Reconstruction of bone segment of the glenoid at chronic recurrent anterior shoulder instability using porous titanium nickelide
Abstract
A method of the surgical treatment of posttraumatic recurrent shoulder instability with bony defects using porous NiTiis presented. We operated 5 patients using this method. Recurrences of dislocation after surgical treatment have not been recorded. The method is an alternative to Latarjet procedure and iliac crest bone grafting. We use computerized tomography data in the preoperative making of NiTi graft. The graft is sawed from billet having a cylindrical shape about 1 cm thick. Than by using the drill we form two screw holes. A prepared graft is subsequently installed in the area of the glenoid bone defect. The advantages of this method are accurate reconstruction of the bony defect, minimal risk of recurrences, absence of resorption, reduction of procedure time.
About the Authors
V. M. Prokhorenko
Novosibirsk Research Institute of Traumatology and Orthopedics
Russian Federation
Russian Federation
S. M. Fomenko
Novosibirsk Research Institute of Traumatology and Orthopedics
Russian Federation
Russian Federation
P. V. Filipenko
6th Military Hospital of Interior Troops of Ministry of Internal Affairs of the Russian Federation
Russian Federation
Russian Federation
P. S. Turkov
Novosibirsk Research Institute of Traumatology and Orthopedics
Russian Federation
Russian Federation
References
1. Гюнтер В.Э., Ходоренко В.Н., Ясенчук Ю.Ф. Никелид титана. Медицинский материал нового поколения. - Томск, 2006. - 296 с
2. Доколин С.Ю., Кислицын М.А., Базаров И.С. Артроскопическая техника выполнения костной аутопластики дефекта суставной впадины лопатки у пациентов с передней рецидивирующей нестабильностью плечевого сустава // Травматология и ортопедия России. 2012 - № 3 (65). - С. 77-82
3. Монастырев В.В. Хирургическое лечение пациентов с хронической посттравматической передней нестабильностью плечевого сустава при костном дефекте суставной поверхности лопатки: автореф. дис.... канд. мед. наук. - 2014. - 24 с
4. Auffarth A., Schauer J., Matis N., Kofler B., Hitzl W., Resch H. (2008). The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation. Am. J. Sports Med., 36 (4), 638-647.
5. Burkhart S.S., De Beer J.F. (2000). Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy, (16), 677-694.
6. Hindmarsh J., Lindberg A. (1967). Eden - Hybbinette’s operation for recurrent dislocation of the humero-scapular joint. Ada Orthop. Scand., 38, 459-478.
7. Lo I.K., Parten P.M., Burkhart S.S. (2004). The inverted pear glenoid: an indicator of significant glenoid bone loss. Arthroscopy, 20, 169-174.
8. Kirkley A., Griffin S., McLintock H., Ng L. (1998). The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability: the Western Ontario Shoulder Instability Index (WOSI). Am. J. Sports Med., 26, 764-772.
9. Oster A. (1969). Recurrent anterior dislocation of the shoulder treated by the Eden - Hybmette operation: Follow-up on 78 cases. Acta. Orthop. Scand., 40, 43-52.
10. Patte D., Bernageau J., Bancel P. (1985). The antero-inferior vulnerable point of the glenoid rim. Surgery of the shoulder, 94-99.
11. Rowe C.R., Zarins B., Ciullo J.V. (1984). Recurrent anterior dislocation of the shoulder after surgical repair: Apparent causes of failure and treatment. J. Bone Joint Surg. Am., 66 (2), 159-168.
12. Saito H., Itoi E., Sugaya H., Minagawa H., Yamamoto N., Tuoheti Y. (2005). Location of the glenoid defect in shoulders with recurrent anterior dislocation. Am. Sports Med., 33, 889-893.
13. Schroder D.T., Provencher M.T., Mologne T.S., Muldoon M.P., Cox J.S. (2006). The modified Bristow procedure for anterior shoulder instability 26-year outcomes in Naval Academy Midshipmen. Am. J. Sports Med., 34, 778.
14. Sugaya H., Moriishi J., Dohi M., Kon Y., Tsuchiya A. (2003). Glenoid rim morphology inrecurrent anterior glenohumeral instability. Bone Joint Surg. Am., 85, 878-884.
15. Taylor D.C., Arciero R.A. (1997). Pathologic changes associated with shoulder dislocations: Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am. J. Sports Med., 25, 306-311.
Review
For citations:
Prokhorenko V.M., Fomenko S.M., Filipenko P.V., Turkov P.S. Reconstruction of bone segment of the glenoid at chronic recurrent anterior shoulder instability using porous titanium nickelide. Acta Biomedica Scientifica. 2015;(1):39-43. (In Russ.)
Views:
834
Email this article 
