Outcome analysis in recurrent shoulder dislocation patients treated by latarjet and modified bristow technique
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
INTRODUCTION: Selecting an optimal surgical procedure for patients with anterior glenohumeral instability and associated glenoid bone loss is a complex problem. Among the coracoid transfer procedures (the Modified Bristow and Latarjet), there is little consensus about which of these two techniques is optimal. The purpose is to study the stabilization effects of these procedures in anterior glenohumeral instability and analyze their outcomes. METHODS: Latarjet was performed in fifteen patients and Modified Bristow in fifteen patients. Patients were followed up for mean period of 18 months. The functional outcome was measured with WALCH DUPLAY & Visual analog score. RESULTS: All thirty patients had bony union. Outcome is found to be excellent in 40% of Latarjet and 40% in Modified Bristow cases. Good outcome is seen in 46.7% Latarjet and 53.3% Modified Bristow. 20% of Latarjet cases developed Grade 1 Humeral arthropathy. Loss of external rotation and abduction is significantly more in Latarjet. Once the follow up is more than a year57 the functional outcome significantly improves. Post operatively three (20%) Mod Bristow cases continued to have positive apprehension. Both groups achieve equal outcome during the 12 to 15 months’ period. CONCLUSION: The Bristow and Latarjet procedures are equivalent in terms of functional outcome in anterior glenohumeral instability with glenoid bone loss. However, Latarjet outperformed the Bristow procedure in terms of restoring joint stability, even for cases with engaging Hill sach lesion. Therefore, in terms of efficacy, Latarjet will be a preferable procedure in Anterior Glenohumeral instability with significant Glenoid bone loss.
Authors and Affiliations
K Naveen Kumar, A N Sarath Babu, M Sudheer
Keywords
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