Bone block options for treating glenoid bone loss and glenohumeral instability: A systematic review

被引:0
作者
Briggs, Damon, V [1 ]
Hurley, Eoghan T. [2 ]
Warren Jr, Eric [1 ]
Amanah, Alaowei Y. [1 ]
Levin, Jay M. [2 ]
Lau, Brian C. [2 ]
Dickens, Jonathan F. [2 ]
Klifto, Christopher S. [2 ]
Anakwenze, Oke [2 ]
机构
[1] Duke Univ, Sch Med, 40 Duke Med Circle,124 Davison Bldg, Durham, NC 27710 USA
[2] Duke Univ Hosp, Dept Orthopaed Surg, Durham, NC USA
关键词
Bone grafts; glenoid bone loss; Latarjet; glenoid restoration; shoulder instability; systematic review; SHORT-TERM COMPLICATIONS; DONOR-SITE MORBIDITY; LATARJET PROCEDURE; SHOULDER STABILITY; CONTACT PRESSURES; DISTAL CLAVICLE; RECONSTRUCTION; DEFECTS; ALLOGRAFT; GRAFT;
D O I
10.1177/17585732241293763
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions. Methods: Systematic examination of articles in PubMed and EMBASE databases was performed per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to find studies of bone grafts for treating anterior glenohumeral instability. Statistical analyses were conducted via Review Manager, and a p-value of <0.05 was statistically significant. Results: Our review included 25 studies evaluating 870 shoulders. Traditional arc Latarjet (TL) had more depth than congruent arc Latarjet (CAL; p = 0.003). The coronal radii of curvature of TL, CAL, distal tibia, and iliac crest bone blocks were similar to native glenoid (p = 0.400, 0.817, 0.467, 0.216, respectively). CAL coracoid bone blocks restored significantly more glenoid surface area (30.3%) than TL bone blocks (p = 0.012). The glenoid width and surface area restoration by distal clavicle bone blocks were equivalent to TL (p = 0.058 and p = 0.103, respectively). Discussion: The CAL technique restored higher percentages of glenoid surface area than TL but has less depth, which may increase fracture risk during screw insertion. The distal clavicle bone block is a suitable substitute to TL as it was equivalent regarding glenoid width and surface area restoration.
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页数:11
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