Background: Anterior glenohumeral dislocation is a widespread problem among young athletic populations. Objective: This study was aimed to evaluate the clinical and the radiological results of patients with recurrent traumatic anterior shoulder instability treated with Latarjet procedure. Patients and Methods: A clinical trial study was conducted on 18 patients with recurrent traumatic anterior shoulder instability treated at the Department of Orthopedic, Faculty of Medicine, Zagazig University Hospitals. Pre-and postoperative clinical evaluation and radiological assessment was applied. Results: The average glenoid bone loss was (24.1±2.3 %) ranging from 20 to 27. All cases showed postoperative union and most of them (94.4%) had bony union and only (5.6%) had a fibrous union. Regarding range of motion and the shoulder functional evaluation there was a highly statistically significant improvement in all examined items (p-value<0.001). 123.0 % improvement postoperatively with a highly statistically significant increase in the constant score from (48.1±6.2) to (91.4±3.7) (p-value<0.001). 93.6 % improvement postoperatively with a highly statistically significant increase in the ULCA score from (14.6±2.9) to (31.3±1.8) (p-value<0.001). Most of the studied group (16 cases, 88.8%) didn't have any postoperative complications, one case had a hematoma (5.6%) and one case had a superficial infection (5.6%). Conclusion: It could be concluded that the open Latarjet procedure has confirmed to be an effective and efficient procedure for shoulder stabilization.
Background: When dealing with anterior cruciate ligament (ACL) tears, anatomic single-bundle reconstruction with remnant-preserving method offers numerous advantages, including enhanced revascularization and graft ligamentization, prevention of synovial fluid bath to the tunnels, and enhanced bone tendon healing . Objective: assess the efficacy and outcome of anatomic single-bundle reconstruction with remnant-augmenting technique in patients with an ACL tear. Patients and Methods: At the Orthopedic Departments of Zagazig University hospital, 18 patients with complete ACL damage were studied in prospective cohort research. The study was carried out from 2-11/2021. All patients received an anatomic single-bundle reconstruction using a remnant-preserving approach, and all patients were periodically monitored clinically and radiographically for a week, then every 2, 4, 6, and 12 weeks after the index procedure. Results: 33.3% of studied patients were complicated; superficial Infection was in 27.8%, Failure was just in one case and stiffness 2 cases only there were no other complications. VAS was significantly higher among complicated cases at the post but Lysholm knee score was significantly lower at pre and post and regard IKDS was significantly lower at post only. Conclusion:Patients with ACL tears benefit more from anatomic single-bundle restoration using the remnantaugmenting method, which improves proprioceptive functions, stability, and healing of the graft.
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