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采用无金属环扎固定的开放性拉塔热手术。

Open Latarjet with Metal-Free Cerclage Fixation.

作者信息

Hachem Abdul-Ilah, Ahmed Usman, Ixtacuy Luis Rojas, Molina-Creixell Andrés, Campagnoli Alex, Rius Xavi

机构信息

Department of Orthopedic Surgery, Bellvitge University Hospital L'Hospitalet de Llobregat, Barcelona, Spain.

L'Hospitalet de Llobregat, Barcelona, Spain.

出版信息

Arthrosc Tech. 2023 Mar 3;12(4):e465-e475. doi: 10.1016/j.eats.2022.11.030. eCollection 2023 Apr.

DOI:10.1016/j.eats.2022.11.030
PMID:37138684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10149785/
Abstract

Despite multiple modifications, the Latarjet is still the most popular procedure for recurrent anterior shoulder instability with glenoid bone loss Partial or subtotal resorption of the graft is common, potentially leading to hardware prominence and risk of anterior soft-tissue impingement. To minimize the technical difficulties and morbidity associated with metallic implants, a coracoid and conjoint tendon transfer with a mini-open approach using Cerclage tape suture is described, as an alternative for the Latarjet procedure typically performed with metal screws and plates.

摘要

尽管有多种改良方法，但拉塔热手术（Latarjet）仍是治疗伴有肩胛盂骨缺损的复发性前肩不稳最常用的手术。移植物部分或全部吸收很常见，可能导致内固定物突出及前方软组织撞击风险。为尽量减少与金属植入物相关的技术难题和发病率，本文描述了一种采用环扎带缝线的迷你切开入路进行喙突和联合肌腱转移的方法，作为通常使用金属螺钉和钢板进行的拉塔热手术的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/c715e4aeb4b3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/e3551a0c25a7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/d4a77e8f3270/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/5ed7c623c524/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/1f106e560baa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/dc04a3795970/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/252bb86a9537/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/c715e4aeb4b3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/e3551a0c25a7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/d4a77e8f3270/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/5ed7c623c524/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/1f106e560baa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/dc04a3795970/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/252bb86a9537/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d0/10149785/c715e4aeb4b3/gr7.jpg

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本文引用的文献

1
The Addition of Remplissage to Free Bone Block Restores Translation and Stiffness Compared to Bone Block Alone or Latarjet in a Bipolar Bone Loss Model.在双极骨丢失模型中，与单独使用骨块或Latarjet手术相比，添加骨填充术至游离骨块可恢复平移和刚度。
Arthroscopy. 2022 Sep;38(9):2609-2617. doi: 10.1016/j.arthro.2022.03.018. Epub 2022 Mar 25.
2
Capsular repair is not an important part of the Latarjet-Walch procedure.关节囊修复并非Latarjet-Walch手术的重要组成部分。
J Shoulder Elbow Surg. 2022 May;31(5):948-956. doi: 10.1016/j.jse.2021.10.030. Epub 2021 Nov 19.
3
Arthroscopic bone block metal-free fixation for anterior shoulder instability. Short-term functional and radiological outcomes.
缝线、螺钉、纽扣和锚钉：不稳定肩关节盂骨缺损的当前骨移植固定装置综述
Curr Rev Musculoskelet Med. 2024 Jun;17(6):207-221. doi: 10.1007/s12178-024-09895-x. Epub 2024 Apr 8.
4
Readability of Online Information on the Latarjet Procedure.关于拉塔热手术的在线信息可读性。
Cureus. 2023 Nov 21;15(11):e49184. doi: 10.7759/cureus.49184. eCollection 2023 Nov.
关节镜下无金属骨块固定治疗前肩不稳。短期功能和影像学结果。
Rev Esp Cir Ortop Traumatol. 2022 Jul-Aug;66(4):281-289. doi: 10.1016/j.recot.2021.05.007. Epub 2021 Jul 31.
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Arthroscopic Latarjet Procedure: Indications, Techniques, and Outcomes.关节镜下Latarjet手术：适应症、技术及结果
JBJS Rev. 2021 Mar 10;9(3):01874474-202103000-00002. doi: e20.00071.
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Clinical and radiographic outcomes after Latarjet using suture-button fixation.使用缝线纽扣固定的Latarjet手术后的临床和影像学结果。
JSES Int. 2020 Dec 7;5(2):175-180. doi: 10.1016/j.jseint.2020.10.009. eCollection 2021 Mar.
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Arch Orthop Trauma Surg. 2020 Jul;140(7):895-903. doi: 10.1007/s00402-020-03380-z. Epub 2020 Feb 24.