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Title: | Double-row fixation of the transferred coracoid process: a rescue technique for intraoperative coracoid fracture during the Latarjet procedure |
Authors: | Kongmalai P. Levine W.N. |
Keywords: | polyetheretherketone acromion adult anesthesia induction arthroscopic surgery Article articular cartilage Bankart lesion basketball body position bone graft bone radiography capsulotomy case report cephalic vein clinical article closed fracture reduction computer assisted tomography conscious sedation coracoid fracture coracoid process device removal double row suture bridge type fixation emergency ward evidence based practice exercise fracture fixation fracture healing hospital discharge human humeral head iatrogenic disease immobilization incision intraoperative period latarjet procedure male medical examination musculocutaneous nerve osteolysis osteotomy pectoral muscle peroperative complication physiotherapy postoperative care postoperative complication priority journal radiology range of motion recurrent disease recurrent shoulder dislocation regional anesthesia risk assessment risk factor salvage therapy scapula fracture shoulder dislocation shoulder surgery sleep time soft tissue sport injury surgical technique suture technique treatment planning adverse event arthroplasty bone transplantation devices fracture injury joint instability osteosynthesis peroperative complication procedures shoulder suture anchor x-ray computed tomography Adult Arthroplasty Bone Transplantation Coracoid Process Fracture Fixation, Internal Fractures, Bone Humans Intraoperative Complications Joint Instability Male Shoulder Joint Suture Anchors Tomography, X-Ray Computed |
Issue Date: | 2019 |
Abstract: | Background: The Latarjet procedure is the preferred method to treat recurrent anterior shoulder instability with glenoid deficiency. An iatrogenic fracture of the transferred coracoid process is one possible intraoperative complication. Methods: We propose a rescue technique using double-row suture bridge fixation. Double-loaded 4.5-mm suture anchors were placed medially in the scapular neck. These sutures were then brought over the top of the coracoid fragment, placed around the bony fragment, and fixated to the glenoid face with knotless suture anchors. Results: Radiologic evidence of bone graft healing was observed in the desired position. Conclusions: We present a salvage procedure that will assist surgeons if an intraoperative fracture of the coracoid bone graft occurs during fixation when performing the Latarjet procedure. © 2019 Journal of Shoulder and Elbow Surgery Board of Trustees |
URI: | https://ir.swu.ac.th/jspui/handle/123456789/12385 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065194018&doi=10.1016%2fj.jse.2019.02.026&partnerID=40&md5=0e381e1cb9d20bc61ac62aabb0881823 |
ISSN: | 10582746 |
Appears in Collections: | Scopus 1983-2021 |
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