Nizlan Mohd, Dieu Kiat Raymond Yeak, Rashid Ahmad Hisham
Department of Orthopaedics, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor, Malaysia.
Department of Orthopaedics, Sunway Medical Center, Jalan Lagoon Selatan, Bandar Sunway, Petaling Jaya, Selangor, Malaysia.
J Coll Physicians Surg Pak. 2022 Oct;32(10):1356-1359. doi: 10.29271/jcpsp.2022.10.1356.
Successful Latarjet procedures depend on many factors including graft union and subsequent restoration of the glenoid surface. Coracoid graft union has been studied; however, remodelling of the glenoid has not been studied extensively. We present two Latarjet cases in which coracoid screws were removed due to hardware issues, at 12 months postoperatively in one patient and at six months in another. We share our observations on the coracoid graft and the restoration of the glenoid shape. Prior to screw removal, done by a mini-open approach, we performed arthroscopic examination of the glenohumeral joint in both patients. Our arthroscopic and open findings with respect to graft union, screw prominence, and glenoid remodelling, are presented. Both cases showed good union of the coracoid graft and restoration of the native glenoid shape. Key Words: Shoulder dislocation, Surgery, Complications, Coracoid process.
成功的Latarjet手术取决于许多因素，包括移植骨愈合以及随后关节盂表面的恢复。喙突移植骨愈合已得到研究；然而，关节盂的重塑尚未得到广泛研究。我们展示两例Latarjet手术病例，其中一例患者在术后12个月，另一例在术后6个月，因硬件问题取出了喙突螺钉。我们分享关于喙突移植骨以及关节盂形状恢复的观察结果。在通过小切口入路取出螺钉之前，我们对两名患者的盂肱关节进行了关节镜检查。我们展示了关于移植骨愈合、螺钉突出以及关节盂重塑的关节镜和开放手术发现。两例均显示喙突移植骨良好愈合以及恢复了天然关节盂形状。关键词：肩关节脱位、手术、并发症、喙突。
