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关节镜下双侧自体髂嵴植骨术用于修复前肩关节脱位中的大面积双极骨缺损

Arthroscopic Bilateral Autologous Iliac Crest Bone Grafting for Restoring Large Bipolar Bone Loss in Anterior Shoulder Dislocation.

作者信息

Zhu Weihong, Liu Qian, Zhou Ding, He Yuchen, Xu Zhenmu, Xiang Shiqi

机构信息

Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan, PR China.

出版信息

Arthrosc Tech. 2025 May 24;14(8):103652. doi: 10.1016/j.eats.2025.103652. eCollection 2025 Aug.

Abstract

In anterior shoulder dislocation, the bipolar bone defect is a severe condition that could impair the stability of the shoulder joint. The bone-grafting technique is an effective method to restore the glenoid defect. For the large defect on the humeral side, several studies have suggested the addition of remplissage procedure; however, there is no consensus. Thus, we describe a bilateral autologous iliac crest bone grafting for patients with severe bipolar bone defect that creates a native anatomical structure and microenvironment for tissue repair. This technique will provide a reliable choice in addressing anterior shoulder dislocation with severe bipolar bone loss.

摘要

在前肩脱位中,双极骨缺损是一种严重情况,可能会损害肩关节的稳定性。骨移植技术是修复肩胛盂缺损的有效方法。对于肱骨侧的大缺损,多项研究建议增加充填手术;然而,尚未达成共识。因此,我们描述了一种针对严重双极骨缺损患者的双侧自体髂嵴骨移植方法,该方法可为组织修复创造天然的解剖结构和微环境。这项技术将为解决伴有严重双极骨丢失的前肩脱位提供可靠的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759f/12420505/f07b05abddb3/gr1.jpg

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