<h3>Latarjet手术（Latarjet Procedure）</h3><div><br></div><div><br></div><div><br></div><div><br></div><div> Latarjet手术用于治疗复发性肩关节脱位，特别是肩胛盂骨折或骨缺损引起的，由法国外科医生Michel Latarjet博士首先描述，又称Latarjet-Bristow手术。</div><div><br></div><div><br></div><div><br></div><div><br></div><div><br></div><div>Latarjet Procedure for Shoulder Instability</div><div>肩关节不稳的Latarjet手术</div><div><br></div><div>Overview（概述）</div><div>This surgical procedure modifies your shoulder socket. It helps keep the head of the humerus from slipping out of the glenoid. You may benefit from this procedure if you have frequent shoulder dislocations.</div><div> Latarjet手术对肩胛盂进行改造，有助于防止肱骨头从肩胛盂内脱出，适用于频繁复发的肩关节脱位患者。</div><div><br></div><div>Preparation（准备）</div><div>In preparation for the procedure, you are anesthetized. You are placed in a reclined position. If you are having an open procedure, your surgeon creates a small incision in the front of your shoulder. If you are having an arthroscopic procedure, your surgeon instead makes a series of tiny openings for the arthroscopic instruments.</div><div> 准备手术前，先对病人进行麻醉，取斜坡卧位。如果是开放手术，术者会在肩关节前方作一个小切口。如果是关节镜手术，术者改用一系列的微小的开口用于关节镜器械。</div><div><br></div><div><br></div> <h3>Freeing the Coracoid Process（游离喙突）</h3><div>The surgeon accesses the coracoid process. This is a bony protrusion that sticks out from the scapula. A tendon of the the biceps brachii muscle is connected to the end of this bone. The surgeon frees the end of the coracoid process, along with this tendon.</div><div> 术者显露喙突。喙突是从肩胛骨上伸出来的一个骨性突起。上臂的二头肌有一条肌腱与喙突的末端相连。术者将喙突的末端截下，并保持与这条肌腱相连。</div><div><br></div><div>Stabilizing the Joint（稳定关节）</div><div>Next, the surgeon creates a split through the subscapularis muscle. This allows access to the shoulder socket. The surgeon prepares the front of the glenoid to create a stable surface. The freed coracoid bone and attached tendon are placed through the split. The coracoid is positioned against the glenoid. It is anchored to the shoulder socket with screws. This extra bone will prevent the humerus from slipping forward out of the shoulder socket.</div><div> 然后，术者劈开肩胛下肌，以显露肩关节盂。术者准备肩胛盂前方，创造一个稳定的面。截下的连有肌腱的喙突通过这个肌间隙放置于肩胛盂前面，用螺钉与肩胛盂锚定。这块额外的骨能防止肱骨向前滑出肩胛盂。</div> <h3><br></h3><div>End of Procedure and Aftercare（手术结束及术后护理）</div><div>When the procedure is complete, the openings in your skin are closed. Your arm is placed in a sling. Your surgeon will provide instructions to aid your recovery.</div><div> 术毕，关闭皮肤开口。上肢悬吊保护。术者会对术后康复进行指导。</div><div><br></div><div><br></div>