Surgical treatment of shoulder instability in the military with large defects of the articular surfaces
https://doi.org/10.25016/2541-7487-2015-0-3-48-55
Abstract
A minimally invasive technique for the Bristow–Latarjet procedure with arthroscopy at large defects of the articular surfaces of the shoulder joint or insufficiency of the capsule is proposed. Comprehensive analysis of the early results of treatment was performed in 27 patients and of middle-term results – in 21 soldiers operated in 2011–2014 at the Clinics of Traumatology and Orthopedics, Kirov Military Medical Academy. The proposed technique features reduced surgical approach and the extent of damage to the subscapularis muscle when splitting. In addition, arthroscopic support helps to accurately position the graft relative to the articular surface of the blade and isolate it from the joint cavity, thus contributing to a better articulation of the humeral head and reducing the risk of nonunion and resorption. At the same time, this technique restores simultaneously the damaged anatomy of SLAP, rotator cuff tendons and posterior labrum, as well as shoulder ligaments tension.
About the Authors
V. V. Khominets
Kirov Military Medical Academy
Russian Federation
Russian Federation
Dr. Med. Sci. Associate Prof., Head of Department of Traumatology and Orthopedics, Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
R. V. Gladkov
Kirov Military Medical Academy
Russian Federation
Russian Federation
PhD Med. Sci., lecturer of Department of Traumatology and Orthopedics, Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
V. M. Shapovalov
Kirov Military Medical Academy
Russian Federation
Russian Federation
Dr. Med. Sci., Prof. of Department of Traumatology and Orthopedics, Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
A. S. Grankin
Kirov Military Medical Academy
Russian Federation
Russian Federation
PhD Student of Department of Traumatology and Orthopedics, Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
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Review
For citations:
Khominets V.V., Gladkov R.V., Shapovalov V.M., Grankin A.S. Surgical treatment of shoulder instability in the military with large defects of the articular surfaces. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2015;(3):48-55. (In Russ.) https://doi.org/10.25016/2541-7487-2015-0-3-48-55
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