Lajoinie Louis, Garret Jérôme, van Rooij Floris, Saffarini Mo, Godenèche Arnaud
Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, Ramsay Santé, Lyon, France.
Clinique du Parc Groupe Elsan, Lyon, France.
J Shoulder Elb Arthroplast. 2024 Oct 22;8:24715492241292857. doi: 10.1177/24715492241292857. eCollection 2024.
To assess the clinical and radiographic outcomes, at a minimum follow-up of 4 years, following HSA using pyrocarbon in patients that had prior open Latarjet.
The authors retrieved the records of 61 consecutive patients that underwent HSA with a pyrocarbon humeral head at 2 centers between December 2013 and October 2019. Eight patients (9 shoulders) had undergone previous Latarjet procedures without other surgical antecedents. Patients underwent radiological assessment, and clinical assessment including Constant score, Subjective Shoulder Value (SSV), and pain on VAS. Finally, range of motion was assessed, including active forward elevation and external rotation.
The initial cohort of 9 shoulders, comprised 1 woman and 7 men (1 bilateral), aged 52.5 ± 5.2 at their index HSA, which was performed 27.7 ± 9.3 years following their prior Latarjet procedure. One shoulder required conversion to reverse shoulder arthroplasty, 3 years after HSA. The remaining 8 shoulders were assessed at 6.1 ± 1.6 years (range, 4-8) after the index HSA. Glenoid erosion only progressed in 1 shoulder from mild to moderate. The Constant score was 79.6 ± 12.7, pain on VAS was 1.0 ± 2.1, and SSV was 80.0 ± 25.6. The active forward elevation improved from 96°±41° to 151°±29°, and external rotation from 11°±17° to 32°±8°.
Patients that underwent HSA using pyrocarbon heads following prior Latarjet had satisfactory clinical scores, and glenoid erosion only progressed in 1 patient. Furthermore, only 1 patient required conversion to RSA. The clinical relevance is that HSA using pyrocarbon heads is a safe treatment and grants satisfactory clinical outcomes in patients with prior Latarjet.
Level III, retrospective comparative study.
评估在接受过开放性Latarjet手术的患者中，使用热解碳进行半肩关节置换术（HSA）后至少4年的临床和影像学结果。
作者检索了2013年12月至2019年10月期间在2个中心接受热解碳肱骨头HSA的61例连续患者的记录。8例患者（9个肩关节）曾接受过Latarjet手术，无其他手术史。患者接受了放射学评估和临床评估，包括Constant评分、主观肩关节评分（SSV）和视觉模拟量表（VAS）疼痛评分。最后，评估了活动范围，包括主动前屈和外旋。
最初的9个肩关节队列中，包括1名女性和7名男性（1例双侧），初次HSA时年龄为52.5±5.2岁，在先前的Latarjet手术后27.7±9.3年进行。1个肩关节在HSA后3年需要转换为反肩关节置换术。其余8个肩关节在初次HSA后6.1±1.6年（范围4 - 8年）进行评估。仅1个肩关节的肩胛盂侵蚀从轻度进展为中度。Constant评分为79.6±12.7，VAS疼痛评分为1.0±2.1，SSV为80.0±25.6。主动前屈从96°±41°改善到151°±29°，外旋从11°±17°改善到32°±8°。
先前接受过Latarjet手术的患者使用热解碳肱骨头进行HSA后，临床评分令人满意，仅1例患者出现肩胛盂侵蚀进展。此外，仅1例患者需要转换为反肩关节置换术。临床意义在于，使用热解碳肱骨头的HSA是一种安全的治疗方法，对于先前接受过Latarjet手术的患者可获得满意的临床结果。
III级，回顾性比较研究。
