EFFECT OF LOCATION AND BONE GRAFT REMODELING ON RESULTS OF BRISTOW-LATARJET PROCEDURE

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Introduction. Operation Bristow-Latarjet proved itself as one of the most effective and predictable surgical treatments. despite its widespread use, there are various complications associated with improper installation of the bone block and the violation of its remodeling.

Objective: To obtain new data on the effect of location and remodeling of bone graft block on functional outcome and stability of the shoulder joint in patients with recurrent anterior instability after the operation Bristow-latarjet.

Material and methods. The material for the study served as the analysis of results of treatment of 64 patients with posttraumatic recurrent anterior shoulder dislocation who underwent Bristow-latarjet operation. postoperatively, assessed a provision and the degree of bone remodeling unit according to computed tomography in the sagittal, axial slices, and through 3d modeling. To evaluate the functional outcome scale were used western Ontario Shoulder Index (wOSI) and Rowe scale.

Results. At the level of the articular surface (congruent or flattening) in the axial plane were 89% bone blocks, too medially or laterally arranged 9% and 2% grafts, respectively. On sagittal cT images in the middle third of the articular surface of the scapula was located 28% of the bone blocks at the bottom 60%, in the upper third of 12%. Analysis of the dependence of the results of treatment of graft positioning showed that patients with excellent and good summary on the scale WOSI and Rowe, had a correct location of the bone block in the middle and lower third of the articular process of the blade. It can be assumed that excessive lateralized or medialized bone block position in the axial plane of a more profound effect on the outcome than cranial displacement of the latter with the sagittal plane. Bony union of the graft was found by CT in 74% of cases, soft tissue 26%, the degree of resorption of the graft revealed 0-1 84% 2-3 degree in 26% of cases. In the last periods of the investigation summary measure according to the scales WOSI and Rowe after Bristow surgery was 80±5 and 450±50 points, after Latarjet surgery 80±5 and 430±60 points. (p<0,05).

Conclusion. Positioning bone graft block affected the results of operations Bristow-Latarjet. Patients with excellent and good summary on the scale WOSI and Rowe had a correct location of the bone block relative to the articular surface of the scapula. The best overall performance on scales wOSI and Rowe were observed in patients with the fusion of the bone graft and block bone resorption does not exceed 0-1 degree compared with patients having soft tissue fusion and resorption 2-3 degree.

作者简介

D. Malanin

Volgograd State Medical University, Volgograd; Volgograd Medical Scientific Centre, Volgograd

Email: fake@neicon.ru

Malanin Dmitry A. - professor, head of the department of traumatology, orthopedics and field surgery, VSMU; head of laboratory of experimental and clinical orthopedics for VSMU Centre

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A. Tregubov

Volgograd State Medical University, Volgograd; Volgograd Medical Scientific Centre, Volgograd

编辑信件的主要联系方式.
Email: megacargando@gmail.com

Tregubov Andrey S. - traumatologist, senior laboratory assistant of the of traumatology, orthopedics and field surgery VSMU; researcher of VSMU Centre.

Pl. Pavshikh Bortsov, 1, Volgograd, Russia, 400131; e-mail: megacargando@gmail.com

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S. Grunin

Volgograd State Medical University, Volgograd

Email: fake@neicon.ru

Grunin Sergey V. - assistant of the department of traumatology, orthopedics and field surgery

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L. Cherezov

Volgograd State Medical University, Volgograd

Email: fake@neicon.ru

Cherezov Leonid L. - associate professor of the department of traumatology, orthopedics and field surgery

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参考

  1. Гладков Р.В., Рикун О.В., Аверкиев Д.В., Гранкин А.С. Результаты стабилизации плечевого сустава по модифицированной методике Бристоу Латарже с артро-скопическим сопровождением. Травматология и ортопедия России. 2014;2(72):85-92.
  2. Маланин Д.А., Трегубов А.С., Норкин Грунин А.И., С.В., Жуликов А.Л. Операция Bristow-Latarjet: комплексная оценка состояния плечевого сустава и результатов лечения. Вестник ВолгГМУ. 2016;1(57): 68-75.
  3. Тихилов Р.М., Доколин С.Ю., Кузнецов И.А., Трачук А.П., Бурулев А.Л., Михайлова А.М., Захаров К.И. Отдаленные результаты артроскопического лечения рецидивирующей нестабильности плечевого сустава, причины неудачных исходов. Травматология и ортопедия России. 2011;1(59):5-13.
  4. Хоминец В.В., Гранкин А.С., Шаповалов В.М., Аверкиев Д.В., Гладков Р.В. Алгоритм хирургической тактики лечения больных, страдающих хронической передней нестабильностью плечевого сустава. Вестник Российской военно-медицинской академии. 2015;2(50):42-48.
  5. Allain J., Goutallier D., Glorion С. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder./ Bone Joint Surg Am. 1998;(80):841-852.
  6. Baudi P., Righi P., Bolognesi D. et al How to identify and calculate glenoid bone deficit. Chir Organi Mov. 2005;(90):145-152.
  7. Boileau P., Mercier M., Old J. Arthroscopic Bankart-Bristow-Latarjet procedure: how to do it and tricks to make it easier and safe. Orthop Clin North Am. 2010;(41):381-392.
  8. Boileau P., Thulu СU., Mercier N., Ohl X., Houghton-Clemmey R., Carles M., Trojani С. Arthroscopic Bristow-Latarjet combined with bankart repair restores shoulder stability in patients with glenoid bone loss. Clin Orthop Relat Res. 2014;(472):2413-424.
  9. Burkhart S.S., De Beer J.F., Barth J.R., Cresswell T., Roberts С., Richards D.P. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy. 2007;(23):1033-1041.
  10. Buscayret F., Edwards T.B., Szabo I., Adeleine P., Coudane H., Walch G. Glenohumeral arthrosis in anterior instability before and after surgical treatment: incidence and contributing factors. Am J Sports Med.2004;(32):1165-1172.
  11. Butt U., Charalambous C.P. Complications associated with open coracoid transfer procedures for shoulder instability. J Shoulder Elbow Surg. 2012;(21):1110-1119.
  12. Casabianca L., Gerometta A., Massein A. et. al. Graft position and fusion rate following arthroscopic Latarjet. Knee Surg Sports Traumatol Arthrosc. 2016;(24):507-512.
  13. Cassagnaud X., Maynou C., Mestdagh H. Clinical and computed tomography results of 106 Latarjet-Patte procedures at mean 7.5 year follow-up. Rev Chir Orthop Reparatrice ApparMot. 2003;(89): 683-692.
  14. Chuang T.Y., Adams C.R., Burkhart S.S. Use of preoperative three dimensional computed tomography to quantify glenoid bone loss in shoulder instability. Arthroscopy. 2008;(24):376-382.
  15. Di Giacomo G., de Gasperis N., Costantini A., De Vita A., Beccaglia M.A., Pouliart N. Does the presence of glenoid bone loss influence coracoid bone graft osteolysis after the Latarjet procedure? A computed tomography scan study in 2 groups of patients with and without glenoid bone loss. J Shoulder Elbow Surg. 2014;(23):514-518.
  16. Di Giacomo G., Itoi Eiji, Burkhart S.S., Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from «Engaging/Non-Engaging» lesion to «on-track/off-track» lesion. Arthroscopy. 2014;(1):90-98.
  17. Dines J.S., Dodson C.C., McGarry M.H., Oh J.H., Altchek D.W., Lee T.Q. Contribution of osseous and muscular stabilizing effects with the Latarjet procedure for anterior instability without glenoid bone loss. J Shoulder Elbow Surg. 2013;(22):1689-1694.
  18. Giles J.W., Boons H.W., Elkinson I., Faber K.J, Ferreira L.M., Johnson J.A. et al. Does the dynamic sling effect of the Latarjet procedure improve shoulder stability? A biomechanical evaluation. J Shoulder Elbow Surg. 2013;(22):821-827.
  19. Hovelius L., Akermark C., Albrektsson B., Berg E., Korner L., Lundberg B. et al. Bristow-Latarjet procedure for recurrent anterior dislocation of the shoulder. A 2-5 year follow-up study on the results of 112 cases. Acta Orthop Scand. 1983;(54):284-290.
  20. Hovelius L., Sandstrom B., Saebo M., Berg E., Korner L., Lundberg B. et al. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study IIdthe evolution of dislocation arthropathy. J Shoulder Elbow Surg. 2006;(15):279-289.
  21. Hovelius L., Sandstrum B., Olofsson A., Svensson O., Rahme H. The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): long-term follow-up in 319 shoulders. J Shoulder Elbow Surg. 2012;(21): 647-660.
  22. Kany J., Flamand O., Grimberg J. Arthroscopic Latarjet procedure: is optimal positioning of the bone block and screws possible? A prospective computed tomographyscan analysis. J Shoulder Elbow Surg. 2016;(1):69-77.
  23. Kavaja L., Pajarinen J., Sinisaari I., Savolainen V., Bjorkenheim J.M., Haapamaki V. et al. Arthrosis of glenohumeral joint after arthroscopic Bankart repair: a long-term follow-up of 13 years. J Shoulder Elbow Surg. 2012;(21):350-355.
  24. Kraus T.M., Graveleau N., Bohu Y. et al. Coracoid graft positioning in the Latarjet procedure. Knee Surg Sports TraumatolArthrosc. 2016;(24):496-501.
  25. Lafosse L., Boyle S. Arthroscopic Latarjet procedure. J Shoulder Elbow Surg. 2010;(19):2-12.
  26. Mizuno N., Patrick J., Denard P.J., Raiss P., Melis B., Walch G. Longterm results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg. 2014;(23):1691-1699.
  27. Nourissat G., Delaroche C., Bouillet B., Doursounian L., Aim F. Optimization of bone-block positioning in the BristowLatarjet procedure: a biomechanical study. Orthop Traumatol Surg Res. 2014;(100):509-513.
  28. Patte D., Bernageau J., Rodineau J., Gardes J.C. Unstable painful shoulders. Rev Chir Orthop Reparatrice Appar Mot. 1980;(66):157-165.
  29. Shah A.A., Butler B., Romanowski J., Goel D., Karadagli D., Warner J.P. Short-term complications of the Latarjet procedure. J Bone Joint Surg Am. 2012;(94): 495-501.
  30. Wellmann M., Petersen W., Zantop T., Herbort M., Kobbe P., Raschke M.J., Hurschler C. Open shoulder repair of osseous glenoid defects: biomechanical effectiveness of the Latarjet procedure versus a contoured structural bone graft. Am J Sports Med. 2009;(37):87-94.
  31. Yamamoto N., Itoi E., Abe H. et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: A new concept of glenoid track. J Shoulder Elbow Surg. 2007;(16): 649-656.
  32. Zhu Y-M., Jiang C-Y., Lu Y. et al. Coracoid bone graft resorption after Latarjet procedure is underestimated: a new classification system and a clinical review with computed tomography evaluation. J Shoulder Elbow Surg. 2015;(24):1782-1788.

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