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Evaluation of Screws Positioning in Latarjet Surgery: Is There a Correlation between Parallelism to Glenoid and Radiographic Complications?
Kawakami, Eduardo Felipe Kin Ito; Godoy, Gabriel Paris de; Cohen, Marcio T; Yamada, Andre Fukunishi; Motta Filho, Geraldo R; Ejnisman, Benno; Belangero, Paulo Santoro.
Afiliación
  • Kawakami EFKI; Médico radiologista do Departamento de Diagnóstico por Imagem, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
  • Godoy GP; Médico ortopedista e traumatologista da Disciplina de Medicina Esportiva - Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
  • Cohen MT; Médico ortopedista e traumatologista do Grupo de Ombro e Cotovelo do Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil.
  • Yamada AF; Médico radiologista do Departamento de Diagnóstico por Imagem, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
  • Motta Filho GR; Médico radiologista do Hospital do Coração (HCOR), São Paulo, SP, Brasil.
  • Ejnisman B; Médico ortopedista e traumatologista do Grupo de Ombro e Cotovelo do Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil.
  • Belangero PS; Chefe da Disciplina de Medicina Esportiva - Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo) ; 58(6): e876-e884, 2023 Dec.
Article en En | MEDLINE | ID: mdl-38077761
Objective To evaluate whether the parallelism of screws with glenoid in Latarjet surgery interferes in the positioning of the graft and to verify the reproducibility of a method of measuring screws positioning. Methods Retrospective, multicenter study, of patients with anterior shoulder instability submitted to modified Latarjet surgery and at least one year of postoperative follow-up. Two radiologists analyzed the postoperative tomographic images, acquired in a database, to evaluate the positioning of screws and radiographic complications. Results We evaluated 34 patients, aged between 21 and 60 years, one of them with bilateral shoulder involvement, totaling 35 shoulders evaluated. The tomographic evaluation of the inclination angles of the screws showed no difference between the observers. There was intra- and interobserver agreement to evaluate the following surgical parameters: graft position, presence or not of radiographic complications. Conclusion The technique described for measuring the parallelism of screws in Latarjet surgery presented a very good and excellent intra-observer agreement, respectively. Screw parallelism with glenoid is recommended; however, it is not a mandatory and unique condition to avoid radiographic complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Rev Bras Ortop (Sao Paulo) Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Rev Bras Ortop (Sao Paulo) Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania