开缝开缝术的并发症与学习曲线无关:11年经验分析

D. Zúñiga, Camila Ordóñez, Felipe Valbuena, Mauricio Largacha
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引用次数: 0

摘要

引言:本研究的目的是确定在11年的肩部手术经验中,开放式Latarjet手术的并发症与外科医生的学习曲线之间的关系。方法:我们对2011年6月至2021年9月期间由一名肩部外科医生进行的所有开放式Latarjet手术进行了回顾性描述性观察病例系列。Latarjet手术适用于关节盂骨缺损超过15%或Bankart修复失败后翻修的患者。记录并发症以及患者的人口统计数据。我们描述了手术和并发症之间的时间,以及与外科医生的手术曲线相关的并发症表现。结果:包括62名连续患者(96.8%的男性患者,平均年龄30岁)。8名患者出现并发症(占所有患者的12.5%)。这些并发症分为移植物相关的(n=3)、硬件相关的(n=3)、伤口相关的(=1)和其他的(n=1)。没有不稳定复发,也没有神经损伤。并发症出现在外科医生学习曲线的所有阶段。结论:Latarjet手术在技术上要求很高,无论外科医生的学习曲线如何,都可能出现并发症。尽管如此,对大多数患者来说,这是一种成功的手术,不稳定的复发率很低。
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Complications of the open latarjet procedure are not related to the learning curve: Analysis after 11 years of experience
Introduction: The purpose of this study is to determine a relationship between complications of the open Latarjet procedure with the surgeon's learning curve during an 11-year experience in shoulder surgery. Methods: We conducted a retrospective descriptive observational case series of all open Latarjet procedures performed by a single shoulder surgeon between June 2011 and September 2021. Latarjet procedure was indicated in patients with glenoid bone defects of more than 15% or revision after a failed Bankart repair. Complications were recorded as well as patients' demographic data. We described the time between surgery and complication and correlated complication presentation with the surgeon's surgical curve. Results: Sixty-two consecutive patients were included (96, 8% male patients with an average age of 30 years). Eight patients presented with a complication (12, 5% of all patients). These complications were classified as graft related (n = 3), hardware related (n = 3), wound related (n = 1), and other (n = 1). There were no instability recurrences and no neurologic injuries. Complications were present in all periods of the surgeon's learning curve. Conclusions: The Latarjet procedure is technically demanding and complications can be present regardless of the surgeon's learning curve. Nevertheless, it is a successful procedure in most patients, with a low recurrence rate of instability.
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来源期刊
Journal of Arthroscopy and Joint Surgery
Journal of Arthroscopy and Joint Surgery Medicine-Orthopedics and Sports Medicine
CiteScore
0.60
自引率
0.00%
发文量
1
期刊介绍: Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.
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