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将采用缝线纽扣固定的失败关节镜解剖学肩胛盂重建翻修为采用螺钉固定的关节镜解剖学肩胛盂重建。

Revision of Failed Arthroscopic Anatomic Glenoid Reconstruction Fixed With Suture Button to Arthroscopic Anatomic Glenoid Reconstruction Fixed With Screw Fixation.

作者信息

Alkhateeb Jawaher, Sherazadishvili Lasha, Licht Felicia, Coady Cathy, Wong Ivan

机构信息

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

Department of Orthopaedic Surgery, Nova Scotia Health, Halifax, Canada.

出版信息

Arthrosc Tech. 2025 Jan 31;14(5):103439. doi: 10.1016/j.eats.2025.103439. eCollection 2025 May.

DOI:10.1016/j.eats.2025.103439
PMID:40548013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12177466/
Abstract

Arthroscopic anatomic glenoid reconstruction (AAGR) is an evolving technique for addressing recurrent anterior glenohumeral instability. Despite advances from the original surgical technique, the use of button fixation has raised considerable concerns because of higher rates of clinical failure, necessitating revision procedures. This article describes revision of AAGR using screw fixation after failed primary AAGR with button fixation. We outline a stepwise approach to guide the decision-making process and identify perioperative technical challenges in revising a previously reconstructed glenoid.

摘要

关节镜下解剖型肩胛盂重建术（AAGR）是一种用于治疗复发性肩肱关节前脱位的不断发展的技术。尽管原始手术技术有所进步，但纽扣固定的使用因临床失败率较高而引发了相当大的担忧，这就需要进行翻修手术。本文描述了在初次AAGR使用纽扣固定失败后采用螺钉固定进行AAGR翻修的情况。我们概述了一种逐步的方法来指导决策过程，并确定翻修先前重建的肩胛盂时的围手术期技术挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/2d8e853cb37c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/d93395e958fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/5256f94560f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/0eba30791bed/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/b4cf16495ebc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/f1c6e1f61411/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/9b3eb12d1011/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/476fb62c8bcb/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/2d8e853cb37c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/d93395e958fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/5256f94560f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/0eba30791bed/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/b4cf16495ebc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/f1c6e1f61411/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/9b3eb12d1011/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/476fb62c8bcb/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b749/12177466/2d8e853cb37c/gr8.jpg

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本文引用的文献

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Bone Joint J. 2024 Oct 1;106-B(10):1100-1110. doi: 10.1302/0301-620X.106B10.BJJ-2024-0501.R1.
2
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J Shoulder Elbow Surg. 2024 Dec;33(12):2867-2877. doi: 10.1016/j.jse.2024.04.005. Epub 2024 May 31.
3
Recurrent Instability after the Latarjet Procedure.
Latarjet 手术后复发性不稳定
J Am Acad Orthop Surg Glob Res Rev. 2023 Nov 27;7(12). doi: 10.5435/JAAOSGlobal-D-23-00205. eCollection 2023 Dec 1.
4
A Systematic Review of Screw and Suture Button Glenoid Augmentation Constructs.肩盂增强螺钉及缝合纽扣装置的系统评价
Orthop J Sports Med. 2023 Oct 12;11(10):23259671231186429. doi: 10.1177/23259671231186429. eCollection 2023 Oct.
5
A biomechanical analysis of double-screw, double-button, and screw-button fixation constructs in patient-specific instrument-guided Latarjet procedure.患者特异性导向 Latarjet 手术中双螺钉、双按钮和螺钉-按钮固定结构的生物力学分析。
J Shoulder Elbow Surg. 2023 Jul;32(7):1370-1379. doi: 10.1016/j.jse.2023.02.117. Epub 2023 Mar 10.
6
Arthroscopic Anatomic Glenoid Reconstruction Hardware Removal.关节镜下解剖型肩胛盂重建硬件取出术
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