B1 Vertaisarvioimaton kirjoitus tieteellisessä lehdessä

Arthroscopy-Assisted Latarjet Procedure With Coracoid Exteriorization




TekijätRanne Juha O., Kainonen Terho U.

KustantajaELSEVIER

Julkaisuvuosi2021

JournalArthroscopy Techniques

Tietokannassa oleva lehden nimiARTHROSCOPY TECHNIQUES

Lehden akronyymiARTHROSC TEC

Vuosikerta10

Numero10

AloitussivuE2383

LopetussivuE2388

Sivujen määrä6

ISSN2212-6287

DOIhttps://doi.org/10.1016/j.eats.2021.07.016

Verkko-osoitehttps://www.sciencedirect.com/science/article/pii/S221262872100205X?via%3Dihub

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/67712201


Tiivistelmä
The Latarjet procedure is a method for treating complicated glenohumeral joint dislocation that is often associated with a bone defect in the anterior glenoid. The Latarjet procedure addresses both soft-tissue and bone deficiencies by creating a biceps tendon sling and through bone reconstruction of the anterior glenoid defect. The arthroscopic Latarjet procedure provides good visual control in the structures and eliminates the need for an arthrotomy. We present an arthroscopy-assisted Latarjet technique where the coracoid is temporarily exteriorized to facilitate shaping and preparation for subsequent fixation to the glenoid. Coracoid debridement, anterior glenoid preparation, and the subscapular split are conducted arthroscopically. Cutting the coracoid process is also conducted under arthroscopic control, and the coracoid is exposed through the anteroinferior portal. Once the coracoid is openly shaped and the drill-holes are made, the coracoid is resituated and fixed to the glenoid edge in arthroscopic visual control. The purpose of this technique is to combine favorable elements of the open and arthroscopic procedures. Additionally, the instrumentation is simple, which makes the operation safe and practical to perform.

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