Deng Zhenhan, Long Zeling, Lu Wei
Department of Sports Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, Guangdong, 518035, China.
Burns Trauma. 2022 May 28;10:tkac021. doi: 10.1093/burnst/tkac021. eCollection 2022.
The Latarjet procedure is an effective technique for the treatment of recurrent anterior shoulder dislocation with glenoid bone loss. However, the inevitable destruction of the coracoacromial arch may result in humeral head translation. The aim of the study is to introduce a modified Latarjet technique with coracoacromial arch preservation as well as its short term clinical outcomes.
We propose a novel individualized flexible arthroscopic suture button fixation Latarjet technique called `LUtarjet' with video. Precise measurements of the coracoid process, glenoid deficiency and osteotomy plane were made preoperatively. Only three arthroscopic portals were needed and limit unique coracoid osteotomy was performed with coracoacromial arch preservation. The mini window splitting of the subscapularis was performed from the posterior to the anterior direction and the split window was as small as 8-10 mm in length.
A total of 27 patients (25.6 ± 5.4 years) were included in the study. The average surgical duration was 55.6 ± 6.3 min and the mean follow-up time was 8.1 ± 1.5 months. The functional score was significantly improved at the last follow-up. Radiologic evidence showed that the bone graft healing was placed in the desired position. No complications were found.
We present a fast, easy, accurate, safe arthroscopic 'LUtarjet' technique called FEAST that can simplify the arthroscopic Latarjet process and achieve a satisfactory bone graft position and satisfactory short-term clinical outcomes.
IV, case series.
Latarjet手术是治疗伴有肩胛盂骨缺损的复发性肩关节前脱位的有效技术。然而，不可避免地破坏喙肩弓可能会导致肱骨头移位。本研究的目的是介绍一种保留喙肩弓的改良Latarjet技术及其短期临床疗效。
我们提出了一种名为“LUtarjet”的新型个体化灵活关节镜缝合纽扣固定Latarjet技术，并配有视频。术前对喙突、肩胛盂缺损和截骨平面进行精确测量。仅需三个关节镜入路，并在保留喙肩弓的情况下进行有限的独特喙突截骨。肩胛下肌的小窗口劈开从后向前进行，劈开窗口长度小至8-10毫米。
本研究共纳入27例患者（25.6±5.4岁）。平均手术时间为55.6±6.3分钟，平均随访时间为8.1±1.5个月。末次随访时功能评分显著改善。影像学证据显示骨移植愈合位置理想。未发现并发症。
我们提出了一种快速、简便、准确、安全的关节镜“LUtarjet”技术，称为FEAST，它可以简化关节镜Latarjet手术过程，实现满意的骨移植位置和满意的短期临床疗效。
IV，病例系列。
