开放式与关节镜下 Latarjet 的当前趋势和疗效。

IF 2.9 2区 医学 Q1 ORTHOPEDICS Current Reviews in Musculoskeletal Medicine Pub Date : 2024-05-01 Epub Date: 2024-03-11 DOI:10.1007/s12178-024-09889-9
Filip Vuletić, Berte Bøe
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引用次数: 0

摘要

综述目的:本文旨在分析和比较现有的开放式和关节镜 Latarjet 手术治疗肩关节前方不稳定的研究。综述将评估两种方法的不同因素,如移植物定位、功能结果、并发症和重返赛场率。研究的主要目标是确定哪种技术能产生更好的疗效:最近的研究表明,在功能评分和患者满意度方面,关节镜下 Latarjet 手术的效果与开放手术相似。一些研究表明,关节镜手术的效果甚至可能略胜一筹。两种技术的并发症发生率相似,但关节镜手术需要更长的学习曲线和手术时间。确保移植物的正确位置至关重要,一些研究表明,关节镜在实现准确定位方面可能更胜一筹。开放式和关节镜 Latarjet 手术对治疗肩关节不稳定同样有效。虽然关节镜手术的恢复时间更快,对软组织的损伤更小,但它要求外科医生经历更陡峭的学习曲线。两种技术的最佳移植物位置仍存在争议。需要更多的长期数据来确定优劣。未来的研究应在更大的群体中对各种方法进行比较,并找出影响结果的因素,以改进肩关节不稳定的治疗。两种技术都很有前景,但随着手术发展成为创伤较小的重建术,关节镜可能是更好的选择。
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Current Trends and Outcomes for Open vs. Arthroscopic Latarjet.

Purpose of review: This paper aims to analyze and compare the existing research on open and arthroscopic Latarjet procedures for treating anterior shoulder instability. The review will assess different factors such as graft positioning, functional outcomes, complications, and return-to-play rates for both approaches. The study's primary goal is to establish which technique yields superior outcomes.

Recent findings: Recent studies have suggested that arthroscopic Latarjet surgery can produce outcomes similar to open surgery regarding functional scores and patient satisfaction. Some research indicates that arthroscopy may even provide slightly better results. Both techniques have similar complication rates, but arthroscopy requires a longer learning curve and operating time. It is crucial to ensure the proper placement of the graft, and some studies suggest that arthroscopy may be better at achieving accurate positioning. Both open and arthroscopic Latarjet procedures are equally effective in treating shoulder instability. While arthroscopy offers a faster recovery time and causes less soft tissue damage, it requires surgeons to undergo a steeper learning curve. The optimal graft position for both techniques is still debated. More long-term data is needed to establish superiority. Future research should compare approaches in larger cohorts and identify outcome-affecting factors to improve the treatment of shoulder instability. Both techniques are promising, but arthroscopy may be a better option as the procedure evolves into a less invasive reconstruction.

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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
期刊最新文献
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