Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants

Hachem, Abdul-ilah; Carmen, Marcos Del; Verdalet, Iñigo; Rius, Javier

doi:10.1016/j.eats.2019.08.014

Cited by 22 publications

(25 citation statements)

References 29 publications

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“…The average loss of external rotation, compared to the non-operated side, was 4.40 (SD 8.70), and 92.3% of the grafts had healed on CT scan. Similar techniques using suture-tape cerclage to secure the bone block, avoiding the use of any metalwork, have also been described [ 59 ]. Additionally, human allograft and equine xenograft bone blocks have also been used to avoid donor site morbidity [ 60 ].…”

Section: Surgical Management Of Glenoid Defectsmentioning

confidence: 99%

Current concepts in anterior glenohumeral instability: diagnosis and treatment

Moya

Aydın

Yamamoto

et al. 2021

SICOT-J

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The glenohumeral joint is the most dislocated articulation, accounting for more than 50% of all joint dislocations. The reason behind shoulder instability should be investigated in detail for successful management, and the treatment plan should be individualized for all patients. Several classification systems have been proposed for glenohumeral instability. A physical exam is mandatory no matter what classification system is used. When treating patients with anterior shoulder instability, surgeons need to be aware of the critical size of the bone loss, which is commonly seen. The glenoid track concept was clinically adopted, and the measurement of the glenoid track for surgical decision-making is recommended. Detailed assessment of existing soft tissue injury to the labrum, capsule, glenohumeral ligaments, and rotator cuff is also mandatory as their presence influences the surgical outcome. Rehabilitation, arthroscopic repair techniques, open Bankart procedure, capsular plication, remplissage, Latarjet technique, iliac crest, and other bone grafts offer the surgeon different treatment options according to the type of patient and the lesions to be treated. Three-dimensional (3D) technologies can help to evaluate glenoid and humeral defects. Patient-specific guides are low-cost surgical instruments and can be used in shoulder instability surgery. 3D printing will undoubtedly become an essential tool to achieve the best results in glenohumeral instability surgery.

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Section: Surgical Management Of Glenoid Defectsmentioning

confidence: 99%

Current concepts in anterior glenohumeral instability: diagnosis and treatment

Moya

Aydın

Yamamoto

et al. 2021

SICOT-J

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“…[7][8][9]. However, recent researches find that there are some disadvantages in these implants: The toxic ions, Ni and Cr ions released from stainless steel, as well as Al released from titanium alloy, which will cause irreversible damage if absorbed excessively by the human body [10][11][12]; The elastic modulus of these bone implants is too much higher than that of natural bone, which can not avoid stress shielding effect [13,14]; These implants can not degrade completely by themselves, and they need to be taken out again after bone healing [15]. Therefore, it has become the focus of orthopedic clinic to find a suitable medical metal which releases no toxic ions, produce no stress shielding, and degrade at the same time.…”

Section: Introductionmentioning

confidence: 99%

Investigation of Mg–xLi–Zn alloys for potential application of biodegradable bone implant materials

Zhou

Wang

et al. 2021

J Mater Sci: Mater Med

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Implant therapy after osteosarcoma surgery is a major clinical challenge currently, especially the requirements for mechanical properties, degradability of the implants, and their inhibition of residual tumor cells. Biodegradable magnesium (Mg) alloy as medical bone implant material has full advantages and huge potential development space. Wherein, Mg–lithium (Li) based alloy, as an ultra-light alloy, has good properties for implants under certain conditions, and both Mg and Li have inhibitory effects on tumor cells. Therefore, Mg–Li alloy is expected to be applied in bone implant materials for mechanical supporting and inhibiting tumor cells simultaneously. In this contribution, the Mg–xLi–Zinc (Zn) series alloys (x = 3 wt%, 6 wt%, 9 wt%) were prepared to study the influence of different elements and contents on the structure and properties of the alloy, and the biosafety of the alloy was also evaluated. Our data showed that the yield strength, tensile strength, and elongation of as-cast Mg–xLi–Zn alloy were higher than those of as-cast Mg–Zn alloy; Mg–xLi–Zn alloy can kill osteosarcoma cells (MG-63) in a concentration-dependent manner, wherein Mg–3Li–Zn alloy (x = 3 wt%) and Mg–6Li–Zn alloy (x = 6 wt%) promoted the proliferation of osteoblasts (MC3T3) at a certain concentration of Li. In summary, our study demonstrated that the Mg–6Li–Zn alloy could be potentially applied as a material of orthopedic implant for its excellent multi-functions.

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“…The bare spot in glenohumeral joints appears to be constant, but variable in shape, and mostly present in an eccentric position within the inferior glenoid cavity (Aigner et al, 2004; Alashkham et al, 2017a, 2017b; Hachem, Del Carmen, Verdalet, & Rius, 2019). This constant appearance is assumed to be the result of the distribution of hyaline cartilage in the glenoid cavity, therefore it cannot be taken as a marker for operative measurement (Aigner et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

The glenoid and humeral head in shoulder osteoarthritis: A comprehensive review

Alashkham

Soames

2020

Clinical Anatomy

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The key management of glenohumeral osteoarthritis is shoulder arthroplasty which aims to reduce pain and restore full shoulder function: it has increased in recent years. A detailed understanding of the anatomy of the glenoid and humeral head, as well as morphological changes of the glenoid in osteoarthritis, are important factors to consider when deciding on replacement components. This review begins with a brief introduction of the glenohumeral joint itself, and then considers the detailed anatomy of the glenoid fossa and humeral head, both of which are reported to have variable morphology. Several studies have been undertaken to assess various parameters, especially of the glenoid fossa including its shape, height, width, and articular surface area, version and inclination, in an attempt to define a standard classification that can be applied to surgical intervention. Nevertheless, no definitive consensus concerning the classification of these morphologies has been forthcoming, hence the need for this review. Following a consideration of these morphologies, the current state of knowledge regarding glenoid deformity in osteoarthritis, as well as its surgical management, is considered.

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Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants

Cited by 22 publications

References 29 publications

Current concepts in anterior glenohumeral instability: diagnosis and treatment

Current concepts in anterior glenohumeral instability: diagnosis and treatment

Investigation of Mg–xLi–Zn alloys for potential application of biodegradable bone implant materials

The glenoid and humeral head in shoulder osteoarthritis: A comprehensive review

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