改良关节镜下布里斯托手术：不劈开肩胛下肌的螺钉固定

Dai Linghui, Wang Jianquan, Yan Hui

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China.

Beijing Key Laboratory of Sports Injuries, Beijing, China.

Arthrosc Tech. 2023 Jul 3;12(8):e1249-e1257. doi: 10.1016/j.eats.2023.03.015. eCollection 2023 Aug.

In the presence of bone loss, the Bristow or Latarjet procedure is used to alleviate anterior glenohumeral instability. The techniques have gradually improved under arthroscopy. However, such an arthroscopic procedure has a steep learning curve, lengthy operation time, and considerable risk of complications, inhibiting its rapid development. The current method of modified arthroscopic Bristow procedure with screw fixation without subscapularis split reduces surgical time, reduces the risk of nerve damage consequences, and is simple to apply.

在存在骨质流失的情况下，采用布里斯托（Bristow）或拉塔热（Latarjet）手术来缓解肩关节前向不稳。这些技术在关节镜检查下逐渐得到改进。然而，这种关节镜手术学习曲线陡峭、手术时间长且并发症风险高，阻碍了其快速发展。目前改良的关节镜下布里斯托手术方法，采用螺钉固定且不劈开肩胛下肌，可缩短手术时间，降低神经损伤后果的风险，且应用简便。