[拉塔热手术失败的原因及翻修手术]
[The causes of Latarjet surgery failure and the revision surgeries].
作者信息
Sun Youqiang, Wei Zhihua, Xiang Xiaobing
机构信息
Institute of Sports Medicine, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China.
Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Feb 15;35(2):246-251. doi: 10.7507/1002-1892.202005105.
OBJECTIVE
To review the causes of Latarjet surgery failure and various revision surgeries, in order to provide the reference for the revision of treatment options for Latarjet surgery failure.
METHODS
Literature on the causes of Latarjet surgery failure and revision surgeries was extensively reviewed and analyzed.
RESULTS
Latarjet surgery is widely used in clinical practice for recurrent anterior dislocation of shoulder with glenoid defects, especially for the defects of more than 25%. The main reasons for its failure are ununion, bone resorption, graft dislocation, trauma, and graft fracture, The revision surgeries are diverse, the standard treatment has not yet been formed. The revision surgeries include open iliac bone grafting, microscopic Eden-Hybinette surgery, soft tissue reconstruction, open or arthroscopic bone grafting, . The differences among the revisions are mainly reflected in grafts, complications, and their costs.
CONCLUSION
Latarjet surgery is difficult to operate and requires high technical requirements for the surgeons. It is necessary to continuously improve the surgical technology to reduce the complications related to Latarjet surgery and its revision surgery.
目的
回顾Latarjet手术失败的原因及各种翻修手术，为Latarjet手术失败的治疗方案修订提供参考。
方法
广泛回顾和分析有关Latarjet手术失败原因及翻修手术的文献。
结果
Latarjet手术在临床实践中广泛应用于伴有肩胛盂缺损的复发性肩关节前脱位，尤其是缺损超过25%的情况。其失败的主要原因是不愈合、骨吸收、移植物脱位、创伤和移植物骨折。翻修手术多种多样，尚未形成标准治疗方案。翻修手术包括开放髂骨植骨、显微镜下Eden-Hybinette手术、软组织重建、开放或关节镜下骨移植等。这些翻修手术之间的差异主要体现在移植物、并发症及其费用方面。
结论
Latarjet手术操作难度大，对外科医生技术要求高。有必要不断提高手术技术，以减少与Latarjet手术及其翻修手术相关的并发症。
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