Latarjet手术失败原因与翻修方案  

The causes of Latarjet surgery failure and the revision surgeries

作　　者：孙友强 危志华 向孝兵 SUN Youqiang;WEI Zhihua;XIANG Xiaobing(Institute of Sports Medicine,First Afiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong,510405,P.R.China;Guangzhou University of Chinese Medicine,Guangzhou Guangdong,510405,P.R.China)

机构地区：[1]广州中医药大学第一附属医院运动医学科,广州510405 [2]广州中医药大学,广州510405

出　　处：《中国修复重建外科杂志》2021年第2期246-251,共6页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：广东省中医药管理局项目(20201112);广州中医药大学第一附属医院创新强院青年基金(2019QN12)。

摘　　要：目的对Latarjet手术失败原因与各种翻修方案进行综述,以期为Latarjet手术失败翻修方案选择提供参考。方法广泛查阅国内外与Latarjet手术失败原因与翻修方案相关的文献,并进行总结分析。结果Latarjet手术在临床广泛应用于肩关节复发性前脱位伴关节盂前下方骨缺损的治疗,尤其适用于累及25%以上的关节盂骨缺损。其失败原因主要为植骨不愈合、骨吸收、移植物错位、创伤或移植物骨折等。翻修方案多样化,尚无统一、标准方案。较常用的方案包括切开髂骨瓣移植、镜下Eden-Hybinette手术、软组织重建、切开及关节镜下骨移植等。各翻修方案的差异主要体现在移植物、并发症及其成本等方面。结论Latarjet手术操作难度大,对术者技术要求高,需要不断改进手术技术,以减少Latarjet手术及其翻修术相关并发症的发生。Objective To review the causes of Latarjet surgery failure and various revision surgeries, in order to provide the reference for the revision of treatment options for Latarjet surgery failure. Methods Literature on the causes of Latarjet surgery failure and revision surgeries was extensively reviewed and analyzed. Results Latarjet surgery is widely used in clinical practice for recurrent anterior dislocation of shoulder with glenoid defects, especially for the defects of more than 25%. The main reasons for its failure are ununion, bone resorption, graft dislocation, trauma, and graft fracture, etc. The revision surgeries are diverse, the standard treatment has not yet been formed. The revision surgeries include open iliac bone grafting, microscopic Eden-Hybinette surgery, soft tissue reconstruction, open or arthroscopic bone grafting, etc. The differences among the revisions are mainly reflected in grafts, complications, and their costs.Conclusion Latarjet surgery is difficult to operate and requires high technical requirements for the surgeons. It is necessary to continuously improve the surgical technology to reduce the complications related to Latarjet surgery and its revision surgery.

关 键 词：Latarjet手术 肩关节复发性前脱位 关节盂骨缺损 失败原因 翻修方案 

分 类 号：R687.4[医药卫生—骨科学]