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关节镜下Latarjet手术:当前概念与手术技术

Arthroscopic Latarjet procedure: current concepts and surgical techniques.

作者信息

Shin Sang-Jin, Kim Jae Hyung, Ahn Jonghyun

机构信息

Department of Orthopedic Surgery, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea.

出版信息

Clin Shoulder Elb. 2023 Dec;26(4):445-454. doi: 10.5397/cise.2022.01396. Epub 2023 Jun 15.

Abstract

The Latarjet procedure is a surgical procedure that can effectively restore glenohumeral stability, especially in patients with anterior shoulder instability and glenoid bone loss. Many studies have shown comparable clinical outcomes between patients undergoing the arthroscopic Latarjet procedure and those undergoing traditional open methods or other glenohumeral joint stabilization procedures. However, the arthroscopic Latarjet procedure is a challenging technique due to the unfamiliar portal placements, proximity of neurovascular structures, and serious postoperative complications. The arthroscopic Latarjet procedure has not yet been widely applied, and a clear understanding of the anatomical structure and the precise methods is required prior to operation performance. Satisfactory clinical outcomes can be achieved by thorough preoperative planning and proper implant fixation methods.

摘要

拉塔热特手术是一种能够有效恢复盂肱关节稳定性的外科手术,尤其适用于存在肩关节前向不稳和肩胛盂骨质缺损的患者。许多研究表明,接受关节镜下拉塔热特手术的患者与接受传统开放手术或其他盂肱关节稳定手术的患者临床疗效相当。然而,由于关节镜手术入路位置不熟悉、神经血管结构毗邻以及术后严重并发症,关节镜下拉塔热特手术是一项具有挑战性的技术。关节镜下拉塔热特手术尚未广泛应用,在进行手术之前需要对解剖结构和精确方法有清晰的认识。通过全面的术前规划和恰当的植入物固定方法可以取得满意的临床疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc43/10698136/40ecc243b4ba/cise-2022-01396f1.jpg

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