Balgrist University Hospital, University of Zurich.
Arthroscopy. 2018 Jul;34(7):2041-2044. doi: 10.1016/j.arthro.2018.05.007.
The Latarjet operation is one of the most successful techniques for the treatment of recurrent anterior shoulder instability, which has recently been translated into the arthroscopic field. Several studies suggest that its arthroscopic variant is safe and reproducible and report promising short-term and mid-term results. Some authors claim that, in addition to less soft tissue damage, positioning of the coracoid graft is more accurate during arthroscopic control. There is currently no evidence of superiority of the arthroscopic or the open technique. As with the open procedure, the arthroscopic Latarjet operation requires a substantial learning curve; therefore the arthroscopic technique should be reserved for experienced arthroscopists treating a large number of shoulder instabilities.
Latarjet 手术是治疗复发性肩关节前不稳定最成功的技术之一，近年来已被引入关节镜领域。多项研究表明，其关节镜下变体是安全且可重复的，并报告了有前景的短期和中期结果。一些作者声称，除了软组织损伤较小外，在关节镜控制下，喙突移植物的定位更准确。目前没有证据表明关节镜技术优于开放技术。与开放手术一样，关节镜下 Latarjet 手术需要大量的学习曲线；因此，关节镜技术应保留给治疗大量肩关节不稳定的经验丰富的关节镜医师。
