Why I do Bone Block Instead Of Latarjet for Bone loss in Shoulder Instablity

Описание: #StopLatarjet #BestSurgeryBoneloss #BestSurgeryShoulderDislocation
First Live Demonstration of Scapular spine Bone graft with Endobutton Fixation in world till Date. A novice treatment with many advantages as compared to Latarjet. It has advantages as compared to open or arthroscopic Laatarjet.
All elements of shoulder Instablity can be addressed by this procedure. This Surgery Includes
1) Arthroscopic Bone Block with Scapular Spine Bone Graft.
2)Bankart/Labral Repair
3) Remplissage
In the treatment of anterior shoulder instability with glenoid bone loss, free bone graft transfers have proven best Treatment, They are better than commonly
performed, nonanatomic Latarjet procedure. In particular, Button Fixation of the free bone grafts has rendered excellent short- and long-term results.Better than Arthroscopic Latarjet Grafts can be harvested from the iliac crest, with the associated risk of postoperative pain, immobility, blood loss, hematoma, and nerve injury. Patients understandably would like to avoid having a procedure performed in a
second body region.The arthroscopic bone block cerclage technique using
a tricortical scapular spine autograft provides an anatomic arthroscopic glenoid reconstruction with the combined benefit of sparing the subscapularis, metal Button
fixation, and intraregional donor site for autograft harvesting. CT-based studies have shown that the scapular spine has dimensions similar to the coracoid,and even the iliac crest, in the majority of patients and therefore is suitable as a graft choice for bony glenoid reconstruction in anterior shoulder instability. Not only does the use of grafts with smaller size make it technically easier to transfer the graft into the joint andattach the capsulolabral complex around the graft, but it has also been shown that, most of the time, iliac crest bone grafts are too large and therefore augment rather than reconstruct the glenoid, which leads to extensive resorption due to remodeling processes based on
Wolff’s law.If it fails Revision surgery with an iliac-crest bone graft transferor Latarjet is easily possible, as the donor sites are still
available, no screws were used, and the subscapularis
was spared.#LiveBankart #LiveShoulderArthroscopy #LiveRemplissage #Prathmesh

Scapular spine bone block surgery is a procedure where a portion of the scapular spine, which is a bony prominence on the shoulder blade (scapula), is used to address certain shoulder conditions, particularly instability. Here are key points about scapular spine bone block surgery:

1. *Indications:*
Scapular spine bone block surgery is typically performed to treat recurrent shoulder dislocations caused by bone loss, especially in cases of glenoid (shoulder socket) deficiency.

2. *Procedure Overview:*
The surgery involves taking a segment of the scapular spine and fixing it to the glenoid to increase the bone surface area and enhance stability.

3. *Patient Positioning:*
The patient is usually placed in a lateral or beach chair position, depending on the surgeon's preference and the specifics of the case.

4. *Incision:*
An incision is made over the shoulder blade to expose the scapular spine. The size and location of the incision may vary.

5. *Bone Graft Harvesting:*
A segment of the scapular spine is carefully harvested. The harvested bone is typically wedge-shaped, and it is important to maintain blood supply during this process.

6. *Glenoid Preparation:*
The glenoid is prepared to receive the bone graft. This may involve removing damaged cartilage and shaping the bone to accommodate the graft.

7. *Bone Graft Fixation:*
The harvested bone graft is then fixed to the glenoid using screws or other fixation devices. The goal is to create a more stable and congruent joint.

8. *Soft Tissue Management:*
Soft tissues around the surgical site, including the capsule and ligaments, may be adjusted or repaired to optimize stability.

9. *Closure:*
The incision is closed with sutures or staples, and a sterile dressing is applied.

10. *Postoperative Rehabilitation:*
Following surgery, a comprehensive rehabilitation program is essential to ensure proper healing and restore range of motion and strength. Physical therapy is often a key component.

11. *Radiographic Assessment:*
Postoperative imaging, such as X-rays or CT scans, may be used to assess the position and stability of the bone graft.

12. *Complications:*
As with any surgical procedure, complications can occur. These may include infection, nerve injury, or issues related to the bone graft healing.

Scapular spine bone block surgery is considered in specific cases where other surgical options may not be sufficient to address shoulder instability due to bone loss. The decision to undergo this procedure should be made in consultation with an experienced orthopedic surgeon, taking into account the patient's indi