University of Geneva.
Arthroscopy. 2023 Jul;39(7):1628-1629. doi: 10.1016/j.arthro.2023.02.013.
Shoulder dynamic anterior stabilization (DAS) is an efficient and well-established glenohumeral stabilization technique, offering an arthroscopic alternative to Latarjet and glenoid reconstruction with distal tibial allograft or the iliac crest autograft. DAS is essentially an augmented Bankart procedure and can be performed using transfer of either the long head of the biceps tendon or the conjoined tendon. Both result in similar and acceptable rates of recurrences, complications, return to sport, and subjective shoulder function. However, the effectiveness of Bankart repair on shoulder stability decreases significantly over time, so long-term follow-up evaluations of DAS are required. The best indication for DAS may be anteroinferior shoulder instability with limited anterior bone loss.
肩部动态前稳定术（DAS）是一种高效且成熟的肩盂肱关节稳定技术，为 Latarjet 术和带或不带喙突的异体腓骨或自体髂嵴骨重建术提供了一种关节镜下的替代方案。DAS 本质上是一种增强的 Bankart 手术，可以通过转移肱二头肌长头肌腱或联合肌腱来完成。这两种方法的复发率、并发症、重返运动和主观肩部功能都相似且可接受。然而，Bankart 修复术对肩部稳定性的效果随着时间的推移显著下降，因此需要对 DAS 进行长期随访评估。DAS 的最佳适应证可能是伴有有限前骨丢失的前下盂肱关节不稳定。
