Cuistow: Chinese Unique Inlay Bristow

医学 珊瑚 喙突 外科 射线照相术 肘部 Latarjet程序 矢状面 镶嵌 放射科 肩胛骨 牙科
作者
Lin Lin,Min Zhang,Qingfa Song,Xu Cheng,Zhenxing Shao,Hui Yan,Guoqing Cui
出处
期刊:Journal of Bone and Joint Surgery, American Volume [Wolters Kluwer]
卷期号:103 (1): 15-22 被引量:21
标识
DOI:10.2106/jbjs.20.00382
摘要

Background: The prevalence of nonunion after the Latarjet procedure remains high. The purpose of the present study was to investigate healing and clinical outcomes after a novel arthroscopic coracoid process transfer procedure. Methods: Sixty-three patients who underwent the arthroscopic inlay Bristow procedure combined with Bankart repair were identified, and 51 patients who met the inclusion criteria were enrolled in this study. The key feature of this technique was that the coracoid process was trimmed and fixed into a trough (5 to 10 mm deep) in the glenoid neck with a metal screw. Bone graft union and positioning accuracy were assessed with use of postoperative computed tomography (CT) imaging. Clinical examinations, return to sport, and functional scores (American Shoulder and Elbow Surgeons [ASES] and Rowe scores) were recorded. Results: The mean duration of follow-up (and standard deviation) was 41.5 ± 7.7 months (range, 36 to 48 months). Postoperative CT scans showed that the position of coracoid graft was at 4:10 (from 3:50 to 5:00) (referencing the right shoulder) in the sagittal view. The α angle was 16.4° ± 9.5°, with 4 (7.8%) of 51 screws being over-angulated (α > 25°). On the axial view, the graft position was considered to be flush in 33 patients (64.7%), medial in 11 (21.6%), congruent in 7 (13.7%), and lateral or too medial in none. At 1 year, the coracoid graft had healed in 49 patients (96.1%) and had failed to unite in 2 patients. CT scanning, performed for 47 patients, showed grade-0 osteolysis in 9 patients, grade-1 osteolysis in 21 patients, and grade-2 osteolysis in 17 patients. At the time of the latest follow-up, there was a significant increase in the Rowe score (from 35.5 ± 8.3 to 95.7 ± 7.2) and the ASES score (from 71.2 ± 9.7 to 91.5 ± 4.4), and 87.0% of patients were able to return to sport. No arthropathy was observed in any patient. Conclusions: After a minimum 3-year follow-up, the arthroscopic inlay Bristow procedure resulted in a high rate of graft healing, excellent clinical outcomes, and a high rate of return to sports. Level of Evidence: Therapeutic Level IV . See Instructions for Authors for a complete description of levels of evidence.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
wang完成签到,获得积分10
刚刚
1秒前
Catherkk发布了新的文献求助10
1秒前
lcdamoy完成签到,获得积分10
2秒前
钱浩然发布了新的文献求助10
2秒前
烊烊发布了新的文献求助10
3秒前
十曰完成签到,获得积分10
8秒前
jjjjchou完成签到,获得积分10
9秒前
虚心的不二完成签到 ,获得积分10
11秒前
xuzj应助科研通管家采纳,获得10
12秒前
小马甲应助科研通管家采纳,获得10
12秒前
12秒前
思源应助科研通管家采纳,获得10
12秒前
12秒前
研友_VZG7GZ应助科研通管家采纳,获得10
12秒前
fang应助科研通管家采纳,获得10
12秒前
隐形曼青应助科研通管家采纳,获得10
12秒前
科研通AI5应助科研通管家采纳,获得10
12秒前
FashionBoy应助科研通管家采纳,获得10
12秒前
shiizii应助科研通管家采纳,获得10
12秒前
14秒前
火星上的雨莲完成签到,获得积分10
18秒前
开朗的绮山发布了新的文献求助150
18秒前
平淡远山发布了新的文献求助10
19秒前
热心市民小红花应助Roman采纳,获得10
20秒前
艺术家完成签到 ,获得积分10
21秒前
研友_ngqjz8完成签到,获得积分10
22秒前
LT完成签到 ,获得积分0
23秒前
优秀的dd完成签到 ,获得积分10
24秒前
JamesPei应助八月宁静采纳,获得10
24秒前
www完成签到 ,获得积分10
26秒前
自由如天完成签到,获得积分10
26秒前
轻松白桃给轻松白桃的求助进行了留言
27秒前
热心市民小红花应助Roman采纳,获得10
28秒前
简单的元珊完成签到,获得积分10
29秒前
wanci应助饮汽水采纳,获得10
30秒前
量子星尘发布了新的文献求助10
30秒前
成就映秋完成签到,获得积分10
30秒前
cherrychou完成签到,获得积分10
32秒前
不要引力完成签到,获得积分10
33秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038235
求助须知:如何正确求助?哪些是违规求助? 3575992
关于积分的说明 11374009
捐赠科研通 3305760
什么是DOI,文献DOI怎么找? 1819276
邀请新用户注册赠送积分活动 892662
科研通“疑难数据库(出版商)”最低求助积分说明 815022