Surgical Treatment of Anterior Shoulder Instabilities Using the Latarjet Technique (about 40 Cases)  

作　　者：Mansi Zied Chermiti Wajdi Rbai Hedi Saadana Jacem Zaidi Bacem Sindi Sihem Gazzah Wael Mansi Zied;Chermiti Wajdi;Rbai Hedi;Saadana Jacem;Zaidi Bacem;Sindi Sihem;Gazzah Wael(Department of Orthopedics-Traumatology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia;Department of Orthopaedics-Traumatology, Sahloul Hospital of Sousse, Sousse, Tunisia;Department of Orthopedics-Traumatology, Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia;Department of General Surgery, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia;Department of Urology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia)

机构地区：[1]Department of Orthopedics-Traumatology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia [2]Department of Orthopaedics-Traumatology, Sahloul Hospital of Sousse, Sousse, Tunisia [3]Department of Orthopedics-Traumatology, Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia [4]Department of General Surgery, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia [5]Department of Urology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia

出　　处：《Open Journal of Orthopedics》2024年第1期53-63,共11页矫形学期刊（英文）

摘　　要：Purpose: Surgical treatment of chronic anterior shoulder instability is a difficult therapeutic challenge for contact athletes. The aim of our study is to evaluate the clinical and radiological results of 40 cases of chronic anterior shoulder instability treated in our institution by Latarjet technique. Methods: We report our experience with the intervention of Latarjet modified by the analysis of a retrospective study of 40 cases. They were all young athletic men, with an average age of 29 years with a predominance of the dominant shoulder. Results: Eighty percent had bone lesions, the first dislocation being traumatic (plating). One patient had a recurrence of his instability due to a new trauma and 67% resumed sport within an average period of eight months, some of whom still had functional discomfort in sports practice (9 patients). After an average follow-up of 75 months, 93% of patients were satisfied with their intervention. Only two mechanical complications were observed. Conclusion: Chronic anterior shoulder instability is pathology of young and active subjects. The preregulenoid coracoid block according to Latarjet represents the therapeutic method of choice in the treatment of chronic anterior instabilities of the shoulder, especially in young and athletic subjects. The result of this intervention remains good despite the complications that can occur such as pseudarthrosis, osteoarthritis, lysis or mobility of the screw.Purpose: Surgical treatment of chronic anterior shoulder instability is a difficult therapeutic challenge for contact athletes. The aim of our study is to evaluate the clinical and radiological results of 40 cases of chronic anterior shoulder instability treated in our institution by Latarjet technique. Methods: We report our experience with the intervention of Latarjet modified by the analysis of a retrospective study of 40 cases. They were all young athletic men, with an average age of 29 years with a predominance of the dominant shoulder. Results: Eighty percent had bone lesions, the first dislocation being traumatic (plating). One patient had a recurrence of his instability due to a new trauma and 67% resumed sport within an average period of eight months, some of whom still had functional discomfort in sports practice (9 patients). After an average follow-up of 75 months, 93% of patients were satisfied with their intervention. Only two mechanical complications were observed. Conclusion: Chronic anterior shoulder instability is pathology of young and active subjects. The preregulenoid coracoid block according to Latarjet represents the therapeutic method of choice in the treatment of chronic anterior instabilities of the shoulder, especially in young and athletic subjects. The result of this intervention remains good despite the complications that can occur such as pseudarthrosis, osteoarthritis, lysis or mobility of the screw.

关 键 词：SHOULDER INSTABILITY LATARJET Results 

分 类 号：R73[医药卫生—肿瘤]