Treatment of Bony Defects in Anterior Shoulder Dislocation-Latarjet Procedure: Short-Term Results

Abstract

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.