Bone block options for treating glenoid bone loss and glenohumeral instability: A systematic review.
| Autor: | Briggs DV; Duke University School of Medicine, Durham, NC, USA., Hurley ET; Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA., Warren E Jr; Duke University School of Medicine, Durham, NC, USA., Amanah AY; Duke University School of Medicine, Durham, NC, USA., Levin JM; Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA., Lau BC; Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA., Dickens JF; Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA., Klifto CS; Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA., Anakwenze O; Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Shoulder & elbow [Shoulder Elbow] 2024 Nov 03, pp. 17585732241293763. Date of Electronic Publication: 2024 Nov 03. |
| DOI: | 10.1177/17585732241293763 |
| Abstrakt: | Background: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions. Methods: Systematic examination of articles in PubMed and EMBASE databases was performed per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to find studies of bone grafts for treating anterior glenohumeral instability. Statistical analyses were conducted via Review Manager, and a p -value of <0.05 was statistically significant. Results: Our review included 25 studies evaluating 870 shoulders. Traditional arc Latarjet (TL) had more depth than congruent arc Latarjet (CAL; p = 0.003). The coronal radii of curvature of TL, CAL, distal tibia, and iliac crest bone blocks were similar to native glenoid ( p = 0.400, 0.817, 0.467, 0.216, respectively). CAL coracoid bone blocks restored significantly more glenoid surface area (30.3%) than TL bone blocks ( p = 0.012). The glenoid width and surface area restoration by distal clavicle bone blocks were equivalent to TL ( p = 0.058 and p = 0.103, respectively). Discussion: The CAL technique restored higher percentages of glenoid surface area than TL but has less depth, which may increase fracture risk during screw insertion. The distal clavicle bone block is a suitable substitute to TL as it was equivalent regarding glenoid width and surface area restoration. Competing Interests: The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: EH has the following associations or financial involvement: Arthroscopy—editorial or governing board, European Society for Surgery of the Shoulder and Elbow—board or committee member, and Journal of Shoulder and Elbow Surgery—editorial or governing board. JL has the following associations or financial involvement: Stryker—stock or stock options and Zimmer—stock or stock options. BL has the following associations or financial involvement: American Orthopaedic Society for Sports Medicine—board or committee member, Arthrex, Inc.—Research support, Arthroscopy Association of North America—board or committee member, DePuy, A Johnson & Johnson Company—paid consultant, Miach—paid consultant, and Wright Medical Technology, Inc.—research support. JD has the following associations or financial involvement: AAOS—board or committee member, American Journal of Sports Medicine—editorial or governing board, American Orthopaedic Society for Sports Medicine—board or committee member, Arthroscopy Association of North America—board or committee member, and Society of Military Orthopaedic Surgeons—board or committee member. CK has the following associations or financial involvement: Acumed, LLC—paid consultant, GE Healthcare—stock or stock options, Johnson & Johnson—stock or stock options, Merck—stock or stock options, Pfizer—stock or stock options, Restore3d—paid consultant, and Smith & Nephew—paid consultant. OA has the following associations or financial involvement: Exactech, Inc.—paid consultant, LIMA—paid consultant, Responsive Arthroscopy—paid consultant, Smith & Nephew—paid consultant, and Suture Tech—stock or stock options. The other authors declare they have no conflict of interest. (© The Author(s) 2024.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|