N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and Orthopedics0869-86782658-6738Eco-Vector4767510.17816/vto201522326-29Research ArticleMethod for Glenoid Bone Defect Plasty in Recurrent Shoulder InstabilityProkhorenkoV. M-FomenkoS. M-FilipenkoP. Vdoctorfilipenko@gmail.comNovosibirsk State Medical UniversityNovosibirsk Institute of Traumatology and Orthopaedics named after Ya. L. Tziv’yanMilitary Hospital № 6, Novosibirsk, Russia15092015223262920102020Copyright © 2015, Eco-Vector2015Technique for glenoid bone defect plasty in posttraumatic shoulder instability using the porous titanium nickelide (Ti-Ni) graft is presented. This method is an alternative to Latarjet operation and autoplasty with the graft from the iliac crest. The shape and size of the graft was determined by MSCT data and the graft was sawed out from cylindrical billets with diameter of about 2.5 cm and wall thickness - 1 cm. Two screw holes were drilled and the graft was placed into the defect. That technique was applied in 6 patients with long lasting history of recurrent anterior instability and instability relapses after shoulder stabilization using other surgical techniques. Preoperative shoulder functional state by Rowe scale averaged 35.0 points versus 93.3 points after operation. One year follow up showed no cases of instability relapse. The advantages of this technique are the possibility of accurate glenoid anatomic shape reconstruction, absence of graft resorption and reduction of intervention duration.recurrent shoulder instabilitysurgical treatmentglenoid bone lossLatarjet operation3D-visualizationрецидивирующая нестабильность плечевого суставаоперативное лечениекостный дефицит гленоидаоперация Латарже3D-визуализация[1. Taylor D.C., Arciero R.A. Pathologic changes associated with shoulder dislocations: Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am. J. Sports Med. 1997; 25: 306-11.][2. Lo I.K., Parten P.M., Burkhart S.S. The inverted pear glenoid: an indicator of significant glenoid bone loss. Arthroscopy. 2004; 20: 169-74.][3. Burkhart S.S., De Beer J.F. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000; 16: 677-94.][4. Woertler K., Waldt S. MR imaging in sports-related glenohumeral instability. Eur. Radiol. 2006; 16 (12): 2622-36.][5. Hovelius L., Sandström B., Saebö M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study II: the evolution of dislocation arthropathy. J. Shoulder Elbow Surg. 2006; 15 (3): 279-89.][6. Schroder D.T., Provencher M.T., Mologne T.S., Muldoon M.P. The modified Bristow procedure for anterior shoulder instability: 26-year outcomes in Naval Academy Midshipmen. Am. J. Sports Med. 2006; 34; 778-86.][7. Гладков Р.В., Рикун О.В., Аверкиев Д.В., Гранкин А.С. Результаты стабилизации плечевого сустава по модифицированной методике Бристоу - Латарже с артроскопическим сопровождением. Травматология и ортопедия России. 2014; 2 (72): 85-92.][8. Patte D., Bernageau J., Bancel P. The anteroinferior vulnerable point of the glenoid rim. In: Surgery of the shoulder. New York: Marcel Dekker; 1985: 94-9.][9. Доколин С.Ю., Кислицын М.А., Базаров И.С. Артроскопическая техника выполнения костной аутопластики дефекта суставной впадины лопатки у пациентов с передней рецидивирующей нестабильностью плечевого сустава. Травматология и ортопедия России. 2012; 3 (65): 77-82.][10. Монастырев В.В. Хирургическое лечение пациентов с хронической посттравматической передней нестабильностью плечевого сустава при костном дефекте суставной поверхности лопатки: Автореф. дис. … канд. мед. наук. Новосибирск; 2014.][11. Hindmarsh J., Lindberg A. Eden-Hybbinette's operation for recurrent dislocation of the humero-scapular joint. Acta Orthop. Scand. 1967; 38: 459-78.][12. Oster A. Recurrent anterior dislocation of the shoulder treated by the Eden-Hybmette operation: Follow-up on 78 cases. Acta Orthop. Scand. 1969; 40: 43- 52.][13. Rowe C.R., Patel D., Southmayd W.W. The Bankart procedure: a long-term end-result study. J. Bone Joint Surg. Am. 1978; 60 (1): 1-16.][Гюнтер В.Э., Ходоренко В.Н., Ясенчук Ю.Ф. Никелид титана. Медицинский материал нового поколения. Томск: МИЦ; 2006.]