O'Keefe Kevin, King Joseph J, Farmer Kevin W, Wright Thomas W
Department of Orthopaedics and Rehabilitation, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Arthrosc Tech. 2021 Feb 8;10(3):e711-e719. doi: 10.1016/j.eats.2020.10.060. eCollection 2021 Mar.
Avascular necrosis is a relatively common entity that affects the proximal humerus and can lead to substantial morbidity. It often occurs in younger patients for whom the traditional treatment of shoulder arthroplasty is not optimal. Fibular strut grafting to prevent humeral head collapse has been described as a viable treatment option. However, it is technically challenging to direct the fibular strut graft into the center of the bony infarct, where it will be most effective. This paper describes a technique of arthroscopically assisted fibular strut grafting for avascular necrosis of the humerus. This is a minimally invasive technique with low morbidity and an accurate way of placing the graft into the infarcted segment.
缺血性坏死是一种相对常见的病症，会影响肱骨近端，并可能导致严重的发病率。它常发生在年轻患者中，而对于这些患者来说，传统的肩关节置换术并非最佳治疗方法。使用腓骨支撑植骨来防止肱骨头塌陷已被描述为一种可行的治疗选择。然而，将腓骨支撑植骨引导至骨梗死中心（此处最为有效）在技术上具有挑战性。本文描述了一种关节镜辅助下肱骨缺血性坏死腓骨支撑植骨技术。这是一种微创技术，发病率低，且能将植骨准确放置到梗死节段。
