Research progress of bone graft resorption after Latarjet procedure for treatment of recurrent anterior shoulder dislocation.
10.7507/1002-1892.202301051
- Author:
Qihuang QIN
1
;
Chunyan JIANG
1
Author Information
1. Department of Sports Medicine, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, Beijing, 100035, P. R. China.
- Publication Type:Journal Article
- Keywords:
Latarjet procedure;
Recurrent anterior shoulder dislocation;
bone graft resorption;
complication;
coracoid transfer procedure
- MeSH:
Humans;
Shoulder Joint/surgery*;
Shoulder Dislocation/surgery*;
Joint Instability/surgery*;
Bone Resorption/pathology*;
Bone Transplantation;
Recurrence
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(5):526-532
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To review the research progress of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation, and provide a guide for further research on bone graft resorption.
METHODS:The relevant literature in recent years was extensively reviewed. The pathogenesis, classification, risk factors, clinical function impact, and management of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation were summarized.
RESULTS:Bone graft resorption is the common complication after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation. Stress shielding and poor blood supply may contribute to the occurrence of bone graft resorption. The absence of significant preoperative glenoid bone loss, open procedure, earlier graft healing may to be the risk factors for bone graft resorption. Various assessment methods and classification systems are used to evaluate the region and severity of bone graft resorption. Partial resorption may be considered as a natural glenoid remodeling process after the surgery, but severe and complete resorption is proved to be one of the reasons for failed procedures and there is no effective measure to prevent it, except for accepting revision surgery.
CONCLUSION:The pathogenesis, risk factors, clinical function impact of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation has not been fully elucidated and there is a lack of effective management strategies, so further clinical and basic researches are needed.
