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关节镜下治疗肩胛盂横行骨折的螺钉固定技术

Arthroscopic Screw Fixation Technique for Transverse Glenoid Fractures.

作者信息

Wafaisade Arasch, Kappel Paola, Pfeiffer Thomas R, Lambert Christophe, Banerjee Marc

机构信息

Department of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center.

Department of Orthopedic Surgery and Sports Traumatology, Atos MediaPark Clinic, Cologne, Germany.

出版信息

Arthrosc Tech. 2021 Oct 16;10(11):e2495-e2499. doi: 10.1016/j.eats.2021.07.034. eCollection 2021 Nov.

DOI:10.1016/j.eats.2021.07.034
PMID:34868853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8626685/
Abstract

Transverse glenoid fractures with a cranial coracoglenoidal fragment (Ideberg type III) can lead to detrimental post-traumatic sequelae. Open surgery requires an extensive surgical approach. Arthroscopic procedures are highly challenging with respect to both fracture reduction and screw osteosynthesis. We present a reproducible arthroscopic technique for a dislocated transverse glenoid fracture using 5 standard portals. Grasping the coracoid with a small, serrated reduction clamp through the anterior portal allows simple and sufficient reduction. Safe screw osteosynthesis can then be performed from cranially without the need to create a Neviaser portal.

摘要

伴有颅侧喙突盂肱部骨折块的肩胛盂横行骨折（伊德伯格III型）可导致严重的创伤后后遗症。开放手术需要广泛的手术入路。关节镜手术在骨折复位和螺钉内固定方面都极具挑战性。我们介绍一种使用5个标准入路的可重复的关节镜技术，用于治疗脱位的肩胛盂横行骨折。通过前入路用一个小型锯齿状复位钳抓住喙突，可实现简单而充分的复位。然后可以从颅侧进行安全的螺钉内固定，而无需创建内维亚泽尔入路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/bcc9dfcc3c97/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/7c6091d48d1f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/2f5a988f4331/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/398751636ec9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/d85ddd73528d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/c0a05c7b4109/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/80f88b47a93b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/f2182fa2ea56/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/997b7fdc647f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/0524c4dfcdea/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/bcc9dfcc3c97/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/7c6091d48d1f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/2f5a988f4331/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/398751636ec9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/d85ddd73528d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/c0a05c7b4109/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/80f88b47a93b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/f2182fa2ea56/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/997b7fdc647f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/0524c4dfcdea/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/8626685/bcc9dfcc3c97/gr10.jpg

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本文引用的文献

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Arthroscopy. 2020 Mar;36(3):668-679. doi: 10.1016/j.arthro.2019.10.036. Epub 2020 Jan 7.
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The Effect of Screw Design and Cortical Augmentation on Insertional Torque and Compression in Coracoid-Glenoid Fixation in a Sawbones Model.在仿骨模型中，螺钉设计和皮质增强对喙锁固定中插入扭矩和压缩的影响。
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