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Offene Augmentation glenoidaler Knochendefekte bei der Schulterinstabilität

Die Latarjet-Technik und ihre Varianten

Open augmentation of glenoid bone defects in anterior instability

The Latarjet procedure and variations

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Zusammenfassung

Die Operation nach Latarjet ist eine effektive Behandlung der vorderen Schulterinstabilität, indem sie ein Dreifach-Blockier-System errichtet. Wenn man den Eingriff über einen Subskapularissplit durchführt, vermeidet man eine Schädigung, Ruptur oder Vernarbung des Muskels und dadurch eine Einschränkung der Außenrotation. Die stabile Fixierung des Korakoid-Transplantats in seitlicher Auflage mit zwei Schrauben wird empfohlen, um die knöcherne Verbindung zu maximieren. Wenn der Kapsellappen in Außenrotation auf den Stumpf des LCA genäht wird, ist eine frühfunktionelle Behandlung auch in Außenrotation möglich. Eine korrekte Operationstechnik ist erforderlich, um Komplikationen zu vermeiden.

Abstract

The Latarjet procedure is effective in treating anterior instability by providing a “triple blocking” mechanism. Performing the procedure via a subscapularis splitting technique prevents muscle scarring or rupture and loss of external rotation. Stable fixation of the coracoid with two screws in the lying position is recommended to maximize bony union. Suturing the capsular flap to the stump of coraco-acromial ligament with the arm in external rotation allows immediate rehabilitation exercises in external rotation. A precise surgical technique is essential to avoid complications.

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Authors and Affiliations

  1. Clinique Sainte Anne Lumière, Lyon, Frankreich

    G. Walch MD

  2. Zentrum für Schulter- und Ellbogenchirurgie, ATOS – Klinik Heidelberg, Bismarckstr. 9–15, 69115, Heidelberg, Deutschland

    M. Loew PhD

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  1. G. Walch MD
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  2. M. Loew PhD
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Correspondence to M. Loew PhD.

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Walch, G., Loew, M. Offene Augmentation glenoidaler Knochendefekte bei der Schulterinstabilität. Obere Extremität 7, 104–110 (2012). https://doi.org/10.1007/s11678-011-0147-8

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  • DOI: https://doi.org/10.1007/s11678-011-0147-8

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