A hybrid open-arthroscopic latarjet coracoid bone-block technique using 'HyLa' instrumentation

Autor: Jean-Noël Argenson, Damien Lami, Nicolas Fauvet, Jean-Charles Grillo, Matthieu Ollivier
Přispěvatelé: Chirurgie orthopédique et traumatologie [Hôpital Sainte-Marguerite - APHM], Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-Hôpital Sainte-Marguerite [CHU - APHM] (Hôpitaux Sud ), Aix-Marseille Université - École de médecine (AMU SMPM MED), Aix-Marseille Université - Faculté des sciences médicales et paramédicales (AMU SMPM), Aix Marseille Université (AMU)-Aix Marseille Université (AMU), Institut des Sciences du Mouvement Etienne Jules Marey (ISM), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Polyclinique Les Fleurs - ELSAN [Ollioules] (PLF)
Rok vydání: 2020
Předmět:
Zdroj: Orthopaedics & Traumatology: Surgery & Research
Orthopaedics & Traumatology: Surgery & Research, 2021, 107 (5), pp.102978. ⟨10.1016/j.otsr.2021.102978⟩
ISSN: 1877-0568
DOI: 10.1016/j.otsr.2021.102978⟩
Popis: Place: France; International audience; Latarjet coracoid bone-block is a gold-standard procedure for anteroinferior instability of the shoulder. Nowadays, it can be performed as open surgery or entirely under arthroscopy. The pure arthroscopic technique has the advantage of allowing concomitant intra-articular surgery, but involves a long learning curve. Here we present a hybrid concept using dedicated instrumentation comprising a specific guide with or without arthroscopic step, and notably ensuring the safety and reproducibility of the procedure, whatever the modality. This technique offers an alternative to arthroscopic coracoid bone block, performing the more complex steps as open surgery without major change to Latarjet's original technique, so as to enable concomitant intra-articular surgery if needed while getting around some of the limitations of the purely arthroscopic procedure.
Databáze: OpenAIRE