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关节镜下“骨块环扎”技术治疗后肩关节不稳

Arthroscopic "Bone Block Cerclage" Technique for Posterior Shoulder Instability.

作者信息

Hachem Abdul-Ilah, Rondanelli S Rafael, Costa D'O Gino, Verdalet Iñigo, Rius Xavier

机构信息

Department of Orthopedic and Traumatology Surgery, Hospital Universitari de Bellvitge, Barcelona, Spain.

University of Barcelona Shoulder Surgery Master Fellowship, Hospital Universitari de Bellvitge, Barcelona, Spain.

出版信息

Arthrosc Tech. 2020 Jul 23;9(8):e1171-e1180. doi: 10.1016/j.eats.2020.04.017. eCollection 2020 Aug.

DOI:10.1016/j.eats.2020.04.017
PMID:32874898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7451436/
Abstract

Many open and arthroscopic techniques have been described to treat posterior glenohumeral instability. Multifactorial features of posterior shoulder instability pathoanatomy and varied patient characteristics have challenged the understanding of this condition and have led to dissimilar results, without a strong consensus for the most adequate technique to treat it. We describe an arthroscopic anatomical metal-free posterior glenoid reconstruction technique, using a tricortical iliac crest allograft with 2 ultra-high strength sutures (FiberTape Cerclage System; Arthrex, Naples, FL) with concomitant posterior capsulolabral complex reconstruction procedure.

摘要

已经描述了许多开放和关节镜技术来治疗肩肱关节后向不稳。肩后部不稳的病理解剖结构的多因素特征以及患者的不同特点对理解这种病症构成了挑战，导致了不同的结果，对于治疗该病的最适当技术也没有形成强有力的共识。我们描述了一种关节镜下解剖学无金属的肩胛盂后方重建技术，使用带2根超高强度缝线（纤维带环扎系统；Arthrex公司，那不勒斯，佛罗里达州）的三层髂嵴同种异体骨移植，并同时进行后方关节囊盂唇复合体重建手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/b73786927b63/gr13.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/5abdd8d1835c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/11783b42f5c6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/0f983972a742/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/6d6bd492f127/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/153935063124/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/8eb128227876/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/52732a0ae7ae/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/476630aa00f1/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/c62a978e08cf/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/465f5cb8b230/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/b73786927b63/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/72a65433442a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/16a615d6e6bc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/5abdd8d1835c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/11783b42f5c6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/0f983972a742/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/6d6bd492f127/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/153935063124/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/8eb128227876/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/52732a0ae7ae/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/476630aa00f1/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/c62a978e08cf/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/465f5cb8b230/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/7451436/b73786927b63/gr13.jpg

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