Posterior glenoid bone block transfer for posterior shoulder instability: a systematic review

被引:15
作者
Mojica, Edward S. [1 ]
Schwartz, Luke B. [1 ]
Hurley, Eoghan T. [1 ]
Gonzalez-Lomas, Guillem [1 ]
Campbell, Kirk A. [1 ]
Jazrawi, Laith M. [1 ]
机构
[1] NYU Langone Hlth, Div Sports Med, Dept Orthopaed Surg, New York, NY USA
关键词
Posterior bone block; shoulder instability; allograft; autograft; glenoid bone loss; augmentation; ARTHROSCOPIC CAPSULOLABRAL RECONSTRUCTION; BRISTOW-LATARJET; STABILIZATION; OUTCOMES; SUBLUXATION; BANKART;
D O I
10.1016/j.jse.2021.06.013
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 is to systematically review the literature and evaluate patient-reported outcomes and complication/revision rates of bone block augmentation in the treatment of posterior shoulder instability (PSI). Methods: PubMed was searched according to PRIMSA guidelines to find clinical studies evaluating patient-reported outcomes, revision, and complication rates in posterior bone block for PSI. A literature search of MEDLINE, EMBASE. and the Cochrane Library was performed based on the PRISMA guidelines. Clinical studies reporting on the complications following posterior bone block were included. Results: Overall, 11 studies (level of evidence [LOE] III: 2, LOE IV: 9) met inclusion criteria, with 225 shoulders. Recurrent instability after the posterior bone block was found to be 9.8%. The overall complication rate was 13.8%, with 0.89% having graft complications, 11.1% having hardware complications, 0.4% having wound complications, 0.4% having nerve complications, and 0.89% having other complications. Residual pain was found in 11.6% of shoulders operated on. Patient-reported outcomes were evaluated most commonly by Rowe (81.4%), Constant (84.6%), and Walch-Duplay scores (81.6%). Conclusion: There is a moderate rate of recurrence following posterior bone block for PSI. However, the patient-reported outcomes are high despite there being commonly reported persistent shoulder pain postoperatively. (C) 2021 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
引用
收藏
页码:2904 / 2909
页数:6
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