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231225s2020 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2020.06.006
|2 doi
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|a pubmed25n1063.xml
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|a (NLM)33345219
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|a DE-627
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|a eng
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| 100 |
1 |
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|a Tytherleigh-Strong, Graham
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Revision guided suture-button bone block stabilization of the shoulder in the presence of significant retained glenoid metalwork
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| 264 |
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1 |
|c 2020
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| 336 |
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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| 338 |
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|a ƒa Online-Ressource
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|2 rdacarrier
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|a Date Revised 19.04.2022
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2020 Published by Elsevier Inc. on behalf of American Shoulder and Elbow Surgeons.
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|a AIM: Positioning and fixation of the bone block during revision anterior stabilization of the shoulder, in the presence of significant retained glenoid metalwork, can be challenging. We present the results of a series of patients who underwent a revision bone block procedure secured with double suture buttons using a drill guide system, the position of which was calculated from a preoperative computed tomography (CT) scan
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|a MATERIALS AND METHODS: We undertook a revision bone block stabilization of the shoulder, using a guided double suture-button fixation, in 10 patients with significant retained glenoid metalwork from previous procedures. A preoperative CT scan was used to determine a position for the guide to allow a safe drill trajectory that would avoid any retained metalwork. A coracoid transfer was undertaken in 4 patients and an Eden-Hybinette in 6. Patients were assessed preoperatively and at final follow-up clinically and using the Oxford Shoulder Instability Score and the Subjective Shoulder Value score. Bone block position and healing was assessed by a CT scan at 6 months. The median follow-up was 36 months (range, 24-47 months)
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|a RESULTS: There were 3 female and 7 male patients with a median age of 24.5 years (17-49 years). At final follow-up, the mean Oxford Shoulder Instability Score had decreased from 25.9 (range, 21-35) to 5.8 (range, 3-14) (P < .005). The mean Subjective Shoulder Value score had risen from 87.1 (range, 10-60) to 80 (range, 60-90) (P < .05). All of the patients considered their shoulder to be stable apart from 1 patient. There had been no redislocations. The bone block positioned in the glenoid lower quadrant had healed for all of the patients on CT at 6 months
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|a CONCLUSION: Guided suture-button fixation of the bone block during revision anterior stabilization of the shoulder, in the presence of significant retained glenoid metalwork, provides a satisfactory outcome in terms of shoulder stability, graft position, and healing
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4 |
|a Journal Article
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4 |
|a Eden-Hybinette
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| 650 |
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4 |
|a Revision stabilization
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| 650 |
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4 |
|a coracoid transfer
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| 650 |
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4 |
|a glenoid metalwork
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| 650 |
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4 |
|a suture button
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| 700 |
1 |
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|a Aresti, Nicholas
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Begum, Rumina
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|4 aut
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|g 4(2020), 4 vom: 11. Dez., Seite 803-813
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|g volume:4
|g year:2020
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|g day:11
|g month:12
|g pages:803-813
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|u http://dx.doi.org/10.1016/j.jseint.2020.06.006
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