Moroder Philipp, Kathi Thiele, Lacheta Lucca, Karpinski Katrin, Paksoy Alp, Akgün Doruk
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Center for Musculoskeletal Surgery, Berlin, Germany.
Arthrosc Tech. 2022 Feb 18;11(3):e379-e383. doi: 10.1016/j.eats.2021.11.004. eCollection 2022 Mar.
In the treatment of anterior shoulder instability with glenoid bone loss, free bone graft transfers have proven to be a viable anatomic alternative to the commonly performed, nonanatomic Latarjet procedure. Implant-free fixation of the free bone grafts, in particular, has rendered excellent short- and long-term results. However, a drawback remains the source of the graft. We describe an arthroscopic bone block cerclage technique using a tricortical scapular spine autograft, which provides an anatomic arthroscopic glenoid reconstruction with the combined benefit of sparing the subscapularis, metal-free fixation, and intraregional donor site for autograft harvesting.
在治疗伴有肩胛盂骨缺损的前肩不稳时，游离骨移植已被证明是一种可行的解剖学替代方法，可替代常用的非解剖学Latarjet手术。特别是，游离骨移植的无植入物固定已取得了优异的短期和长期效果。然而，一个缺点仍然是移植物的来源。我们描述了一种使用三皮质肩胛冈自体骨移植的关节镜下骨块环扎技术，该技术提供了一种解剖学上的关节镜下肩胛盂重建方法，同时具有保留肩胛下肌、无金属固定以及自体骨采集的区域内供区等综合优点。
