The Arthroscopic Latarjet Procedure for the （关节镜的Latarjet过程的）.pdf

Technical Note The Arthroscopic Latarjet Procedure for the Treatment of Anterior Shoulder Instability Laurent Lafosse, M.D., Etienne Lejeune, M.D., Antoine Bouchard, M.D., Carlos Kakuda, M.D., Reuben Gobezie, M.D., and Tony Kochhar, M.Sc., F.R.C.S.(TrOrth) Abstract: Anterior instability is a difficult clinical problem that is treated by a variety of open and arthroscopic methods with good results. Bankart repair remains a popular option. However, in those situations involving irreparable ligamentous damage or bony deficiency, this technique may be insufficient to stabilize the shoulder. One of the principal methods of open treatment for this problem is the Latarjet procedure, as described in his article in 1954. It has proven to be a durable and reliable method of treatment for anteroinferior instability of the glenohumeral joint. Several authors have reported on the long-term outcomes of this procedure with satisfactory results. There has been no previous description of the Latarjet procedure being performed arthroscopically. We present the first report of a new surgical technique, the arthroscopic Latarjet procedure. This procedure is fully arthroscopic and combines the advantages of the open procedure with those of arthroscopic stabili- zation. This is a significant step forward in the development of arthroscopic shoulder reconstruction and enables shoulder surgeons to treat all cases of instability arthroscopically. Key Words: Shoul- der—Instability—Arthroscopy—Stabilization—Latarjet—Bony defect. rthroscopic shoulder reconstruction has become a that bony Bankart or humeral avulsion of the gl