弹性固定Latarjet技术治疗肩关节复发性前脱位专家共识

Expert consensus on the flexible fixation Latarjet technique for the treatment of recurrent anterior shoulder dislocation

肩关节复发性前脱位是一种常见的运动损伤,可导致肩关节疼痛和活动受限,严重影响日常生活和运动水平。对复发性肩关节前脱位特别是伴有明显骨缺损的复发性前脱位,Latarjet手术是提高患者重返运动率的一种治疗方式。自1954年以来,Latarjet手术经历了多次改良,并逐渐形成了弹性固定Latarjet手术,在治疗复发性肩关节前脱位中获得了满意的疗效,但也存在移植骨与周围组织撞击、医源性喙肩弓及胸小肌损伤等并发症。目前,弹性固定Latarjet技术治疗肩关节复发性前脱位尚无统一的规范和指导原则。中华医学会运动医疗分会肩关节学组和全国弹性固定Latarjet技术协作组组织国内相关领域的专家,结合国内弹性固定Latarjet技术的发展现状和专家经验制订了《弹性固定Latarjet技术治疗肩关节复发性前脱位专家共识》,针对其临床应用提出了12条推荐意见。共识旨在规范弹性固定Latarjet技术治疗肩关节复发性前脱位的手术操作,进而改善肩关节功能和降低并发症的发生率。

Recurrent anterior shoulder dislocation is a common sports injury that can cause shoulder pain and limited mo-bility,seriously affecting daily life and sports ability.Latarjet procedure is an effective treatment for recurrent anterior shoulder dislocation,especially those with significant bony defects.Since 1954,Latarjet procedure has undergone several key improvements,and gradually developed the flexible fixation Latarjet procedure,which has achieved satisfactory results in the treatment of recurrent anterior shoulder dislocation,but there are still complications such as bone graft impingement with surrounding tissue,surgical destruction of coracoarcomial arch and pectoralis minor muscle.At present,there are no uniform norms and guiding principles for the treatment of recurrent anterior shoulder dislocation with flexible Latarjet procedure.The Shoulder Arthrology Group of the Sports Medicine Society of the Chinese Medical Association and the National Flexible Fixation Latarjet Technical Collaboration Group organized domestic experts in related fields to develop the"Expert consensus on the flexible fixation Latarjet technique for the treatment of recurrent anterior shoulder dislocation"based on the development status and expert experience of domestic flexible fixation Latarjet technology.Twelve recommendations were made for its clinical application.The objective of the consensus is to standardize the operation of Latarjet technique for the treatment of recurrent anterior shoulder dislocation,so as to improve the function of shoulder joint and reduce the occurrence of complications.