LUtarjet-limit unique coracoid osteotomy Latarjet(With video)  

作　　者：Zhenhan Deng Zeling Long Wei Lu 

机构地区：[1]Department of Sports Medicine,The First Affiliated Hospital of Shenzhen University,Shenzhen Second People’s Hospital,Shenzhen,Guangdong,518035,China

出　　处：《Burns & Trauma》2022年第1期504-512,共9页烧伤与创伤（英文）

基　　金：supported by the National Natural Science Foundation of China(81902303);Guangdong Basic and Applied Basic Research Foundation(2021A1515220030,2020A151501048);Shenzhen Science and Technology Program(RCYX20210609103902019,RCBS20200714114856299,JCYJ20190806164216661);Clinical Research Project of Shenzhen Second People’s Hospital(20203357028,20213357011,20203357034,GK202203008).

摘　　要：Background:The Latarjet procedure is an effective technique for the treatment of recurrent anterior shoulder dislocation with glenoid bone loss.However,the inevitable destruction of the coracoacromial arch may result in humeral head translation.The aim of the study is to introduce a modified Latarjet technique with coracoacromial arch preservation as well as its short term clinical outcomes.Methods:We propose a novel individualized flexible arthroscopic suture button fixation Latarjet technique called‘LUtarjet’with video.Precise measurements of the coracoid process,glenoid deficiency and osteotomy plane were made preoperatively.Only three arthroscopic portals were needed and limit unique coracoid osteotomy was performed with coracoacromial arch preser-vation.The mini window splitting of the subscapularis was performed from the posterior to the anterior direction and the split window was as small as 8-10 mm in length.Results:A total of 27 patients(25.6±5.4 years)were included in the study.The average surgical durationwas 55.6±6.3 min and the mean follow-up timewas 8.1±1.5 months.The functional score was significantly improved at the last follow-up.Radiologic evidence showed that the bone graft healing was placed in the desired position.No complications were found.Conclusions:We present a fast,easy,accurate,safe arthroscopic‘LUtarjet’technique called FEAST that can simplify the arthroscopic Latarjet process and achieve a satisfactory bone graft position and satisfactory short-term clinical outcomes.Level of evidence:IV,case series.

关 键 词：LATARJET Recurrent anterior shoulder dislocation Glenoid bone loss Suture button fixation Coracoacromial archBackground 

分 类 号：R515.3[医药卫生—内科学]