Qin Qihuang, Jiang Chunyan
Department of Sports Medicine, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, Beijing, 100035, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 May 15;37(5):526-532. doi: 10.7507/1002-1892.202301051.
To review the research progress of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation, and provide a guide for further research on bone graft resorption.
The relevant literature in recent years was extensively reviewed. The pathogenesis, classification, risk factors, clinical function impact, and management of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation were summarized.
Bone graft resorption is the common complication after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation. Stress shielding and poor blood supply may contribute to the occurrence of bone graft resorption. The absence of significant preoperative glenoid bone loss, open procedure, earlier graft healing may to be the risk factors for bone graft resorption. Various assessment methods and classification systems are used to evaluate the region and severity of bone graft resorption. Partial resorption may be considered as a natural glenoid remodeling process after the surgery, but severe and complete resorption is proved to be one of the reasons for failed procedures and there is no effective measure to prevent it, except for accepting revision surgery.
The pathogenesis, risk factors, clinical function impact of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation has not been fully elucidated and there is a lack of effective management strategies, so further clinical and basic researches are needed.
回顾Latarjet手术治疗复发性前肩脱位后骨移植吸收的研究进展，为骨移植吸收的进一步研究提供指导。
广泛查阅近年来的相关文献。总结Latarjet手术治疗复发性前肩脱位后骨移植吸收的发病机制、分类、危险因素、对临床功能的影响及处理方法。
骨移植吸收是Latarjet手术治疗复发性前肩脱位后的常见并发症。应力遮挡和血供不良可能导致骨移植吸收的发生。术前肩胛盂无明显骨质丢失、开放手术、移植骨愈合较早可能是骨移植吸收的危险因素。采用多种评估方法和分类系统来评估骨移植吸收的范围和严重程度。部分吸收可能被视为术后肩胛盂的自然重塑过程，但严重和完全吸收被证明是手术失败的原因之一，除了接受翻修手术外，尚无有效的预防措施。
Latarjet手术治疗复发性前肩脱位后骨移植吸收的发病机制、危险因素、对临床功能的影响尚未完全阐明，且缺乏有效的处理策略，因此需要进一步的临床和基础研究。
