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首页> 外文期刊>Open Journal of Urology >Intraoperative Findings and Outcome of Latarjet Procedure
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Intraoperative Findings and Outcome of Latarjet Procedure

机译：Latarjet手术的术中发现和结果

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Background: The purpose of this case series was to retrospectively compare radiological, clinical and functional outcomes and complications of diagnostic arthroscopy with open Latarjet procedures pre- and postoperatively within one year after surgery. Additionally we compared the pathologic findings during diagnostic arthroscopy with the radiological findings in preoperative contrast enhanced CT or MRI scans. Methods: Between 07/2009 and 11/2013 46 cases with unidirectional antero-inferior shoulder instability were enrolled, 4 cases were lost during the follow-up within one year postoperatively. Plain radiographs, contrast enhanced multislice studies, Instability Severity Index, Constant, Duplay and Rowe Scores were obtained preoperatively. Diagnostic arthroscopy was performed in all cases prior to open Latarjet procedure. At one year follow-up Constant, Duplay and Rowe Scores were obtained; position and consolidation of the coracoid transfer were assessed by conventional x-ray studies. Results: At one year follow-up a significant improvement of all scores was recorded (Constant Score 95.8 vs. 86.7; Duplay Score 93.7 vs. 25.2, Rowe Score 98.1 vs. 31.7, (p < 0.001)). During arthroscopy 28 of 42 Hill-Sachs-lesions were considered as engaging. 8 HAGL (humeral avulsions of the gleno-humeral ligaments) and 4 IGHL (inferior gleno-humeral ligaments) lesions were detected of which none were suggested during the preoperative radiological investigation. Complications observed were: screw migration (5), hematoma (1), infection (1) and recurrence (1). Conclusion: The Latarjet procedure is a reliable technique with very good clinical outcomes. Diagnostic arthroscopy is a valuable tool to detect HAGL- and IGHL-lesions and to visualize the engaging potential of Hill-Sachs-lesions. An additional arthroscopy may help to indicate a Latarjet procedure and to address concomitant pathologies. Level of evidence: Level IV, case series.
机译：背景：本病例系列的目的是回顾性比较手术后一年内和手术前和术后开放性Latarjet手术的影像学，临床和功能结局以及诊断性关节镜的并发症。此外，我们将诊断性关节镜检查期间的病理发现与术前对比增强CT或MRI扫描中的放射学发现进行了比较。方法：在07/2009至11/2013年间，纳入46例单向性前-下肩关节不稳患者，术后一年内随访中丢失4例。术前获得X线平片，对比增强的多层研究，不稳定度指数，常数，Duplay和Rowe评分。在开放的Latarjet手术之前，在所有情况下均进行了诊断性关节镜检查。在一年的随访中，获得了Constant，Duplay和Rowe评分。通过常规X射线研究评估了喙突转移的位置和巩固。结果：在一年的随访中，所有得分均得到了显着改善（恒定得分95.8 vs. 86.7; Duplay得分93.7 vs. 25.2，Rowe得分98.1 vs. 31.7，（p <0.001））。在关节镜检查中，有42个Hill-Sachs病变中有28个被认为具有吸引力。术前影像学检查发现8例HAGL（盂肱韧带肱骨撕脱）和4 IGHL（下颌盂肱韧带）损伤。观察到的并发症包括：螺钉移位（5），血肿（1），感染（1）和复发（1）。结论：Latarjet手术是一种可靠的技术，具有很好的临床效果。诊断性关节镜检查是检测HAGL和IGHL病变并可视化Hill-Sachs病变的潜在潜力的宝贵工具。额外的关节镜检查可能有助于指示Latarjet手术并解决伴随的病理问题。证据级别：第四级，案件系列。

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