Haskel Jonathan D, Colasanti Christopher A, Hurley Eoghan T, Matache Bogdan A, Jazrawi Laith M, Meislin Robert J
Department of Orthopedic Surgery, New York University Langone Health, New York, NY.
Department of Surgery, National University of Ireland Galway, Galway, Ireland.
JBJS Rev. 2021 Mar 10;9(3):01874474-202103000-00002. doi: e20.00071.
»: The proposed advantages of the arthroscopic approach in the Latarjet procedure for shoulder dislocation include improved visualization for accurate positioning of the coracoid graft, the ability to address any associated intra-articular pathologies, and the diminished potential for the formation of postoperative scar tissue and stiffness associated with an open procedure.
»: Young age, the presence of glenoid and/or humeral bone loss, a history of dislocation, a history of failed arthroscopic stabilization surgery, and an active lifestyle are all associated with recurrent dislocation and are relative indications for an osseous augmentation procedure.
»: Both the open and arthroscopic Latarjet procedures result in substantial improvements in patient function, with comparable rates of recurrent instability and complication profiles.
»：关节镜辅助下Latarjet手术治疗肩关节脱位的潜在优势包括：能更清晰地观察喙突移植物的精确位置，可处理任何相关的关节内病变，以及减少与开放手术相关的术后瘢痕组织形成和僵硬的可能性。
»：年轻、存在关节盂和/或肱骨骨质缺损、有脱位史、关节镜下稳定手术失败史以及积极的生活方式均与复发性脱位相关，是骨增强手术的相对指征。
»：开放和关节镜辅助下的Latarjet手术均能显著改善患者功能，复发性不稳定率和并发症情况相当。
