Pereira Ana Catarina, Gutierres Manuel
Faculty of Medicine of the University of Porto, Porto, Portugal.
Orthopaedic Department, Centro Hospitalar São João, Porto, Portugal.
Porto Biomed J. 2017 Sep-Oct;2(5):161-166. doi: 10.1016/j.pbj.2017.03.004. Epub 2017 Apr 12.
Coracoid transfer procedures are known to be successful when it comes to prevention of recurrence. However, all of them are invariably associated with high complication rates, especially limited range of motion.Arthroscopic technique was found to have an overall lower rate of complications when compared to the open procedures.Despite being scarce, the CHSJ data roughly overlap the literature.
Different surgical procedures have been described for the treatment of the recurrent anterior dislocation of the shoulder. Despite the documented success of the open procedures, some studies suggest that the arthroscopic technique leads to more favorable results. However, there still seems to be some disagreement concerning the incidence of complications, when comparing open and arthroscopic techniques.
As an attempt to clarify these doubts about the incidence of complications associated with the different techniques, this study contains a free literature review along with a retrospective case series of the patients who underwent these procedures in an University hospital in the past 10 years.
There are various techniques for the treatment of the recurrent dislocation of the shoulder, all of them with known success when it comes to prevention of recurrence. However, all of them are invariably associated with high complication rates.Despite being associated with a slightly higher re-operation rate, in the literature, the arthroscopic technique was found to have an overall lower rate of complications when compared to the open procedures. Centro Hospitalar São João (CHSJ) presented a higher rate of and than the literature. However, concerning other complications and when assessing the procedures individually, no tendency was verified. One can therefore conclude that, despite being scarce, the Centro Hospitalar São João CHSJ data roughly overlap the literature.
喙突转移术在预防复发方面已被证实是成功的。然而，所有这些手术都不可避免地伴随着高并发症发生率，尤其是活动范围受限。与开放手术相比，关节镜技术的总体并发症发生率较低。尽管数据稀少，但圣若昂医院（CHSJ）的数据与文献大致相符。
针对复发性肩关节前脱位已描述了不同的外科手术方法。尽管开放手术已被证明是成功的，但一些研究表明关节镜技术能带来更理想的结果。然而，在比较开放手术和关节镜技术时，关于并发症发生率似乎仍存在一些分歧。
为了试图澄清对不同技术相关并发症发生率的这些疑问，本研究包含了一项文献综述以及对过去10年在一所大学医院接受这些手术的患者的回顾性病例系列研究。
有多种治疗复发性肩关节脱位的技术，所有这些技术在预防复发方面都已被证明是成功的。然而，所有这些技术都不可避免地伴随着高并发症发生率。尽管在文献中关节镜技术的再次手术率略高，但与开放手术相比，其总体并发症发生率较低。圣若昂医院（CHSJ）的[具体并发症名称1]和[具体并发症名称2]发生率高于文献报道。然而，关于其他并发症以及单独评估手术时，未发现明显趋势。因此可以得出结论，尽管数据稀少，但圣若昂医院（CHSJ）的数据与文献大致相符。
