Arthroscopic Latarjet for Recurrent Shoulder Instability

被引:12
|
作者
Castricini, Roberto [1 ]
Longo, Umile Giuseppe [2 ]
Petrillo, Stefano [2 ]
Candela, Vincenzo [2 ]
De Benedetto, Massimo [1 ]
Maffulli, Nicola [3 ]
Denaro, Vincenzo [2 ]
机构
[1] Villa Maria Cecilia Hosp, Dept Orthopaed & Trauma Surg, I-48033 Cotignola, Ravenna, Italy
[2] Campus Biomed Univ, Dept Orthopaed & Trauma Surg, I-00128 Rome, Italy
[3] Barts & London Queen Marys Sch Med & Dent, Mile End Hosp, Ctr Sports & Exercise Med, Bancroft Rd, London E1 4DG, England
来源
MEDICINA-LITHUANIA | 2019年 / 55卷 / 09期
关键词
arthroscopy; shoulder instability; trauma; arthroscopic Latarjet; anterior recurrent instability; QUANTITATIVE SYNTHESIS; GLENOHUMERAL LIGAMENTS; ANTERIOR INSTABILITY; HUMERAL AVULSION; BANKART REPAIR; ROTATOR CUFF; BRISTOW; DISLOCATION; COMPLICATIONS; MANAGEMENT;
D O I
10.3390/medicina55090582
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 +/- 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist.
引用
收藏
页数:10
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