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反式肩关节置换术后肩胛冈骨折的双钢板联合腓骨移植强化固定

Double Plating With Fibular Allograft Reinforcement of Scapular Spine Fracture After Reverse Shoulder Arthroplasty.

作者信息

Lädermann Alexandre, Zbinden Jeanni, Elsenbsy Alaa, Nayak Sumanth, Guizzi Alberto, Collin Philippe

机构信息

Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.

Faculty of Medicine, University of Geneva, Geneva, Switzerland.

出版信息

Arthrosc Tech. 2024 Jun 17;13(9):103050. doi: 10.1016/j.eats.2024.103050. eCollection 2024 Sep.

DOI:10.1016/j.eats.2024.103050
PMID:39308582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11411351/
Abstract

Scapular spine fractures following reverse shoulder arthroplasty have been associated with complications that include nonunion and fixation failure. This Technical Note presents a surgical approach for enhancing the stability and strength of spine fracture osteosynthesis. The method involves the utilization of double plating in conjunction with fibular allograft reinforcement anchored in the supraspinous fossa to provide support under the acromion. The allograft, offering an enhanced structural integrity, may contribute to an improved rate of bone fusion and clinical outcomes without donor site morbidity.

摘要

反肩关节置换术后肩胛冈骨折与包括骨不连和固定失败在内的并发症相关。本技术说明介绍了一种增强肩胛冈骨折骨固定稳定性和强度的手术方法。该方法包括使用双钢板并结合锚定在冈上窝的腓骨同种异体骨增强物，以在肩峰下提供支撑。这种同种异体骨具有更高的结构完整性，可能有助于提高骨融合率和临床疗效，且无供区并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/4a55f799b913/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/4a977f41f3c1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/7c23b0a1506a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/86af9cfa7754/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/e27d796dbe16/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/9118c212df8b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/ee5b9414bc9c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/beb422961506/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/06e300a7321b/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/9dea79f2068a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/9b3c70511591/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/4a55f799b913/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/4a977f41f3c1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/7c23b0a1506a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/86af9cfa7754/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/e27d796dbe16/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/9118c212df8b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/ee5b9414bc9c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/beb422961506/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/06e300a7321b/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/9dea79f2068a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/9b3c70511591/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f226/11411351/4a55f799b913/gr11.jpg

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本文引用的文献

1
Clinical results of conservative versus operative treatment of acromial and scapular spine fractures following reverse total shoulder arthroplasty.反式全肩关节置换术后肩峰和肩胛冈骨折保守治疗与手术治疗的临床结果
J Shoulder Elbow Surg. 2022 Oct;31(10):2076-2081. doi: 10.1016/j.jse.2022.03.005. Epub 2022 Apr 18.
2
Acromion and Scapular Spine Fractures Following Reverse Total Shoulder Arthroplasty.反式全肩关节置换术后肩峰和肩胛脊柱骨折。
Orthop Clin North Am. 2021 Jul;52(3):257-268. doi: 10.1016/j.ocl.2021.03.006. Epub 2021 May 7.
3
Double plating is associated with higher fixation strength than single plating in osteoporotic fractures of the scapular spine: a biomechanical study.
双钢板固定比单钢板固定在治疗骨质疏松性肩胛脊柱骨折时具有更高的固定强度：一项生物力学研究。
Arch Orthop Trauma Surg. 2022 Aug;142(8):1859-1864. doi: 10.1007/s00402-021-03879-z. Epub 2021 Apr 12.
4
Comparing internal fixation constructs for scapular spine insufficiency fractures following reverse shoulder arthroplasty.比较反肩关节置换术后肩胛脊柱骨不足骨折的内固定结构。
J Shoulder Elbow Surg. 2021 Jan;30(1):172-177. doi: 10.1016/j.jse.2020.04.051. Epub 2020 Jun 9.
5
The risk of postoperative scapular spine fracture following reverse shoulder arthroplasty is increased with an onlay humeral stem.使用肱骨表面植入式假体进行反肩关节置换术后，肩胛冈骨折的风险会增加。
J Shoulder Elbow Surg. 2020 Dec;29(12):2556-2563. doi: 10.1016/j.jse.2020.03.036. Epub 2020 Jun 9.
6
Acromial Fractures Following Reverse Total Shoulder Arthroplasty: A Cohort Controlled Analysis.反式全肩关节置换术后肩峰骨折：一项队列对照分析
Orthopedics. 2020 Jan 1;43(1):15-22. doi: 10.3928/01477447-20191031-03. Epub 2019 Nov 8.
7
Compliance with wearing an abduction brace after arthroscopic rotator cuff repair: A prospective, sensor-controlled study.关节镜下肩袖修复术后外展支具佩戴的依从性：一项前瞻性、传感器控制研究。
Prosthet Orthot Int. 2019 Aug;43(4):440-446. doi: 10.1177/0309364619837794. Epub 2019 Mar 21.
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Grammont Award 2018: Scapular fractures in reverse shoulder arthroplasty (Grammont style): prevalence, functional, and radiographic results with minimum 5-year follow-up.2018 年 Grammont 奖：反向肩关节置换术中肩胛骨骨折（Grammont 式）：最低 5 年随访的患病率、功能和影像学结果。
J Shoulder Elbow Surg. 2019 Feb;28(2):260-267. doi: 10.1016/j.jse.2018.07.004. Epub 2018 Sep 18.
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Increased scapular spine fractures after reverse shoulder arthroplasty with a humeral onlay short stem: an analysis of 485 consecutive cases.反肩关节置换术后肩胛骨脊柱骨折增加：485 例连续病例分析。
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Int Orthop. 2015 Nov;39(11):2205-13. doi: 10.1007/s00264-015-2984-3. Epub 2015 Sep 18.