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Abstract：
OBJECTIVE: There are various treatment modalities for bony Bankart lesions following glenohumeral joint dislocations. In this research, we aimed to compare the radiological and clinical results of patients who underwent the Latarjet procedure and iliac crest bone graft transfer.
METHODS: Clinical and radiological data of 15 patients were retrospectively evaluated. Inclusion criteria were a history of at least two dislocations, being between 18-65 years of age and having at least 10% glenoid bone loss. The exclusion criteria were defined as follows: patients who underwent only soft tissue procedures, patients who did not attend the follow-up, patients with other pathology in the upper extremity (fracture, cuff tear, etc.), and patients with a follow-up period of less than 12 months time. Nine patients underwent the Latarjet procedure and six underwent iliac crest bone graft transfer. Clinical evaluation, age, gender, body mass index, range of motion, Quick Disabilities of the Arm, Shoulder and Hand (QDASH) score, Constant score, and Visual Analogue Scale (VAS) score were evaluated. Radiographic evaluation was performed with preoperative and postoperative direct radiographs and computed tomography. Mann-Whitney U test, t-test, and Fisher exact tests were used for group comparisons.
RESULTS: The mean age of the patients was 32.6 years and the mean follow-up period was 24.9 months. When the two groups were compared, no statistical difference was found in terms of age, gender, body mass index, range of motion, Constant score, VAS score, glenoid cartilage stepping, and bone defect (p>0.05). The operation time was longer in the iliac crest bone graft transfer group compared to the Latarjet group (p<0.05).
CONCLUSIONS: Latarjet and iliac crest bone graft transfer can be used successfully in the treatment of bony Bankart in recurrent anterior shoulder dislocations. The operation time is longer in iliac crest bone graft transfer compared to the Latarjet procedure.
METHODS: Clinical and radiological data of 15 patients were retrospectively evaluated. Inclusion criteria were a history of at least two dislocations, being between 18-65 years of age and having at least 10% glenoid bone loss. The exclusion criteria were defined as follows: patients who underwent only soft tissue procedures, patients who did not attend the follow-up, patients with other pathology in the upper extremity (fracture, cuff tear, etc.), and patients with a follow-up period of less than 12 months time. Nine patients underwent the Latarjet procedure and six underwent iliac crest bone graft transfer. Clinical evaluation, age, gender, body mass index, range of motion, Quick Disabilities of the Arm, Shoulder and Hand (QDASH) score, Constant score, and Visual Analogue Scale (VAS) score were evaluated. Radiographic evaluation was performed with preoperative and postoperative direct radiographs and computed tomography. Mann-Whitney U test, t-test, and Fisher exact tests were used for group comparisons.
RESULTS: The mean age of the patients was 32.6 years and the mean follow-up period was 24.9 months. When the two groups were compared, no statistical difference was found in terms of age, gender, body mass index, range of motion, Constant score, VAS score, glenoid cartilage stepping, and bone defect (p>0.05). The operation time was longer in the iliac crest bone graft transfer group compared to the Latarjet group (p<0.05).
CONCLUSIONS: Latarjet and iliac crest bone graft transfer can be used successfully in the treatment of bony Bankart in recurrent anterior shoulder dislocations. The operation time is longer in iliac crest bone graft transfer compared to the Latarjet procedure.
摘要：
目的：肱骨关节脱位后的Bankart骨性病变有多种治疗方法。在这项研究中,我们旨在比较接受Latarjet手术和髂骨骨移植的患者的放射学和临床结果.
方法：回顾性评估15例患者的临床和影像学资料。纳入标准是至少有两次脱臼的病史，年龄在18-65岁之间，关节盂骨丢失至少10%。排除标准定义如下：仅接受软组织手术的患者，没有参加随访的患者，患有其他上肢病理的患者（骨折，袖口撕裂,等。),患者随访时间少于12个月。9例患者接受了Latarjet手术，6例接受了the骨移植。临床评价,年龄,性别,身体质量指数,运动范围,手臂的快速残疾，肩和手（QDASH）评分，恒定的分数，评价视觉模拟评分(VAS)评分。术前和术后直接X线照片和计算机断层扫描进行X线照相评估。Mann-WhitneyU测试,t检验,和Fisher精确检验用于组比较。
结果：患者的平均年龄为32.6岁，平均随访期为24.9个月。当两组比较时，在年龄方面没有发现统计学差异，性别,身体质量指数,运动范围,恒定的分数，VAS评分,关节盂软骨踏步，骨缺损(p>0.05)。与Latarjet组相比，in骨移植组的手术时间更长（p<0.05）。
结论：Latarjet和the骨移植可成功用于复发性肩关节前脱位的Bankart骨治疗。与Latarjet手术相比，the骨移植移植的手术时间更长。
方法：回顾性评估15例患者的临床和影像学资料。纳入标准是至少有两次脱臼的病史，年龄在18-65岁之间，关节盂骨丢失至少10%。排除标准定义如下：仅接受软组织手术的患者，没有参加随访的患者，患有其他上肢病理的患者（骨折，袖口撕裂,等。),患者随访时间少于12个月。9例患者接受了Latarjet手术，6例接受了the骨移植。临床评价,年龄,性别,身体质量指数,运动范围,手臂的快速残疾，肩和手（QDASH）评分，恒定的分数，评价视觉模拟评分(VAS)评分。术前和术后直接X线照片和计算机断层扫描进行X线照相评估。Mann-WhitneyU测试,t检验,和Fisher精确检验用于组比较。
结果：患者的平均年龄为32.6岁，平均随访期为24.9个月。当两组比较时，在年龄方面没有发现统计学差异，性别,身体质量指数,运动范围,恒定的分数，VAS评分,关节盂软骨踏步，骨缺损(p>0.05)。与Latarjet组相比，in骨移植组的手术时间更长（p<0.05）。
结论：Latarjet和the骨移植可成功用于复发性肩关节前脱位的Bankart骨治疗。与Latarjet手术相比，the骨移植移植的手术时间更长。
