关节镜下髂嵴骨块用于肩胛盂重建：一种使用可调节长度环皮质悬吊固定装置的固定技术。
Arthroscopic Iliac Crest Bone Block for Reconstruction of the Glenoid: A Fixation Technique Using an Adjustable-Length Loop Cortical Suspensory Fixation Device.
作者信息
Kalogrianitis Socrates, Tsouparopoulos Vasileios
机构信息
Queen Elizabeth University Hospital, Birmingham, England.
出版信息
Arthrosc Tech. 2016 Oct 24;5(6):e1197-e1202. doi: 10.1016/j.eats.2016.07.007. eCollection 2016 Dec.
Abstract
Recurrent anterior shoulder instability with significant bone loss represents a surgical challenge. Anterior bone block procedures including variations of the Latarjet coracoid transfer have been used in this setting. Bone graft resorption with prominence of the metalwork is a serious concern, whereas the relative contribution of the dynamic sling effect of a Latarjet procedure is still controversial. We describe an arthroscopic technique for anatomic reconstruction of anterior glenoid bone defects using autologous iliac crest graft. This technique allows accurate placement of the bone block; fixation with 2 knotless TightRope devices (Arthrex, Naples, FL), avoiding the use of screws; and a final labral repair.
摘要
复发性前肩不稳伴明显骨质流失是一项手术挑战。在这种情况下，已采用包括改良Latarjet喙突转移术在内的前路骨块手术。骨移植吸收伴金属植入物突出是一个严重问题，而Latarjet手术动态吊带效应的相对作用仍存在争议。我们描述了一种使用自体髂嵴移植进行关节镜下解剖重建前盂骨缺损的技术。该技术可精确放置骨块；使用2个无结TightRope装置（Arthrex，那不勒斯，佛罗里达州）进行固定，避免使用螺钉；并最终修复盂唇。
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