Yong Girl Rhee - Clinical Outcomes of the Latarjet Procedure_肩关节培训班.pptxVIP

KMC shoulder elbow KMC shoulder elbow Latarjet Procedure for Glenoid Defect : Clinical Outcomes and Prevalence of Before and After Latarjet Yong Girl Rhee, MD Shoulder Elbow Clinic Department of Orthopaedic Kyung Hee University Seoul, Korea Surgery Hospital KMC shoulder elbow Trillat procedure KMC shoulder elbow Latarjet, Lyon Chir, 1954 KMC shoulder elbow KMC shoulder elbow KMC shoulder elbow Number of cases Percentage of cases(%) A/S Bankart repair 81 75.7 Open Bankart repair 3 2.8 Open Latarjet 7 6.5 A/S Latarjet 0 0 A/S remplissage 14 13 Others 2 1.9 total 107 100 Number of cases Percentage of cases A/S Bankart repair 283 82 Open Bankart repair 17 4.7 Open Latarjet 12 3.5 A/S Latarjet 0 0 A/S remplissage 25 6.3 Others 10 3 total 353 Cases of other hospital (7) in Korea, 2011 What We Should Focus on Today ? ANTERIOR STABILIZATION IN GLENOID DEFECT AND HUMERAL HEAD DEFECT KMC shoulder elbow Width Width Mean (76 cases, mm) CorL 26.4 ± 2.9 WidthSup 14.1 ± 1.8 WidthInf 13.3 ± 1.8 CorThickness 9.3 ± 1.4 DistBtwn 7.8 ± 1.9 DistLat 5.7 ± 1.1 Coracoid graft size in open Latarjet Young AA et al., J Shoulder Elbow Surg, 2013 KMC shoulder elbow The mean area of the glenoid defect 38 mm2 (range, 141-239 mm2) : 25.3% ± 6% of the intact glenoid surface KMC shoulder elbow Preop Mean graft size 157 ± 38 mm2 (25.3 ± 6%) Width 11.2 ± 4.5mm Length 30.1 ± 7.5mm Depth 8.8 ± 4.1mm KMC shoulder elbow Depth Postop Mean glenoid defect 152 ± 34 mm2 (24.8 ± 5%) Width 11.8 ± 4.2mm Length 32.14 ± 9.2mm Depth 8.13 ± 3.9mm KMC shoulder elbow Preop defect Postop graft P-Value Mean graft size 157 ± 38 mm2 (25.3 ± 6%) 152 ± 34 mm2 (24.8 ± 5%) 0.382 Width 11.8 ± 4.2mm 11.2 ± 4.5mm 0.214 Length 32.1 ± 9.2mm 30.1 ± 7.5mm 0.179 Depth 8.13 ± 3.9mm 8.8 ± 4.1mm 0.104 Not statistically significant KMC shoulder elbow KMC shoulder elbow Remodelling or Resorption ?? KMC shoulder elbow Kraus et al., J Shoulder Elbow Surg, 2014 Remodelling or Resorption ?? KMC shoulder