Coracoid bone block fixation with cortical buttons: An alternative to screw fixation?

被引:69
作者
Gendre, P. [1 ]
Thelu, C. -E. [2 ]
d'Ollonne, T. [1 ]
Trojani, C. [1 ]
Gonzalez, J. -F. [1 ]
Boileau, P. [1 ]
机构
[1] Hop Pasteur 2, Inst Univ Locomoteur & Sport, 30 Voie Romaine CS 51069, F-06001 Nice 1, France
[2] Clin Sport & Chirurg Orthoped, 199 Rue Rianderie, F-59706 Marcq En Baroeul, France
关键词
Bristow; Latarjet; Cortical button; Shoulder instability; Arthroscopy; LATARJET PROCEDURE; ANTERIOR INSTABILITY; COMPLICATIONS;
D O I
10.1016/j.otsr.2016.06.016
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: The purpose of this study was to evaluate suture button fixation in a bone block (Bristow and Latarjet) procedure. We hypothesize that (1) cortical button fixation will allow predictable and reproducible bone union and (2) minimize the complications reported with screw fixation. Materials and methods: Seventy patients (mean age, 27 years) underwent an arthroscopic bone block procedure with a guided surgical approach and suture button fixation for recurrent anterior shoulder instability. There were two groups of patients: 35 Bristow procedures (group A) and 35 Latarjet procedures (group B). Bone graft union and positioning accuracy were assessed by postoperative computed tomography imaging at 2 weeks and 6 months, respectively. Results: The coracoid graft was positioned below the equator in 93% and strictly tangential to the glenoid surface in 94% of the cases. Bone healing was observed in 83% of the cases (58/70) with 74% bone union in group A and 91% in group B. Neurologic and hardware complications, classically reported with screw fixation, were not observed with this novel fixation method. Conclusions: (1) Suture button fixation can be an alternative to screw fixation, obtaining bone block union, (2) in the lying position (Latarjet) bone healing was better than in the standing position (Bristow), and(3) complications classically reported with screw fixation were not observed. Level of evidence: Level IV. (C) 2016 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:983 / 987
页数:5
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