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Analysis Study Research Paper | Orthopaedic Surgery | India | Volume 14 Issue 1, January 2025 | Popularity: 6.2 / 10

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Latarjet Procedure for Anterior Shoulder Instability- Our Experience at a Tertiary Care Center

Dr. Amaresh CP, Dr. Krishna Prasad U, Dr. Arun Kumar PM

Abstract: Background and Objective: Shoulder joint has a unique anatomy and is inherently unstable which increases the propensity of dislocations. Anterior shoulder instability is commonly observed in sportsmen involving pathology in the glenoid or humeral head or both Arthroscopic Bankart repair and Latarjet procedure are the standard accepted procedures for recurrent anterior shoulder instability. Here we analyze the functional outcome of Latarjet procedure for recurrent anterior shoulder instability. Methodology: A cohort of 25 patients formed the basis of this prospective study which was done in a tertiary care center, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore at Karnataka, India who underwent Latarjet procedure for recurrent anterior glenohumeral instability during November 2021 to May 2023. Clinical outcomes at a mean of one, three and six months postoperatively assessed by the Rowe score, ASES score and Quick DASH. Standardized anteroposterior and axial radiographs were used to assess the graft position and union. Results: Follow up done at 1 month,3 month and 6 month showed progressive improvement in Range of motions, Apprehension relief, pain relief, return to normal activities and no any recurrence of instability and improved assessment scores. At the end of 6 months follow up 18 patients had excellent and remaining had good results in terms of ROWE scoring. Conclusion: For recurrent anterior shoulder instability, Latarjet procedure showed satisfactory result in terms of stability and range of motion mainly with significant bony defect of glenoid.

Keywords: Anterior Shoulder Instability, Latarjet procedure, Glenoid bone loss, ROWE score, Quick DASH score, ASES score

Edition: Volume 14 Issue 1, January 2025

Pages: 1278 - 1284

DOI: https://www.doi.org/10.21275/SR25127230630

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