Nair Ayyappan V, Mohan Pramod Kumar, Krishna Pavan, Jangale Ajit, Kareemulla Syed, Goud Naresh, Thampy Sreejith
Bangalore Shoulder Institute, Bangalore, India.
Arthrosc Tech. 2023 Dec 4;13(1):102808. doi: 10.1016/j.eats.2023.08.013. eCollection 2024 Jan.
Intraoperative vertical coracoid graft fractures during the Latarjet procedure are well-described complications, which typically have a poor prognosis or may necessitate further iliac crest bone grafting for stabilization. The vertical split coracoid fractures are reasoned to be caused by excessive tightening of the screws, poor bone quality, especially in females and the smaller dimension of the coracoid graft. In this technical note, we propose an arthroscopic salvage technique for salvaging the fractured coracoid graft and to avoid the need for additional bone graft, thereby reducing morbidity to the patient. We use two double-loaded, all-suture anchors (Stryker, India) on either side of the split coracoid graft, and double-pulley configuration of suture tightening is done, providing compression and stability to the fractured graft.
在Latarjet手术中，术中垂直喙突移植骨骨折是一种已被充分描述的并发症，其通常预后较差，或者可能需要进一步取髂嵴骨移植以实现稳定。垂直劈裂的喙突骨折被认为是由螺钉过度拧紧、骨质不佳（尤其是女性）以及喙突移植骨尺寸较小所致。在本技术说明中，我们提出一种关节镜下挽救技术，用于挽救骨折的喙突移植骨并避免额外的骨移植需求，从而降低患者的发病率。我们在劈裂的喙突移植骨两侧使用两个双股缝线锚钉（史赛克，印度），并采用缝线收紧的双滑轮配置，为骨折的移植骨提供加压和稳定性。
