Domos Peter, Lunini Enricomaria, Walch Gilles
Northern General Hospital, UK.
Orthopaedic Unit, Hospital of Guastalla, Reggio Emilia, Italy.
Shoulder Elbow. 2018 Jan;10(1):15-24. doi: 10.1177/1758573217728716. Epub 2017 Sep 11.
The Latarjet procedure is a well-known, safe and reliable technique to treat primary or recurrent anterior dislocations or subluxations, with or without hyperlaxity, with or without glenoid bone loss. Both the open and the arthroscopic methods produce excellent clinical results, with a low rate of recurrent instability. There have been concerns of a higher surgical complication rate associated with this procedure, however, large reviews reported an overall complication rate in the open Latarjet procedure of 15%. Meticulous surgical technique and a good understanding of the local anatomy can help to avoid the complications but postoperative shoulder arthritis and frequent bone block osteolysis remain unsolved additional challenges, which require further research. There are 2 main factors to further improve the clinical outcome and patient satisfaction: careful patient selection with good surgical indication, and reducing complications with adequate surgical techniques. The aim of this study is to provide the current overview of the contraindications and complications of the Latarjet procedure.
拉塔热手术是一种治疗原发性或复发性前脱位或半脱位的知名、安全且可靠的技术,无论是否伴有关节过度松弛,无论是否伴有肩胛盂骨质流失。开放手术和关节镜手术方法均能产生优异的临床效果,复发性不稳定率较低。然而,有人担心该手术会有较高的手术并发症发生率,不过,大型综述报告开放拉塔热手术的总体并发症发生率为15%。精细的手术技术和对局部解剖结构的充分了解有助于避免并发症,但术后肩关节关节炎和频繁的骨块骨溶解仍然是尚未解决的额外挑战,这需要进一步研究。有两个主要因素可进一步改善临床结果和患者满意度:仔细选择具有良好手术指征的患者,以及采用适当的手术技术减少并发症。本研究的目的是提供拉塔热手术禁忌症和并发症的当前概述。