Open augmentation of glenoid bone defects in anterior instability. The Latarjet procedure and variations

被引:0
|
作者
Walch, G. [1 ]
Loew, M. [2 ]
机构
[1] Clin St Anne Lumiere, Lyon, France
[2] ATOS Klin Heidelberg, Zentrum Schulter & Ellenbogenchirurg, Bismarckstr 9-15, D-69115 Heidelberg, Germany
关键词
Shoulder instability; Bone block; Glenoid; Latarjet; Coracoid transfer;
D O I
10.1007/s11678-011-0147-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The Latarjet procedure is effective in treating anterior instability by providing a "triple blocking" mechanism. Performing the procedure via a subscapularis splitting technique prevents muscle scarring or rupture and loss of external rotation. Stable fixation of the coracoid with two screws in the lying position is recommended to maximize bony union. Suturing the capsular flap to the stump of coraco-acromial ligament with the arm in external rotation allows immediate rehabilitation exercises in external rotation. A precise surgical technique is essential to avoid complications.
引用
收藏
页码:104 / 110
页数:7
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