Di Giunta Angelo C C, Cassarino Alfonso Massimiliano, Castorina Sergio, Luca Tonia, Romano Alfonso Maria, Susanna Massimiliano, Costa Danilo
Fondazione Mediterranea "G.B. Morgagni," Catania, Italy.
Department of Medical, Surgical Sciences and Advanced Technologies "G.F. Ingrassia," University of Catania, Catania, Italy.
Arthrosc Tech. 2022 Nov 18;11(12):e2389-e2395. doi: 10.1016/j.eats.2022.08.046. eCollection 2022 Dec.
We present an arthroscopic technique used to treat traumatic shoulder instability in the patient with a Hill-Sachs lesion, especially an off-track lesion. The incidence of this bony defect is approximately 40% to 90% of all anterior shoulder instability cases-and up to 100% in patients with recurrent anterior instability. Incorrect management of this humeral bone defect can lead to treatment failure, and it is essential to define characteristics such as the lesion's location, depth, width, and orientation. Many arthroscopic and open procedures have been described for the surgical management of the Hill-Sachs lesion. Using arthroscopy for the surgical treatment of shoulder instability offers numerous advantages. We describe an arthroscopic technique that consists of filling the Hill-Sachs lesion with absorbable interference screws made out of an advanced biocomposite material. After repair of the Hill-Sachs lesion, the Bankart lesion is repaired. As these screws are resorbed by bone tissue over several months, the bony anatomy is restored.
我们介绍一种用于治疗存在希尔-萨克斯损伤（尤其是脱轨损伤）的创伤性肩关节不稳患者的关节镜技术。这种骨缺损在所有肩关节前侧不稳病例中的发生率约为40%至90%，而在复发性前侧不稳患者中高达100%。对这种肱骨骨缺损处理不当会导致治疗失败，明确病变的位置、深度、宽度和方向等特征至关重要。针对希尔-萨克斯损伤的手术治疗，已有许多关节镜和开放手术方法被描述。使用关节镜进行肩关节不稳的手术治疗具有诸多优势。我们描述一种关节镜技术，该技术包括用由先进生物复合材料制成的可吸收加压螺钉填充希尔-萨克斯损伤。修复希尔-萨克斯损伤后，再修复肩胛下肌盂唇损伤。由于这些螺钉会在数月内被骨组织吸收，骨解剖结构得以恢复。
