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缝线纽扣全等弧Latarjet手术治疗盂肱关节骨丢失大于25%的复发性前肩关节不稳

Suture Button Congruent Arc Latarjet Procedure in the Treatment of Recurrent Anterior Shoulder Instability With Glenoid Bone Loss Greater Than 25.

作者信息

Deng Zhenhan, Lu Wei

机构信息

Department of Orthopaedic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Department of Sports Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.

出版信息

Arthrosc Tech. 2024 Apr 27;13(7):103008. doi: 10.1016/j.eats.2024.103008. eCollection 2024 Jul.

DOI:10.1016/j.eats.2024.103008
PMID:39100267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293355/
Abstract

It is generally believed that glenoid bone loss (GBL) greater than 25% can be defined as a massive GBL. For this type of recurrent anterior shoulder instability, the traditional Latarjet technique is usually inadequate to restore the GBL. Although the congruent arc Latarjet technique is able to reconstruct a wider glenoid defect with good clinical outcomes, this technique had not been widely applied due to the limited bone width of the coracoid graft and high rate of coracoid osteotomy and screw fixation-related complications. The emerging suture button flexible fixation technique has been proven to achieve good clinical outcomes and is technically friendly. It can significantly reduce the requirements for large coracoid graft bone mass, and the Latarjet procedure's application scope is expanded. We introduce the suture button congruent arc Latarjet technique for treatment of massive GBL in this Technical Note.

摘要

一般认为，肩胛盂骨丢失（GBL）大于25%可定义为大面积GBL。对于此类复发性前肩不稳，传统的Latarjet技术通常不足以恢复GBL。尽管全等弧Latarjet技术能够重建更宽的肩胛盂缺损并取得良好的临床效果，但由于喙突移植骨宽度有限以及喙突截骨和螺钉固定相关并发症的发生率较高，该技术尚未得到广泛应用。新兴的缝线纽扣灵活固定技术已被证明能取得良好的临床效果且技术操作简便。它可显著降低对大块喙突移植骨量的要求，扩大了Latarjet手术的应用范围。在本技术说明中，我们介绍用于治疗大面积GBL的缝线纽扣全等弧Latarjet技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/f344a2fe7287/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/7dba07f06ba2/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/eba04cb7c9de/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/d7b4bd757056/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/79d98466fdb5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/50100095806b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/a989d8976293/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/5344ad9d3d70/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/a87dce4cbb28/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/277307f64851/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/588372e52988/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/f344a2fe7287/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/7dba07f06ba2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/6b3f59a2ce37/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/eba04cb7c9de/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/d7b4bd757056/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/79d98466fdb5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/50100095806b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/a989d8976293/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/5344ad9d3d70/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/a87dce4cbb28/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/277307f64851/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/588372e52988/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28bb/11293355/f344a2fe7287/gr12.jpg

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