Ding David, Meislin Robert
Bull Hosp Jt Dis (2013). 2017 Jan;75(1):52-56.
Treatment of shoulder instability has greatly evolved over the past century. Open capsulolabral repairs and bony augmentation procedures have slowly been replaced with arthroscopy. As arthroscopy and arthroscopic instruments have improved, surgeons have gravitated toward more minimally invasive procedures. The open Latarjet procedure has been historically very successful in preventing recurrent shoulder dislocation. While there is a steep learning curve, the arthroscopic Latarjet procedure as developed by Lafosse in 2007 can be effective in preventing shoulder instability in patients with significant bone loss of up to 30%.
在过去的一个世纪里,肩部不稳定的治疗方法有了很大的发展。开放的关节囊盂唇修复术和骨增强手术已逐渐被关节镜手术所取代。随着关节镜技术和关节镜器械的改进,外科医生越来越倾向于采用更微创的手术方法。传统的开放Latarjet手术在预防复发性肩关节脱位方面一直非常成功。虽然学习曲线较陡,但2007年由拉福斯开发的关节镜下Latarjet手术对于骨量严重丢失达30%的患者预防肩部不稳定可能有效。