Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process

According to the results of multi-layer spiral CT, the main reason of shoulder instability is a bone defect of scapula articular surface. Frequency of poor results after common surgical treatment is high and runs up to 30 % of cases. The aim of the research was to estimate long-term results of surgi...

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Autores principales:	V. V. Monastyrev, M. E. Puseva, A. N. Rudakov, N. S. Ponomarenko
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2015
Materias:	shoulder joint instability surgical treatment Science Q
Acceso en línea:	https://doaj.org/article/36c82ec19acf495ab62e72484ef70194
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spelling	oai:doaj.org-article:36c82ec19acf495ab62e72484ef701942021-11-23T06:14:33ZLong-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process2541-94202587-9596https://doaj.org/article/36c82ec19acf495ab62e72484ef701942015-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/134https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596According to the results of multi-layer spiral CT, the main reason of shoulder instability is a bone defect of scapula articular surface. Frequency of poor results after common surgical treatment is high and runs up to 30 % of cases. The aim of the research was to estimate long-term results of surgical treatment of patients with chronic posttraumatic anterior shoulder instability at the edge bone defect of scapula articular surface using restoration of the anatomy of scapula articular surface by free autograft. We conducted open controlled prospective randomized study in the clinic of Irkutsk Scientific Center of Surgery and Traumatology. Estimation of long-term results of surgical treatment was conducted by the next criteria: functional (range of motions of operated upper extremity), subjective (visual analogue scale of pain, integral estimation of functional results by Rowe - Zarins and DASH scales), objective (X-ray imaging of shoulder joint in -x views and multi-layer spiral CT) and complications. Estimation of functional and anatomic results of 34 patients in 3 years after the operation proved clinical effectiveness of proposed surgical method. Overall level of conclusiveness of the research can be defined as level B and the effect of treatment as class I. Therefore, using free autograft from iliac crest allows to restore lost surface of scapula cavity more than 15 % of total surface.V. V. MonastyrevM. E. PusevaA. N. RudakovN. S. PonomarenkoScientific Сentre for Family Health and Human Reproduction Problemsarticleshoulder jointinstabilitysurgical treatmentScienceQRUActa Biomedica Scientifica, Vol 0, Iss 6, Pp 27-34 (2015)
institution	DOAJ
collection	DOAJ
language	RU
topic	shoulder joint instability surgical treatment Science Q
spellingShingle	shoulder joint instability surgical treatment Science Q V. V. Monastyrev M. E. Puseva A. N. Rudakov N. S. Ponomarenko Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process
description	According to the results of multi-layer spiral CT, the main reason of shoulder instability is a bone defect of scapula articular surface. Frequency of poor results after common surgical treatment is high and runs up to 30 % of cases. The aim of the research was to estimate long-term results of surgical treatment of patients with chronic posttraumatic anterior shoulder instability at the edge bone defect of scapula articular surface using restoration of the anatomy of scapula articular surface by free autograft. We conducted open controlled prospective randomized study in the clinic of Irkutsk Scientific Center of Surgery and Traumatology. Estimation of long-term results of surgical treatment was conducted by the next criteria: functional (range of motions of operated upper extremity), subjective (visual analogue scale of pain, integral estimation of functional results by Rowe - Zarins and DASH scales), objective (X-ray imaging of shoulder joint in -x views and multi-layer spiral CT) and complications. Estimation of functional and anatomic results of 34 patients in 3 years after the operation proved clinical effectiveness of proposed surgical method. Overall level of conclusiveness of the research can be defined as level B and the effect of treatment as class I. Therefore, using free autograft from iliac crest allows to restore lost surface of scapula cavity more than 15 % of total surface.
format	article
author	V. V. Monastyrev M. E. Puseva A. N. Rudakov N. S. Ponomarenko
author_facet	V. V. Monastyrev M. E. Puseva A. N. Rudakov N. S. Ponomarenko
author_sort	V. V. Monastyrev
title	Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process
title_short	Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process
title_full	Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process
title_fullStr	Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process
title_full_unstemmed	Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process
title_sort	long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2015
url	https://doaj.org/article/36c82ec19acf495ab62e72484ef70194
work_keys_str_mv	AT vvmonastyrev longtermresultsofsurgicaltreatmentofchronicposttraumaticanteriorshoulderinstabilityatthebonedefectofscapulaarticularprocess AT mepuseva longtermresultsofsurgicaltreatmentofchronicposttraumaticanteriorshoulderinstabilityatthebonedefectofscapulaarticularprocess AT anrudakov longtermresultsofsurgicaltreatmentofchronicposttraumaticanteriorshoulderinstabilityatthebonedefectofscapulaarticularprocess AT nsponomarenko longtermresultsofsurgicaltreatmentofchronicposttraumaticanteriorshoulderinstabilityatthebonedefectofscapulaarticularprocess
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Long-term results of surgical treatment of chronic posttraumatic anterior shoulder instability at the bone defect of scapula articular process

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