关节镜下解剖学肩盂重建治疗Latarjet手术失败病例
Treatment of Failed Latarjet With Arthroscopic Anatomic Glenoid Reconstruction.
作者信息
Hewins Benjamin, Wong Ivan
机构信息
Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Nova Scotia, Canada.
出版信息
Arthrosc Tech. 2021 Oct 6;10(11):e2463-e2470. doi: 10.1016/j.eats.2021.07.030. eCollection 2021 Nov.
PURPOSE
Various methods have been described for the treatment of anterior shoulder instability with glenoid bone loss. The incidence of recurrent dislocations following surgical intervention is high and, therefore, necessitates a reliable and replicable revision procedure. The purpose of this Technical Note is to describe a method of arthroscopic anatomic glenoid reconstruction using a distal tibial allograft and screw fixation in the setting of a failed Latarjet procedure with significant glenoid bone loss.
METHODS
We describe in detail patient positioning, portal placement, steps of the diagnostic arthroscopy, and graft preparation using imaging and a detailed intraoperative arthroscopic technique.
LEVEL OF EVIDENCE
Level 1, Shoulder; Level 2, Instability.
目的
对于伴有肩胛盂骨缺损的前肩不稳，已有多种治疗方法被描述。手术干预后复发性脱位的发生率很高，因此需要一种可靠且可重复的翻修手术。本技术说明的目的是描述一种在Latarjet手术失败且肩胛盂骨缺损严重的情况下，使用异体胫骨远端移植和螺钉固定进行关节镜下解剖性肩胛盂重建的方法。
方法
我们详细描述了患者体位、切口位置、诊断性关节镜检查步骤以及使用影像学和详细的术中关节镜技术进行移植物制备。
证据水平
肩部为1级；不稳为2级。
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