Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure

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• 作者：David L. Haeni ; MD^a ; ^{davhae@hotmail.com} ; Gaë ; tan Opsomer ; MD^a ; Amit Sood ; MD^b ; Jeremy Munji ; MD^a ; Matthieu Sanchez ; MD^a ; Benoit Villain ; MD^a ; Gilles Walch ; MD^c ; Laurent Lafosse ; MD^a ; Socié ; té ; Franç ; aise d'Arthroscopie
• 关键词：Level IV ; Case Series ; Diagnostic Study
• 刊名：Journal of Shoulder and Elbow Surgery
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：26
• 期：3
• 页码：484-489
• 全文大小：483 K
• 卷排序：26

文摘

The Latarjet procedure has been shown to be a reliable method to prevent recurrent anterior shoulder instability. Coracoid bone graft osteolysis is a potential catastrophic complication and can lead to recurrent instability. The purpose of our study is to present a novel quantitative method to measure the amount of coracoid bone osteolysis using 3-dimensional (3D) computed tomography (CT) scan imaging.Materials and methodsThis is a prospective study with 15 patients (16 shoulders) who underwent an arthroscopic Latarjet procedure. Three-dimensional CT scans were obtained at 6 weeks and 6 months. Using volumetric analysis, we quantified the amount of bone loss using our described method. Interobserver reliability and intraobserver reliability were calculated.ResultsOn the basis of our new volumetric analysis of the arthroscopic Latarjet procedure using 3D CT scans, we found that the superior half of the coracoid bone graft undergoes a significant amount of osteolysis at 6 months postoperatively. The interobserver reliability and intraobserver reliability were excellent.DiscussionThis study presents a reproducible method to quantify and compare coracoid bone graft osteolysis after an arthroscopic Latarjet procedure. We also developed a description system that may be used for comparison studies. To our knowledge, this is the first method that quantifies the amount of coracoid bone graft osteolysis using more accurate 3D CT scanning.ConclusionThe 3D analysis we propose is a valid method to measure the amount of coracoid bone graft osteolysis after an arthroscopic Latarjet procedure. Our description system may guide the surgeon regarding possible revision surgery when faced with significant osteolysis of the coracoid bone graft.