Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta

Background. Multi-layer spiral computed tomography shows that the main cause of shoulder instability is glenoid cavity bone defect. The aim of our research was to assess the effectiveness and safety of biodegradable implants in the treatment of patients with chronic posttraumatic anterior shoulder i...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	V. A. Monastyrev, M. E. Puseva, N. S. Ponomarenko
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	shoulder joint instability surgical treatment biodegradable implant Science Q
Acceso en línea:	https://doaj.org/article/393bc65a638741a28251e7c2adf1dd14
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:393bc65a638741a28251e7c2adf1dd14
record_format	dspace
spelling	oai:doaj.org-article:393bc65a638741a28251e7c2adf1dd142021-11-23T06:14:41ZOur First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta2541-94202587-959610.29413/ABS.2018-3.6.14https://doaj.org/article/393bc65a638741a28251e7c2adf1dd142019-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/1888https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. Multi-layer spiral computed tomography shows that the main cause of shoulder instability is glenoid cavity bone defect. The aim of our research was to assess the effectiveness and safety of biodegradable implants in the treatment of patients with chronic posttraumatic anterior shoulder instability under conditions of bone defect of glenoid cavity margin by the restoration of anatomic shape and structure of scapula articular surface.Materials and methods. We performed a pilot study based on the results of surgical treatment of 7 patients using 4.5 mm biodegradable compressing screws. In preoperative period, all patients had standard two-dimensional X-rays and MSCT with 3D-reconstruction. In postoperative period, all patients had check-up X-ray right after the surgery and MRI in 3 months after the surgery.Results. The results of the treatment were assessed by common clinical criteria, functional criteria, X-ray evidence and intraand postoperative complications. We registered strong functioning of an arm and an increase in the range of motions. Data from Rowe/Zarins and DASH questionnaires showed that the patients totally recovered. X-ray evidence showed consolidation of non-free autograft to the zone of scapula bone defect without osteolysis or widening of a drilled hole. We did not observe either a failure of union, or any formation of false joint, or any screw fractures in bone tissue. Beyond that, we did not observe any complication in postoperative period and early postoperative complications in particular.Conclusion. Pilot study with use of modern biodegradable implants in osteoplastic stabilization of shoulder joint at recurring instability showed their effectiveness and safety in patients of young and active working age. However, considering small number of patients in pilot study we cannot extrapolate our results to all similar and analogue cases of using biodegradable implants. In this regard, it is necessary to perform major multicenter clinical randomized study for further long-term observation and detection of possible unwanted side effects.V. A. MonastyrevM. E. PusevaN. S. PonomarenkoScientific Сentre for Family Health and Human Reproduction Problemsarticleshoulder jointinstabilitysurgical treatmentbiodegradable implantScienceQRUActa Biomedica Scientifica, Vol 3, Iss 6, Pp 100-106 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	shoulder joint instability surgical treatment biodegradable implant Science Q
spellingShingle	shoulder joint instability surgical treatment biodegradable implant Science Q V. A. Monastyrev M. E. Puseva N. S. Ponomarenko Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta
description	Background. Multi-layer spiral computed tomography shows that the main cause of shoulder instability is glenoid cavity bone defect. The aim of our research was to assess the effectiveness and safety of biodegradable implants in the treatment of patients with chronic posttraumatic anterior shoulder instability under conditions of bone defect of glenoid cavity margin by the restoration of anatomic shape and structure of scapula articular surface.Materials and methods. We performed a pilot study based on the results of surgical treatment of 7 patients using 4.5 mm biodegradable compressing screws. In preoperative period, all patients had standard two-dimensional X-rays and MSCT with 3D-reconstruction. In postoperative period, all patients had check-up X-ray right after the surgery and MRI in 3 months after the surgery.Results. The results of the treatment were assessed by common clinical criteria, functional criteria, X-ray evidence and intraand postoperative complications. We registered strong functioning of an arm and an increase in the range of motions. Data from Rowe/Zarins and DASH questionnaires showed that the patients totally recovered. X-ray evidence showed consolidation of non-free autograft to the zone of scapula bone defect without osteolysis or widening of a drilled hole. We did not observe either a failure of union, or any formation of false joint, or any screw fractures in bone tissue. Beyond that, we did not observe any complication in postoperative period and early postoperative complications in particular.Conclusion. Pilot study with use of modern biodegradable implants in osteoplastic stabilization of shoulder joint at recurring instability showed their effectiveness and safety in patients of young and active working age. However, considering small number of patients in pilot study we cannot extrapolate our results to all similar and analogue cases of using biodegradable implants. In this regard, it is necessary to perform major multicenter clinical randomized study for further long-term observation and detection of possible unwanted side effects.
format	article
author	V. A. Monastyrev M. E. Puseva N. S. Ponomarenko
author_facet	V. A. Monastyrev M. E. Puseva N. S. Ponomarenko
author_sort	V. A. Monastyrev
title	Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta
title_short	Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta
title_full	Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta
title_fullStr	Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta
title_full_unstemmed	Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta
title_sort	our first experience of using biodegradable implants in latarjet – bristow surgical procedure at chronic posttraumatic anterior shoulder insta
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/393bc65a638741a28251e7c2adf1dd14
work_keys_str_mv	AT vamonastyrev ourfirstexperienceofusingbiodegradableimplantsinlatarjetbristowsurgicalprocedureatchronicposttraumaticanteriorshoulderinsta AT mepuseva ourfirstexperienceofusingbiodegradableimplantsinlatarjetbristowsurgicalprocedureatchronicposttraumaticanteriorshoulderinsta AT nsponomarenko ourfirstexperienceofusingbiodegradableimplantsinlatarjetbristowsurgicalprocedureatchronicposttraumaticanteriorshoulderinsta
_version_	1718416935748632576

Our First experience of Using Biodegradable Implants in Latarjet – Bristow Surgical Procedure at Chronic Posttraumatic Anterior Shoulder Insta

Ejemplares similares