CT-scan Evaluation of Osteointegration and Osteolysis in Different Graft Types and Surgical Techniques for the Treatment of Shoulder Instability
- سال انتشار: 1402
- محل انتشار: مجله استخوان و جراحی عمومی، دوره: 11، شماره: 2
- کد COI اختصاصی: JR_TABO-11-2_005
- زبان مقاله: انگلیسی
- تعداد مشاهده: 93
نویسندگان
Department of Shoulder Surgery, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi ۴, ۲۰۱۶۱ Milano, Italy
Department of Shoulder Surgery, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi ۴, ۲۰۱۶۱ Milano, Italy
Department of Shoulder Surgery, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi ۴, ۲۰۱۶۱ Milano, Italy
School of Medicine and Residency Program in Orthopaedics, Università degli studi di Milano Via Festa del Perdono ۷, ۲۰۱۲۲ Milano, Italy
Unità Operativa di Radiologia Diagnostica ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi ۴, ۲۰۱۶۱ Milano, Italy
Unità Operativa di Radiologia Diagnostica ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi ۴, ۲۰۱۶۱ Milano, Italy; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano,
Department of Shoulder Surgery, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi ۴, ۲۰۱۶۱ Milano, Italy
چکیده
Background: Bone graft is often needed in treating anterior shoulder instability in glenoid bone loss and graft integration is crucial in achieving good results. This study aimed to evaluate bone graft remodeling in different techniques for shoulder anterior-inferior instability. Methods: Graft osteointegration and osteolysis were retrospectively evaluated with CT-scan imaging performed ۶ to ۱۲ months after surgery to compare the outcome of three procedures: Latarjet, bone block with allograft, and bone block with xenograft. Screw fixation and double endobuttons fixation were also compared. Results: CT scans of ۱۳۰ patients were analyzed. Of these, ۳۰ (۲۳%) were performed after the bone block procedure with xenograft and endobuttons fixation, ۵۵ (۴۲%) after the bone block procedure with allograft and endobuttons fixation, ۱۳ (۱۰%) Latarjet with screw fixation and ۳۲ (۲۵%) Latarjet with endobuttons fixation. The prevalence of osteolysis was significantly inferior (P< .۰۱) in the bone block procedure compared to the Latarjet procedure (۱۱.۷ % vs. ۲۸.۸ %). Bone integration was higher in bone block procedures (۹۰.۵%) than in Latarjet (۸۴.۴%), but the difference was not statistically significant. Among the Latarjet procedures, endobuttons fixation resulted in a higher integration rate (۸۷.۵% vs. ۷۳.۶%) and lower osteolysis rate than screw fixation (۲۴.۶% vs. ۳۸.۵%), despite these differences did not reach a statistical significance. Among the bone block procedures, using a xenograft resulted in a lower osteolysis rate (۶.۷%) than an allograft (۱۴.۵%), but the result was not statistically significant. Conclusion: This study shows a significantly lower rate of graft osteolysis after bone block procedures compared to Latarjet procedure between ۶ and ۱۲ months postoperatively. Moreover, our findings suggest good results in osteolysis and graft integration with xenograft compared to allograft and double endobuttons fixation compared to screw fixation, despite these differences being not-significant. Further studies on this topic are needed to confirm our results at a longer follow-up and thoroughly investigate the clinical relevance of these findings.Level of evidence: IIIکلیدواژه ها
Bone block, Graft, osteolysis, shoulder, shoulder instabilityاطلاعات بیشتر در مورد COI
COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.
کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.