Modified Laterjet Procedure for Recurrent Anterior Shoulder Dislocation with Glenoid Bone Deficiency

Abstract

Objective: To assess the results of patients treated for recurrent anterior shoulder dislocation with glenoid bone deficiency by using the Latarjet procedure. Methods: This is a retrospective study done in the period between April 2014 till February 2016 at the Jordanian Royal Medical Services (JRMS). Thirty patients with recurrent traumatic anterior shoulder dislocation who underwent surgical treatment with modified Latarjet technique were included in the study. Patients were questioned about satisfaction, range of motion and its effect on daily life and were examined for stability and range of motion and complications if present. Results: 27 patients (90%) were satisfied of the surgery with no experience of redislocation. One patient (3.3%) was not satisfied because of axillary nerve injury and two (96.6%) were not so satisfied because of a 15 degree limitation of external rotation. Four patients (13.3%) had a limitation of external rotation ranging from 5-15 degree. All patients returned to their level of activity at three months except the one with nerve injury. Conclusion: The Modified Latarjet procedure is an effective technique for the treatment of recurrent anterior shoulder dislocation particularly with associated glenoid bone loss.