Bradley Kendall E, Jansson Hayley L, Lansdown Drew A, Zhang Alan L
Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, California, U.S.A.
Arthrosc Tech. 2021 Mar 22;10(4):e1155-e1164. doi: 10.1016/j.eats.2021.01.010. eCollection 2021 Apr.
Large anterior glenoid defects pose significant challenges for shoulder stability. Arthroscopic glenoid reconstruction techniques using distal tibia allograft have been proposed as alternatives to open or arthroscopic Latarjet procedures but can increase operating room costs. Iliac crest bone block autograft is a cost-effective option without concern for the graft being undersized. Previous techniques have described arthroscopic glenoid reconstruction in the lateral position, but the beach chair position provides ease of access to both the iliac crest bone graft harvest and arthroscopic bone transfer, as well as facilitates possible conversion to an open approach if necessary. We present our surgical technique for performing an arthroscopic glenoid reconstruction with iliac crest autograft bone block transfer in the beach chair position.
巨大的前方关节盂缺损对肩关节稳定性构成重大挑战。使用异体胫骨远端移植的关节镜下关节盂重建技术已被提出作为开放或关节镜下Latarjet手术的替代方案，但可能会增加手术室成本。髂嵴骨块自体移植是一种经济有效的选择，无需担心移植物尺寸过小。以往的技术描述了在侧卧位进行关节镜下关节盂重建，但沙滩椅位便于获取髂嵴骨移植和进行关节镜下骨转移，并且在必要时便于转换为开放手术入路。我们介绍我们在沙滩椅位使用髂嵴自体移植骨块转移进行关节镜下关节盂重建的手术技术。
