Nadeem Ibrahim M, Vancolen Seline, Horner Nolan S, Bedi Asheesh, Alolabi Bashar, Khan Moin
Faculty of Health Sciences, McMaster University, Hamilton, Ontario Canada.
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario Canada.
HSS J. 2020 Oct;16(3):296-306. doi: 10.1007/s11420-019-09720-z. Epub 2019 Oct 18.
Shoulder dislocations can be devastating for an athlete. Coracoid bone block transfer is often used for the treatment of recurrent shoulder instability.
QUESTIONS/PURPOSES: The primary purpose of this study was to determine the rate and mean time of return to sport in athletes after a coracoid bone block transfer at the pre-operative level of competition, a lower level, or a different level. We also sought to determine how return to sport rates after a coracoid bone block procedure compared with rates after several comparator interventions. Finally, we looked to determine the post-operative clinical outcomes and complications reported after a coracoid bone block procedure.
We systematically searched three databases (PubMed, Embase, and MEDLINE) for studies reporting return to sport after a coracoid bone block procedure.
A total of 52 studies (with levels of evidence ranging from II to IV) evaluating 2953 shoulders in 2888 patients were included in this systematic review. The mean rate of return to sport at any level was 88.4% (2291 of 2592 patients). However, the rate of return to the pre-operative level was 70.3% (1387 of 1974 patients). The mean time to return to sport was 5.38 months (range 21 days to 36 months). The rate of return to sport was higher after the Latarjet procedure, as compared with Bankart repair (87.0% and 75.8%, respectively). All studies showed improvements in clinical outcome measures after coracoid bone block intervention. The cumulative complication rate was found to be 6.46% (158 of 2446 patients).
Coracoid bone block transfer allows for a high rate of return to sport, although the rate of return to sport at athletes' pre-operative level is lower. The rate of return to sport after Latarjet procedure is higher in comparison with Bankart repair. Additionally, coracoid bone block transfer is associated with improvements in a number of clinical outcome measures. Common post-operative complications include non-union between bone block and glenoid, hematoma, and infection.
肩关节脱位对运动员来说可能是灾难性的。喙突骨块转移术常用于治疗复发性肩关节不稳。
问题/目的：本研究的主要目的是确定运动员在接受喙突骨块转移术后恢复到术前竞技水平、较低水平或不同水平运动的比率及平均时间。我们还试图确定喙突骨块手术后的运动恢复率与几种对照干预后的恢复率相比情况如何。最后，我们希望确定喙突骨块手术后报告的术后临床结果和并发症。
我们系统检索了三个数据库（PubMed、Embase和MEDLINE），以查找报告喙突骨块手术后恢复运动情况的研究。
本系统评价共纳入52项研究（证据水平从II级到IV级），评估了2888例患者的2953个肩关节。在任何水平上恢复运动的平均比率为88.4%（2592例患者中的2291例）。然而，恢复到术前水平的比率为70.3%（1974例患者中的1387例）。恢复运动的平均时间为5.38个月（范围为21天至36个月）。与Bankart修复术相比，Latarjet手术后恢复运动的比率更高（分别为87.0%和75.8%）。所有研究均显示喙突骨块干预后临床结果指标有所改善。累计并发症发生率为6.46%（2446例患者中的158例）。
喙突骨块转移术能使运动员较高比率地恢复运动，尽管恢复到术前水平的比率较低。与Bankart修复术相比，Latarjet手术后恢复运动的比率更高。此外，喙突骨块转移术与多项临床结果指标的改善相关。常见的术后并发症包括骨块与关节盂不愈合、血肿和感染。
