Arthroscopic high strength suture fixation of iliac bone mass for the treatment of shoulder joint forward instability with high risk of dislocation.
10.12200/j.issn.1003-0034.20240611
- Author:
Ke-Jie JIANG
1
;
Xue-Song DAI
1
Author Information
1. Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University Shool of Medicine, Hangzhou 310052, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Anterior shoulder instability;
Arthroscopy;
Bone defects;
High risk of dislocation;
Iliac bone graft
- MeSH:
Humans;
Male;
Female;
Adult;
Arthroscopy/methods*;
Middle Aged;
Ilium/transplantation*;
Adolescent;
Joint Instability/physiopathology*;
Shoulder Dislocation/surgery*;
Shoulder Joint/physiopathology*;
Young Adult;
Retrospective Studies;
Bone Transplantation;
Sutures
- From:
China Journal of Orthopaedics and Traumatology
2025;38(3):252-257
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore clinical effect of iliac bone graft fixed with high strength suture arthroscopy in treating shoulder joint forward instability with high risk of dislocation.
METHODS:The clinical data of 22 patients with shoulder forward instability with high risk of dislocation treated with iliac bone graft fixed with high-strength suture arthroscopy from January 2021 to January 2023 were retrospectively analyzed, including 14 males and 8 females, aged from 17 to 46 years old with an average of (26.50±8.26) years old;the times of dislocation ranged from 4 to 22 (11.08±5.82) times;7 patients on the left side and 15 patients on the right side. American Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles (UCLA) score and Constant-Murley score were to evaluate the improvement of shoulder joint function before operation and 12 months after operation. Three-dimensional CT reconstruction was performed to evaluate the repair of glenoid bone defect, bone remodeling and bone healing before operation, immediately after and 12 months after operation.
RESULTS:All patients were followed up for 12 to 24 months with an average of (18.68±3.92) months. No further dislocation or subluxation occurred in all patients. Scores of ASES, UCLA and Constant-Murley were improved from (69.50±2.26), (23.86±2.27), (75.64±3.58) before operation to (91.09±1.57), (32.27±2.03), (91.95±3.00) at 12 months after operation (P<0.05). The defect of glenoid bone was (12.41±7.55) %, (-37.23±3.75) %, (-22.41±3.58) % before opertaion, immediately and 12 months after operation, respectively, and the difference was statistically significant (P<0.05). Bone healing of iliac bone graft was achieved at 12 months after operation.
CONCLUSION:High strength suture arthroscopy to fix iliac bone graft for the treatment of shoulder forward instability with high dislocation risk is a safe and effective method, which could effectively restore shoulder stability and reduce surgical injury.
