کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4073616 1266985 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Percutaneous balloon humeroplasty for Hill-Sachs lesions: a novel technique
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Percutaneous balloon humeroplasty for Hill-Sachs lesions: a novel technique
چکیده انگلیسی

IntroductionHills-Sachs lesions are commonly associated with anterior shoulder dislocations and can be a source of recurrent instability. Studies have shown that, even after soft tissue repair of a Bankart lesion, there is still a risk for redislocation in a patient with significant bony defects. The purpose of this study is to ascertain whether balloon humeroplasty is an effective technique of reducing acute Hill-Sachs defect in a cadaveric model.MethodsEighteen cadaveric humerii dissected free of soft tissue were used for this study. Hill-Sachs lesions were created in a reproducible manner in the anatomical posterolateral aspect of the head with a mallet edge. An inflatable balloon tamp (balloon, IBT) was used to reduce the lesion via a small transcortical window. Cement was used to fill the void created by the balloon. We utilized computed tomography (CT) to collect volume data of each humeral head pre- and post-procedure. From this data, we calculated the volume of the Hill-Sachs defect and the percent corrected. A paired t test was performed to analyze the data statistically.ResultsThe average prereduction Hill-Sachs defect volume was 1515.5 mm3. The average post-reduction lesion residual volume was 31 mm3 with 99.3% reduction to the original humeral head volume. The Hill-Sachs lesion reduction was statistically significant with P value of .0004.ConclusionBalloon humeroplasty proved to be an effective technique for reducing Hill-Sachs lesions in a cadaveric model. This technique may be used as an adjunct to arthroscopic versus open Bankart procedure for engaging acute Hill-Sachs lesions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 22, Issue 9, September 2013, Pages e7–e13
نویسندگان
, , , ,