Cirurgia de Bristow-Latarjet: Um panorama atual do Brasil

Bruno Vierno de Araujo; Paulo Henrique Schmidt Lara; Alberto de Castro Pochini; Benno Ejnisman; Eduardo Antônio de Figueiredo; Paulo Santoro Belangero

doi:10.1055/s-0043-1776131

Revista Brasileira de Ortopedia, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e734-e741
DOI: 10.1055/s-0043-1776131

Artigo Original

Ombro e Cotovelo

Bristow-Latarjet Surgery: A Current Overview in Brazil

Artikel in mehreren Sprachen: português | English

Bruno Vierno de Araujo

¹Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil

,

Paulo Henrique Schmidt Lara

¹Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil

,

Alberto de Castro Pochini

¹Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil

,

Benno Ejnisman

¹Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil

,

Eduardo Antônio de Figueiredo

¹Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil

,

Paulo Santoro Belangero

¹Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil

› Institutsangaben

Abstract

Objective To provide a current overview of the Bristow-Latarjet surgery in Brazil.

Materials and Methods This cross-sectional study was based on an electronic questionnaire with 26 items, which was sent to active members of the Brazilian Society of Shoulder and Elbow Surgery (Sociedade Brasileira de Cirurgia do Ombro e Cotovelo, SBCOC, in Portuguese). The questionnaire addressed training, surgical technique, complications, and postoperative management.

Results We sent the questionnaire to 845 specialists from April 20 to May 12, 2021, and 310 of them answered i in full. During their specialization, most specialists participated in up to ten Bristow-Latarjet procedures. The most frequent complication was graft fracture, while the most common technical difficulty was screw positioning. In total, 50.6% and 73.9% reported having experienced intraoperative and postoperative complications respectively; 57.1% declared performing subscapularis suture; 99.7% indicated postoperative immobilization; and 61.9% considered graft consolidation fundamental.

Conclusion Most specialists participated in up to ten Bristow-Latarjet procedures during the specialization, but 13.5% of them graduated without participating in the surgery. The most frequent complication was graft fracture. The most common technical difficulty was screw positioning. Most participants prefer postoperative immobilization since they believe graft consolidation is essential to resume the practiced of sports. The highest complication rate occurred with specialists who have obtained their titles 11 to 15 years ago. In Brazil, the Southeast region is the largest producer of specialists and has the highest concentration of these professionals.

Keywords

joint instability - shoulder dislocations - shoulder joint - postoperative complications

Volltext

Referenzen

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