伴关节盂骨质缺损的复发性肩关节前脱位的全关节镜下Bristow-Latarjet术治疗进展

发布时间：2018-12-31 08:47

【摘要】：肩关节是人体全身关节中活动度最大的关节,其脱位约占全身关节脱位的40%以上,其中前脱位占绝大部分。随着肩关节前脱位频率增加,肩盂前下盂唇的损伤往往会伴有不同程度的骨质缺损。目前针对复发性肩关节前脱位的关节镜下手术治疗方法主要分为两步:关节内稳定手术(Bankart修复术)和关节外稳定手术(Bristow-Latarjet术)。关节镜下Bankart修复术在过去数十年里已经渐渐成熟且不断被外科医生所掌握,而全关节镜下Bristow-Latarjet术学习曲线陡峭,难度系数大,而且在近几年来仍然在不断地改良。虽然该术式逐步取得了与切开手术近似的疗效,甚至在某些方面已经远远优于切开手术,但仍存在不足之处。本文综述近5年来国内外全关节镜下Bristow-Latarjet术的治疗进展,为后续相关研究提供借鉴。
[Abstract]:Shoulder joint is the most active joint in the whole body, and its dislocation accounts for more than 40% of the total dislocation, in which anterior dislocation accounts for most of the dislocation. With the increase of the frequency of anterior dislocation of shoulder joint, the injury of labium glenoid anterior to lower glenoid is often accompanied by bone defect of different degree. At present, arthroscopic surgical treatment for recurrent anterior dislocation of shoulder is divided into two steps: intraarticular stabilization (Bankart) and extraarticular stabilization (Bristow-Latarjet). Arthroscopic Bankart prosthesis has matured and been controlled by surgeons in the past decades, while Bristow-Latarjet under full arthroscopy has a steep learning curve and a large degree of difficulty, and has been continuously improved in recent years. Although the procedure has achieved a similar curative effect to incision, even in some aspects, it is far better than incision, but there are still some shortcomings. This article reviews the treatment progress of total arthroscopy (Bristow-Latarjet) in recent 5 years.
【作者单位】：深圳市第二人民医院;
【基金】：国家自然科学基金项目(No.81672234) 深圳市科技计划项目(GCZX2015043017241191,JCYJ20160226192924528) 广东省自然科学基金(2015A020212001)
【分类号】：R687.4

【相似文献】