てんかん患者における前肩不安定症に対する遠位脛骨同種移植骨によるラテルジェ法増強：症例報告
Ewerton Borges de Souza Lima1, Arthur Cardoso Paroneto1, Gabriel Ferreira Santos Vasconcelos1
1Department of Orthopedics and Traumatology, Federal University of São Paulo, São Paulo, State of São Paulo, Brazil, unifesp.br.
Abstract:
This case report describes the combined use of the Latarjet procedure with distal tibia allograft augmentation to treat anterior shoulder instability in a 35-year-old female patient with a seizure disorder. The patient had significant bipolar bone loss and coracoid fracture pseudoarthrosis. The procedure involved using both coracoid autograft and distal tibia allograft to address the glenoid bone defect. Postoperative care included a sling for 3 weeks followed by progressive physiotherapy. At 18 months postsurgery, the patient reported high satisfaction, full recovery, and no recurrence of dislocations. Radiographic evaluations confirmed proper graft positioning and bone integration. This combined technique offers a robust solution for managing complex shoulder instability cases with significant bone loss and insufficient coracoid graft.
