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Review
. 2023 May 15;37(5):526-532.
doi: 10.7507/1002-1892.202301051.

[Research progress of bone graft resorption after Latarjet procedure for treatment of recurrent anterior shoulder dislocation]

[Article in Chinese]
Qihuang Qin  1 , Chunyan Jiang  1
Affiliations
Review

[Research progress of bone graft resorption after Latarjet procedure for treatment of recurrent anterior shoulder dislocation]

[Article in Chinese]
Qihuang Qin et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. .

Abstract
in English, Chinese

Objective: To review the research progress of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation, and provide a guide for further research on bone graft resorption.

Methods: The relevant literature in recent years was extensively reviewed. The pathogenesis, classification, risk factors, clinical function impact, and management of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation were summarized.

Results: Bone graft resorption is the common complication after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation. Stress shielding and poor blood supply may contribute to the occurrence of bone graft resorption. The absence of significant preoperative glenoid bone loss, open procedure, earlier graft healing may to be the risk factors for bone graft resorption. Various assessment methods and classification systems are used to evaluate the region and severity of bone graft resorption. Partial resorption may be considered as a natural glenoid remodeling process after the surgery, but severe and complete resorption is proved to be one of the reasons for failed procedures and there is no effective measure to prevent it, except for accepting revision surgery.

Conclusion: The pathogenesis, risk factors, clinical function impact of bone graft resorption after Latarjet procedure for the treatment of recurrent anterior shoulder dislocation has not been fully elucidated and there is a lack of effective management strategies, so further clinical and basic researches are needed.

目的: 综述Latarjet手术治疗复发性肩关节前脱位术后移植骨块骨吸收的研究进展，为进一步开展移植骨块骨吸收相关研究提供参考。.

方法: 广泛查阅相关文献，对Latarjet手术治疗复发性肩关节前脱位术后移植骨块骨吸收的发生机制、分型、危险因素、对临床功能的影响、管理策略进行总结。.

结果: 移植骨块骨吸收是Latarjet手术治疗复发性肩关节前脱位术后常见并发症，其发生机制可能与骨块存在应力遮挡以及局部血供减少有关。术前无明显关节盂骨缺损、开放手术、骨愈合时间早可能是引起移植骨块骨吸收的危险因素。多种评估方法和分级标准已被用于骨吸收区域和程度的评估。部分骨吸收可能是术后关节盂的生理重塑过程，但严重或完全骨吸收是手术失效的重要原因之一，目前尚缺乏有效预防手段，仅能通过翻修手术进行治疗。.

结论: Latarjet手术治疗复发性肩关节前脱位术后移植骨块骨吸收的发生机制、危险因素、对临床功能的影响尚未完全阐明，且缺乏有效管理策略，需要进行更深入的临床和基础研究。.

Keywords: Latarjet procedure; Recurrent anterior shoulder dislocation; bone graft resorption; complication; coracoid transfer procedure.

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Conflict of interest statement

利益冲突 在课题研究和文章撰写过程中不存在利益冲突

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