Complications of the Latarjet procedure

被引：153

作者：

Gupta A. ^{[1
]}

Delaney R. ^{[1
]}

Petkin K. ^{[1
]}

Lafosse L. ^{[1
]}

机构：

[1] Alps Surgery Institute, Annecy

来源：

Current Reviews in Musculoskeletal Medicine | 2015年 / 8卷 / 1期

关键词：

Dislocation arthropathy; Graft malpositioning; Graft osteolysis; Latarjet; Neuropraxia; Nonunion;

D O I：

10.1007/s12178-015-9258-y

中图分类号：

学科分类号：

摘要：

The Latarjet procedure is an operation performed either arthroscopically or open for recurrent anterior shoulder instability, in the setting of glenoid bone loss; with good to excellent functional results. Despite excellent clinical results, the complication rates are reported between 15 and 30 %. Intraoperative complications such as graft malpositioning, neurovascular injury, and graft fracture can all be mitigated with meticulous surgical technique and understanding of the local anatomy. Nonunion and screw breakage are intermediate-term complications that occur in less than 5 % of patients. The long-term complications such as graft osteolysis are still an unsolved problem, and future research is required to understand the etiology and best treatment option. Recurrent instability after the Latarjet procedure can be managed with iliac crest bone graft reconstruction of the anterior glenoid. Shoulder arthritis is another complication reported after the Latarjet procedure, which poses additional challenges to both the surgeon and patient. © 2015, Springer Science+Business Media New York.

引用

页码：59 / 66

页数：7

共 49 条

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