Latarjet surgery for shoulder dislocation. Experience in a fourth-level hospital. Case series Summary
DOI:
https://doi.org/10.1016/j.rccot.2016.07.005Keywords:
Latarjet, dislocation, shoulderAbstract
Background: Surgical treatment for anterior shoulder instability presents different surgical techniques although arthroscopic Bankart repair is the preferred treatment. The aim of the study is to describe the clinical and surgical features of patients who were taken to Latarjet surgery for dislocated shoulder.
Methods: A case series was performed, including patients with a diagnosis of shoulder dislocation. The Instability Severity Index Score (ISIS) was applied to all patients. Those with results equal to or greater than 6 were determined as to have a surgical approach with Latarjet Surgery. The data collecting instrument was designed by the authors and was included in an Excel database also constructed by them. This work was approved by the Ethics Committee on Human Research.
Results: Latarjet surgery was performed in 18 patients between March 2010 and March 2012; 14 (77%) were men. The average age was 34.5 years (range 21 to 51 years old). A postsurgical complication was presented; two patients subsequently consulted for new trauma, one of them by car accident, and another one by height falling. Regarding of the procedure satisfaction results between excellent and good were 94.4% and bad results accomplished 5.5%.
Conclusion: It can be observed postoperative satisfaction given the non-recurrence and also averages of pain improved markedly before and after the surgery. The indication for Latarjet surgery may lie in a cultural aspect. The choice between Latarjet surgery and Bankart procedure is mainly related to the type of school the surgeon has had as a fellowship.
Evidence Level: IV.
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