北京大学学报（医学版）Issue(2)：321-325,5.DOI:10.3969/j.issn.1671-167X.2015.02.026
改良关节镜下喙突移位 Latarjet 手术治疗肩关节前方不稳定
Modified arthroscopic Latarjet procedure for the treatment of anterior shoulder insta-bility
摘要
Abstract
Objective:To present the surgical technique and to evaluate the results of the modified ar-throscopic Latarjet procedure.Methods: Arthroscopic Latarjet procedure has proven to be a reliable method of treatment for difficult anteroinferior instability of the shoulder joint.However, there is no ante-rior capsule reattachment and too much subscapularis damage for the classic procedure.From February 2013 , we modified the classic procedure with reattachment of anterior joint capsule and muscle-tendon junction splitting of subscapularis.Coracoid graft position was evaluated using CT scanning.Results:From March 2012 to August 2014, 51 modified Latarjet procedures were successfully performed arthro-scopically for patients with anterior shoulder instability.According to the CT scanning at the final follow up, the graft was flush with the glenoid in 94.1%, and medially placed in 5.9%.Vertical positioning was perfect in 96.0%(2 to 5 o’clock), too high in 2.0%, and too low in 2.0%.There were no cases of recurrent dislocation or subluxation.Conclusion: The modified arthroscopic Latarjet procedure has shown satisfactory results with good graft positioning.It is a minimal invasive and accurate approach, which combines the advantages of the open procedure.关键词
肩关节/关节不稳定性/关节镜检查Key words
Shoulder joint/Joint instability/Arthroscopy分类
医药卫生引用本文复制引用
吴关,姜春岩,鲁谊,朱以明,李奉龙,李旭..改良关节镜下喙突移位 Latarjet 手术治疗肩关节前方不稳定[J].北京大学学报（医学版）,2015,(2):321-325,5.基金项目
北京市科学技术委员会课题（Z141107002514001）和北京市自然科学基金项目（7142074）资助Supported by Foundation of Appli-cation of Capital Clinical Characteristics （Z141107002514001）， and Beijing Natural Science Foundation （）
