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关节镜下骨增强的当前证据和技术。

Current Evidence and Techniques for Arthroscopic Bone Augmentation.

机构信息

Division of Orthopaedics, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Division of Orthopaedics, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

Clin Sports Med. 2024 Oct;43(4):661-682. doi: 10.1016/j.csm.2024.03.023. Epub 2024 Apr 24.

Abstract

The indications for bone block augmentation of the glenoid following recurrent anterior shoulder instability are expanding. Arthroscopic anatomic glenoid reconstruction (AAGR) is an evolving technique with similar clinical results to the Latarjet procedure and other open bone block procedures. Multiple types of bone grafts and fixation techniques have been described, with varying results on bony integration, resorption, articular congruity, and recurrence rates. This review focuses on biomechanics, patient workup, indications, current evidence, and the authors' preferred surgical technique for AAGR.

摘要

肩盂骨块增强术在复发性肩关节前向不稳定中的适应证在不断扩大。关节镜下解剖性肩盂重建术(AAGR)是一种不断发展的技术,其临床结果与 Latarjet 手术和其他开放式骨块手术相似。已经描述了多种类型的移植物和固定技术,其在骨整合、吸收、关节吻合度和复发率方面的结果也各不相同。本文综述了 AAGR 的生物力学、患者评估、适应证、现有证据以及作者首选的手术技术。

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