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同种异体胫骨远端移植关节镜下后盂重建中的移植物转移技术

Graft Transfer Technique in Arthroscopic Posterior Glenoid Reconstruction With Distal Tibia Allograft.

作者信息

Parada Stephen A, Shaw K Aaron

机构信息

Orthopaedic Surgery, Eisenhower Army Medical Center, Fort Gordon, Georgia, U.S.A.

出版信息

Arthrosc Tech. 2017 Oct 16;6(5):e1891-e1895. doi: 10.1016/j.eats.2017.07.008. eCollection 2017 Oct.

DOI:10.1016/j.eats.2017.07.008
PMID:29416976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5797295/
Abstract

Posterior glenoid reconstruction using distal tibia allograft is an available technique for the treatment of posterior shoulder instability with glenoid bone loss. A key aspect to this procedure relies on maintaining complete control of the graft during insertion and securement to the posterior glenoid. Although there are commercially available products to aid with graft control, we describe a novel graft transfer technique that is compatible with all cannulated systems for maintaining positive graft control. This technique allows the surgery to be performed in an arthroscopic manner using current instrumentation for open glenoid reconstruction.

摘要

使用异体胫骨远端进行肩胛盂后方重建是治疗伴有肩胛盂骨质缺损的肩关节后方不稳定的一种可行技术。该手术的一个关键方面在于在移植物植入和固定到肩胛盂后方的过程中保持对移植物的完全控制。尽管有市售产品可辅助控制移植物,但我们描述了一种新型的移植物转移技术,该技术与所有空心系统兼容,以保持对移植物的有效控制。这种技术允许使用当前用于开放肩胛盂重建的器械以关节镜方式进行手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/57e037ea8e2a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/fdabf2c1b133/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/8ca9ac7f558d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/35fc03861678/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/3082f0d99e97/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/a2b54ffdb358/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/57e037ea8e2a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/fdabf2c1b133/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/8ca9ac7f558d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/35fc03861678/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/3082f0d99e97/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/a2b54ffdb358/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392f/5797295/57e037ea8e2a/gr6.jpg

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本文引用的文献

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The effect of sagittal rotation of the glenoid on axial glenoid width and glenoid version in computed tomography scan imaging.计算机断层扫描成像中肩胛盂矢状面旋转对肩胛盂轴向宽度和肩胛盂版本的影响。
J Shoulder Elbow Surg. 2016 Jan;25(1):61-8. doi: 10.1016/j.jse.2015.06.017. Epub 2015 Sep 28.
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Comparison of glenohumeral contact pressures and contact areas after posterior glenoid reconstruction with an iliac crest bone graft or distal tibial osteochondral allograft.
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4
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使用髂嵴骨移植或胫骨远端骨软骨异体移植进行后盂重建后,肩肱关节接触压力和接触面积的比较。
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