使用拉塔杰特技术治疗复发性肩关节前脱位。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2023-02-20 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233101e261896
Eduardo Angeli Malavolta, Jorge Antonio Bastos DE Souza, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Fernando Brandão DE Andrade E Silva, Arnaldo Amado Ferreira
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引用次数: 0

摘要

目的描述接受Latarjet手术的患者在24个月内的功能效果、复发率、术后影像学外观和并发症:方法:回顾性病例系列,包括接受Latarjet手术的复发性外伤性盂肱关节前脱位成人患者。我们在术前、术后6个月、12个月和24个月用Rowe评分对患者进行了临床评估。通过X光平片对移植物的定位、巩固和吸收情况进行了分析。此外,还对复发率和其他并发症进行了描述:我们对 40 名患者(41 个肩关节)进行了分析。Rowe 评分中位数从术前的 25 分上升到术后 24 个月的 95 分(P < 0.001)。我们观察到3例(7.3%)移植物吸收,39例(95.1%)移植物巩固。大多数移植物都能充分置入。我们观察到两例复发(4.8%),一例脱位,一例半脱位。有七名患者(17.1%)的忧虑测试呈阳性。本研究未发现感染、神经瘫痪或移植物断裂病例:结论:Latarjet手术是治疗复发性肩关节前脱位的一种安全有效的方法。结论:Latarjet手术是治疗复发性肩关节前脱位的一种安全有效的方法,根据Rowe评分,该手术可使病情得到明显改善,且复发率较低。证据等级IV,病例系列。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION USING THE LATARJET TECHNIQUE.

TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION USING THE LATARJET TECHNIQUE.

TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION USING THE LATARJET TECHNIQUE.

TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION USING THE LATARJET TECHNIQUE.

Objective: To describe the functional results, recurrence rate, postoperative radiographic appearance, and complications of patients undergoing the Latarjet procedure over 24 months.

Methods: Retrospective case series, including adult patients with recurrent traumatic anterior glenohumeral dislocation undergoing the Latarjet procedure. We clinically evaluated patients preoperatively by the Rowe score and at six, 12, and 24 months after the procedure. The positioning, consolidation, and resorption of the graft were analyzed by plain radiography. The recurrence rates and other complications were also described.

Results: We analyzed 40 patients (41 shoulders). The Rowe score median increased from 25 before surgery to 95 at 24 months after surgery (p < 0.001). We observed graft resorption in three cases (7.3%) and consolidation in 39 (95.1%). Most grafts presented adequate placement. We observed two recurrences (4.8%), one case of dislocation and one of subluxation. Seven patients (17.1%) had a positive apprehension test. The study had no cases of infection, neuropraxia, or graft breakage.

Conclusion: Latarjet surgery is a safe and effective procedure in the treatment of recurrent anterior dislocation of the shoulder. This surgery enables a statistically significant improvement according to the Rowe score, with a low number of recurrences. Level of Evidence IV, Case Series.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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