop Clin North Am. 2010 Jul;41(3):393-405. doi: 10.1016/j.ocl.2010.02.004.
Although soft tissue stabilization procedures in the shoulder yield good results, arthroscopy and radiological investigations have identified more complex soft tissue and bony lesions that can be successfully treated using a Latarjet procedure. The authors have advanced this technique to make it possible arthroscopically, thereby conferring all the benefits that arthroscopic surgery offers. This article describes how and why the arthroscopic Latarjet procedure is a valuable tool in the treatment of complex shoulder instability and how the procedure can be introduced into practice. This technique has shown excellent results at short- to mid-term follow-up, with minimal complications. As such, this procedure is recommended to surgeons with good anatomic knowledge, advanced arthroscopic skills, and familiarity with the instrumentation.
尽管肩部软组织稳定手术取得了良好效果,但关节镜检查和影像学检查发现了一些更复杂的软组织和骨病变,这些病变可以通过Latarjet手术成功治疗。作者改进了这项技术,使其能够在关节镜下进行,从而具备了关节镜手术的所有优势。本文描述了关节镜下Latarjet手术如何以及为何成为治疗复杂肩关节不稳的重要工具,以及该手术如何应用于临床实践。这项技术在短期至中期随访中显示出极佳的效果,并发症极少。因此,建议具备良好解剖知识、先进关节镜技术且熟悉手术器械的外科医生采用该手术。