COMPARISON BETWEEN PORTALS FOR PLACEMENT OF ANCHORS IN SHOULDER INSTABILITY.

IF 0.6 4区医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243201e265443

José Carlos Souza Vilela, Ivana Duval de Araújo, Mabelly Correa Albuquerque, Anna Luiza Amancio Vidal, Tadeu Fonseca Barbosa, Thalles Leandro Abreu Machado

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Abstract

Objective: to radiographically compare the effects of anchor positioning in the arthroscopic treatment of shoulder instability, in the 3- and 5-o'clock portals.

Methods: retrospective study of 36 patients, operated by two shoulder surgeons at the Unimed BH hospital, between January 2013 and January 2018. Each surgeon used only one of either the 3- or the 5-o'clock portal. After postoperative radiographs we performed angle comparisons between the greatest glenoidal axis, the angle of anchor insertion and distance from the inferior pole.

Results: the 5-o'clock portal provided better placement than its 3-o'clock counterpart, which allowed for greater orthogonality in relation to the glenoid rim (p < 0.05).

Conclusion: the 5-o'clock portal allowed for better anchor placement than the 3 o'clock one. Level of Evidence II, Clinical Trial.

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在肩关节不稳症患者中，比较不同的锚栓置入方式。

目的：在关节镜治疗肩关节不稳定时，比较 3 点钟和 5 点钟方向锚定定位的影像学效果。方法：对2013年1月至2018年1月期间由Unimed BH医院的两名肩关节外科医生手术的36名患者进行回顾性研究。每位外科医生只使用了 3 点钟或 5 点钟方向的其中一个门户。术后拍片后，我们对最大盂轴线、锚插入角度和与下极点的距离进行了角度比较。结果：5点钟方向的入口比3点钟方向的入口位置更好，与盂缘的正交性更好（P < 0.05）。结论：5点钟方向的入口比3点钟方向的入口能更好地放置锚。证据等级 II，临床试验。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.