Outcome Analysis of 5 Patients With Recurrent Antero-Inferior Shoulder Dislocation Treated With Open Latarjet Procedure

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (257) Last page: (263)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:10.48165/ijabms.2020.22125

Outcome Analysis of 5 Patients With Recurrent Antero-Inferior  Shoulder Dislocation Treated With Open Latarjet Procedure  
Urvil Shah 1, Jyotish G Patel2, Mukesh N Shah3,  Hiren K  Shah4, Suril A Shah5
13rd year resident, 2 (HOD & Professor), 3(Professor & PG Guide),4 R2, 5 Dr. R  Department of Orthopaedics, GCS Medical College, Hospital & Research Centre,  Ahmedabad, Gujarat, India 
Corresponding author email id:

Online Published on 02-Jan-2020

ABSTRACT

Topic: Outcome analysis of 5 patients with recurrent antero-inferior  shoulder dislocation and glenoid bone loss treated with open Latarjet  procedure. Introduction: With the extreme range of movements, the shoulder joint is prone  for dislocations. Selecting an optimal and efficient surgical procedure for patients  with anterior glenohumeral instability and associated glenoid bone loss is a  complex problem. Among the coracoid transfer procedures, open latarjet  procedure offers good clinical outcomes even with glenoid bone loss. The purpose  is to study the clinical outcome of Open Latarjet procedure in anterior  glenohumeral instability using Carter Rowe scoring system. Aims & objectives: To  evaluate the functional outcomes of 5 patinets with recurrent antero-inferior  shoulder dislocation corrected by open Laterjet procedure using Carter Rowe  Scoring system. Methodology: 5 patients with recurrent antero-inferior shoulder  dislocation were operated by open latarjet procedure. All patients were screened  clinically and confirmed on CT scan. Patients were followed up and reviewed at a  mean time interval of 6 months and evaluated using Carter Rowe Score. Results:  We have obtained complete bone union at 6 months in all patients with excellent  to good results as scored by Carter Rowe scoring scale. In Range of motion, there  was restriction in External Rotation. Patients were able to restore their daily  activities by 6 months. No episode of dislocation, despite one epileptic patient  having convulsed after 1 month of surgery. Conclusion: Open latarjet procedure  offers a reliable surgical method of management of recurrent anterior shoulder  dislocation with significant bone loss and our study showed good functional  outcome as measured by Carter Rowe score.

Keywords

Outcome ,recurrent Antero-Inferior Shoulder  Dislocation ,treated With Open Latarjet Procedure