Araujo Bruno Vierno de, Lara Paulo Henrique Schmidt, Pochini Alberto de Castro, Ejnisman Benno, Figueiredo Eduardo Antônio de, Belangero Paulo Santoro
Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
Rev Bras Ortop (Sao Paulo). 2023 Oct 30;58(5):e734-e741. doi: 10.1055/s-0043-1776131. eCollection 2023 Oct.
To provide a current overview of the Bristow-Latarjet surgery in Brazil. This cross-sectional study was based on an electronic questionnaire with 26 items, which was sent to active members of the Brazilian Society of Shoulder and Elbow Surgery (Sociedade Brasileira de Cirurgia do Ombro e Cotovelo, SBCOC, in Portuguese). The questionnaire addressed training, surgical technique, complications, and postoperative management. We sent the questionnaire to 845 specialists from April 20 to May 12, 2021, and 310 of them answered i in full. During their specialization, most specialists participated in up to ten Bristow-Latarjet procedures. The most frequent complication was graft fracture, while the most common technical difficulty was screw positioning. In total, 50.6% and 73.9% reported having experienced intraoperative and postoperative complications respectively; 57.1% declared performing subscapularis suture; 99.7% indicated postoperative immobilization; and 61.9% considered graft consolidation fundamental. Most specialists participated in up to ten Bristow-Latarjet procedures during the specialization, but 13.5% of them graduated without participating in the surgery. The most frequent complication was graft fracture. The most common technical difficulty was screw positioning. Most participants prefer postoperative immobilization since they believe graft consolidation is essential to resume the practiced of sports. The highest complication rate occurred with specialists who have obtained their titles 11 to 15 years ago. In Brazil, the Southeast region is the largest producer of specialists and has the highest concentration of these professionals.
提供巴西布里斯托-拉塔热手术的当前概述。 这项横断面研究基于一份包含26个项目的电子问卷,该问卷发送给了巴西肩肘外科学会(葡萄牙语为Sociedade Brasileira de Cirurgia do Ombro e Cotovelo,SBCOC)的活跃成员。问卷涉及培训、手术技术、并发症及术后管理。 我们于2021年4月20日至5月12日向845名专家发送了问卷,其中310人完整作答。在专科培训期间,大多数专家参与了至多十例布里斯托-拉塔热手术。最常见的并发症是移植物骨折,而最常见的技术难题是螺钉定位。总体而言,分别有50.6%和73.9%的人报告经历过术中及术后并发症;57.1%的人宣称进行肩胛下肌缝合;99.7%的人表示术后进行固定;61.9%的人认为移植物愈合至关重要。 大多数专家在专科培训期间参与了至多十例布里斯托-拉塔热手术,但其中13.5%的人在未参与该手术的情况下毕业。最常见的并发症是移植物骨折。最常见的技术难题是螺钉定位。大多数参与者倾向于术后固定,因为他们认为移植物愈合对于恢复运动练习至关重要。并发症发生率最高的是那些在11至15年前获得职称的专家。在巴西,东南部地区是专科医生的最大产地,且这些专业人员的集中度最高。