UDK: 617.3
A.S. Tregubov1,2, D.A. Malanin1,2, S.V. Grunin1, L.L. Cherezov1, A.S. Kharyutin1
1ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации; 2ГБУ «Волгоградский медицинский научный центр»
This article presents an algorithm for the preoperative CT-planning at the Latarjet procedure, analyzes the postoperative complications when performing the Latarjet operation using the classic and our screw installation methods. The purpose of this study was to evaluate the effectiveness of the method of preoperative planning of screw length using computed tomography and volumetric modeling. The study included 48 patients with recurrent anterior instability of the shoulder joint, which were divided into two groups – the main one, in which the length of the screws was selected in accordance with preoperative CT-planning and the comparative one, in which the length of the screws was selected using a meter during surgery. In patients in the comparison group, in 73,2 % of cases, the ends of the screws protruded above the second cortical layer by more than 2,0 mm, which increased the risk of neuropathy of the suprascapular nerve. In the comparison group, two cases (7,6%) of the development of this neuropathy were revealed. The results showed that preoperative 3D-modeling of the location of the screws and the correct selection of their length can reduce the risks of postoperative complications.
recurrent shoulder dislocation, Latarjet, computer tomography, shoulder joint instability, 3D-modeling.
Маланин Дмитрий Александрович – д. м. н., профессор, зав. кафедрой травматологии, ортопедии и ВПХ с курсом травматологии и ортопедии ФУВ, Волгоградский государственный медицинский университет, e-mail: malanin67@mail.ru