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关节镜下自体锁骨远端移植用于关节盂重建

Arthroscopic Distal Clavicular Autograft for Congruent Glenoid Reconstruction.

作者信息

Boileau Pascal, Baring Toby, Greco Valentina

机构信息

ICR - Institut de Chirurgie Réparatrice Locomoteur & Sports, Nice, France.

OneWelbeck Orthopaedics, London, United Kingdom.

出版信息

Arthrosc Tech. 2021 Oct 6;10(11):e2389-e2395. doi: 10.1016/j.eats.2021.07.019. eCollection 2021 Nov.

DOI:10.1016/j.eats.2021.07.019
PMID:34868839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8626581/
Abstract

Arthroscopic distal clavicular autograft (DCA) is effective in shoulder instability with glenoid bone loss. The original technique uses an osteochondral autograft, fixed with screws or suture anchors. We developed a modified procedure called "congruent arc DCA" characterized by (1) use of drilling guides to optimize graft positioning and make the all-arthroscopic procedure safer and reproducible; (2) rotation of the DCA of 90° to reach a congruent arc with its undersurface; (3) fixation of the graft with cortical buttons to simplify its intra-articular passage, avoid hardware problems, and facilitate possible revision surgery; and (4) intraoperative use of a suture tensioner to achieve satisfactory compression of the graft and increase its consolidation.

摘要

关节镜下锁骨远端自体移植术（DCA）治疗伴有肩胛盂骨缺损的肩关节不稳疗效显著。原技术采用骨软骨自体移植，用螺钉或缝合锚钉固定。我们研发了一种改良手术，称为“全等弧DCA”，其特点为：（1）使用钻孔导向器优化移植物定位，使全关节镜手术更安全且可重复；（2）将DCA旋转90°，使其下表面形成全等弧；（3）用皮质纽扣固定移植物，简化其关节内通道，避免硬件问题，并便于可能的翻修手术；（4）术中使用缝线张力器，使移植物获得满意的加压效果并增强其愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/43500e495b14/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/639baddf415b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/20b9b0923799/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/5cab7a42bfc7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/f92e33b70150/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/3394d00ec04c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/f7775602a0a1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/43500e495b14/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/639baddf415b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/20b9b0923799/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/5cab7a42bfc7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/f92e33b70150/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/3394d00ec04c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/f7775602a0a1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d4/8626581/43500e495b14/gr7.jpg

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Biomechanical evaluation of suture buttons versus cortical screws in the Latarjet-Bristow procedure: a fresh-frozen cadavers study.
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Arthrosc Tech. 2024 Jan 1;13(3):102885. doi: 10.1016/j.eats.2023.11.013. eCollection 2024 Mar.
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