The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow-Latarjet procedure.

Hovelius, Lennart; Körner, L; Lundberg, Bo J.; Åkermark, Christian; Herberts, Peter; Wredmark, Torsten; Berg, Eugene E.

doi:10.2106/00004623-198365070-00007

Cited by 150 publications

(131 citation statements)

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“…It was used to look for pseudarthrosis, lysis of the bone block, fracture, or migration. The vertical position of the bone block relative to the equator according to Hovelius et al [9] was determined in the frontal view and the lateral Lamy view. The position of the bone block relative to the joint space was measured in millimetres on the glenoid profile view.…”

Section: Discussionmentioning

confidence: 99%

“…In the series by Cassagnaud et al [3], more than 10% of the bone blocks were found overhanging on the CT scans. Hovelius et al [9] found 36% of bone blocks malpositioned above the equator and 6% too medially placed bone blocks. Huguet et al [12] found 45% of the grafts overhanging in the joint.…”

Section: Bone Block Positioningmentioning

confidence: 99%

“…All of these works stressed the importance of the graft position, which is directly related to the final result. That is, a too lateral or overhanging bone block leads to arthritis in the more or less long term [3,7,9,12,14,20,21,24] and limits internal rotation through head-coracoid impingement [12]. A too medial bone block will result in postoperative recurrent instability [9,12,23], and a bone block located above the equator also exposes the joint to recurrent dislocation [9].…”

Section: Bone Block Positioningmentioning

confidence: 99%

“…That is, a too lateral or overhanging bone block leads to arthritis in the more or less long term [3,7,9,12,14,20,21,24] and limits internal rotation through head-coracoid impingement [12]. A too medial bone block will result in postoperative recurrent instability [9,12,23], and a bone block located above the equator also exposes the joint to recurrent dislocation [9]. The optimum position is difficult to define but it is recognised that it should be below the equator, neither too medial nor too lateral (less than 10 mm from the cartilage for some [9], less than 2 mm for others [12]).…”

Section: Bone Block Positioningmentioning

confidence: 99%

“…The difficulty in the procedure is to accurately position the coracoid bone block by a surgical approach which spares the subscapularis muscle [5,14,24]. The deleterious consequences of bone block malpositioning and nonunion are well documented in the literature [1,3,7,9,12,17,18,20,21,24], in particular recurrent instability if the bone block is too medial or is pseudarthrosed, or arthritis if the bone block is overhanging. This is why we have developed specific instrumentation for the optimal preparation, positioning, and fixation of the bone block.…”

Section: Introductionmentioning

confidence: 99%

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Bristow-Latarjet procedure with specific instrumentation: study of 34 cases

Doursounian

Debet-Mejean

Chetboun

et al. 2008

International Orthopaedics (SICOT)

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A Bristow-Latarjet procedure with specific instrumentation was performed for recurrent dislocation or subluxation of the glenohumeral joint in 34 patients. The procedure was performed through a subscapularis splitting approach with three specific instruments and a special screw. The clinical outcome was assessed by the Duplay and the Constant scores. Radiographic study was conducted on 23 patients and CT scan in 11 patients. Of the 27 patients interviewed 92% were satisfied. Of the 23 patients examined, 15 had an excellent Duplay score, four a good score, three a medium score, and only one had a bad score. One patient had subluxation episodes, and one patient was revised after a redislocation following violent trauma. On the standard radiographs, all bone blocks were in the correct position. A pseudarthrosis was diagnosed in the patient with subluxation episodes. This device simplifies the surgical technique and provides reproducibility to the procedure.Résumé Le procédé de Bristow-Latarjet avec une instrumentation spécifique a été utilisé dans les luxations ou les sub-luxations récidivantes de l'épaule sur 34 patients en utilisant un abord suscaplulaire à l'aide d'instruments spécifiques et d'une vis spéciale. Le suivi clinique a été évalué selon le score de Duplay et de Constant. L'évalua-tion radiologique réalisée sur 23 patients avec un scanner chez 11 patients. Sur les 27 patients interrogés, 92% étaient satisfaits. Sur les 23 patients examinés 15 avaient un excellent score de Duplay, 4 un bon score, 3 un score moyen et un seul un mauvais score. Un patient présentait des épisodes de subluxations résiduelles et un patient a été réopéré après une récidive de la luxation secondaire à un violent traumatisme. Sur les radiographies standard, toutes les butées osseuses sont en position correcte. Une pseudarthrose a été diagnostiquée chez le patient présentant des épisodes de subluxations. Ce matériel simplifie la technique chirurgicale et permet d'avoir une technique reproductible.

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Section: Discussionmentioning

confidence: 99%

Section: Bone Block Positioningmentioning

confidence: 99%