BACKGROUND: Surgical treatment of post-traumatic instability of the shoulder jointinvolves the use of various surgical techniques: open Latarjet procedure, BristowLatarjet operation, which was first performed in Russia at CITO named after N.N. Priorov, the founder of the clinic for sports and ballet trauma, Professor Zoya S. Mironova, also use soft tissue stabilization with anchors, etc. However, in recent years, the Latarjet arthroscopic operation has become a priority choice in the treatment of post-traumatic instability of the shoulder joint.
AIM: To improve the results and reduce the frequency of postoperative complications, reduce the time of surgical intervention, as well as evaluate the technical difficulties, nuances and improve the surgical technique when performing the arthroscopic Latarjet procedure in professional athletes and amateurs with post-traumatic defects of the shoulder joint.
MATERIALS AND METHODS: During the period from 2015 to 2021, 50 Latarjet arthroscopic procedure were performed in athletes with post-traumatic defects of the glenoid cavity of the scapula.
RESULTS: To improve postoperative results, during the Latarjet arthroscopic operation, when positioning the bone autograft, we focused on the 5 oclock in the anterior inferior section of the glenoid cavity of the scapula, which allowed us to maintain the range of motion, namely abduction, flexion and external rotation and bring it almost to the previous level in 96% of patients, the pain syndrome also regressed to 0.80.21 points. Fixation of the capsular-ligamentary apparatus exarticularly allowed to reduce the likelihood of relapse, fracture of the bone autograft, and the development of deforming osteoarthritis of the shoulder joint in the near future.
CONCLUSIONS: The arthroscopic Latarjet procedure in the treatment of post-traumatic injuries of the shoulder joint is gaining popularity due to the fact that, using low-traumatic approaches, it is possible to correctly position the bone autograft on the anterior-inferior region of the articular surface of the scapula, without subsequent restrictions on the functional component of the shoulder joint.
For the first time in native practice the approaches to diagnosis of insufficiently studied pathology - hamstring syndrome were detected. Method of operative treatment was elaborated and successfully used at clinic. In 12 patients the 2 years follow up results of operative treatment were good.
In 20 patients with sequelae of the ankle injuries arthroscopic operations were performed. Different methods of distraction were used depending upon patients age, joint size, pattern and localization of intra-articular pathology, type and planned duration of surgery. In 18 patients follow up ranged from 1 to 5 years. In 16 patients, significant improvement was achieved, 2 patients had pain in joint under prolonged load. Different types of the ankle distraction were described. On the base of publications and authors experience the advantages and disadvantages, indications and contraindications of those distraction types were presented.
New approach to the treatment of patients with infectious knee joint arthritis using arthroscopic technique has been elaborated at CITO department of sports and ballet injury. During the period from 2004 to 2010 total number of 23 patients (32 - 67 years) has been treated. Use of arthroscopic technique enabled to improve treatments results and to decrease the duration of hospitalization. The importance of early diagnosis and timely initiation of treatment has been shown. Delay of arthroscopic revision and knee joint sanitation may result in destructive changes in cartilage and other joint components. Evaluation of treatment results by Lysholm scale showed 28.6% of good and 71.4% of satisfactory outcomes.
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