Arthroscopy. 2021 Nov;37(11):3253-3254. doi: 10.1016/j.arthro.2021.07.035.
Traditionally, most orthopaedic surgeons use glenoid bone loss of >15% to 20% glenoid width as the cut off for arthroscopic Bankart repairs. More than that amount of bone loss suggests the need to augment the glenoid with bone-most often performed with a Latarjet coracoid transfer. Primary Latarjet procedures are more widely used in Europe compared with the United States for the treatment of shoulder instability-even with less bone loss than 15%. Better results regarding stability are found using primary Latarjet compared with those in revision Latarjet procedures performed after an arthroscopic Bankart procedure has failed. Perhaps this should lead us to doing primary Latarjet procedures, with a lower threshold of bone loss.
传统上，大多数骨科医生将盂骨丢失> 15%至 20%的盂骨宽度作为关节镜 Bankart 修复的截止点。超过该骨丢失量表明需要用骨来增强盂骨-通常采用 Latarjet 喙突转移。与美国相比，欧洲更广泛地使用原发性 Latarjet 手术治疗肩关节不稳定-即使骨丢失量少于 15%。与关节镜 Bankart 手术后失败的翻修 Latarjet 手术相比，原发性 Latarjet 手术在稳定性方面的效果更好。也许这应该促使我们进行原发性 Latarjet 手术，降低骨丢失的门槛。
