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用于复发性肩关节脱位的喙突转移术。布里斯托-拉塔热手术的技术要点。

The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow-Latarjet procedure.

作者信息

Hovelius L, Körner L, Lundberg B, Akermark C, Herberts P, Wredmark T, Berg E

出版信息

J Bone Joint Surg Am. 1983 Sep;65(7):926-34.

PMID:6885873
Abstract

One hundred and twelve shoulders with recurrent anterior dislocation were treated with the Bristow-Latarjet procedure and had a two to five-year follow-up after surgery. The incidence of redislocation was 6 per cent, and an additional 7 per cent of the patients reported occasional subluxation. In 106 shoulders, a radiographic study was carried out in order to determine the importance of factors such as healing and position of the transferred coracoid process with regard to the postoperative clinical results. No redislocation or subluxation occurred in the forty patients in whom the transplant showed osseous or fibrous union at the scapula and was located inferior to the equator of the glenoid and less than one centimeter medial to its rim. In shoulders in which either the transplant had migrated more than 1.5 centimeters from that position or was placed one centimeter or more medial to the glenoid rim, the incidence of redislocation or subluxation was significantly increased.

摘要

112例复发性肩关节前脱位患者接受了布里斯托-拉塔热手术治疗,并在术后进行了2至5年的随访。再脱位发生率为6%,另有7%的患者报告偶尔出现半脱位。对106例肩部进行了影像学研究,以确定诸如移植的喙突愈合情况和位置等因素对术后临床结果的重要性。在40例移植在肩胛处显示骨或纤维愈合且位于肩胛盂赤道下方且距其边缘内侧小于1厘米的患者中,未发生再脱位或半脱位。在移植从该位置迁移超过1.5厘米或放置在肩胛盂边缘内侧1厘米或更多的肩部,再脱位或半脱位的发生率显著增加。

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