Functional Outcomes of Surgical Treatment for Recurrent Anterior Shoulder Dislocation with Latarjet Technique

International Journal of Medical Science

© 2024 by SSRG - IJMS Journal

Volume 11 Issue 1

Year of Publication : 2024

Authors : Raed Baroudi, Ali yousef, Safwan yousef

10.14445/23939117/IJMS-V11I1P104

How to Cite?

Raed Baroudi, Ali yousef, Safwan yousef, "Functional Outcomes of Surgical Treatment for Recurrent Anterior Shoulder Dislocation with Latarjet Technique," SSRG International Journal of Medical Science, vol. 11,  no. 1, pp. 14-21, 2024. Crossref, https://doi.org/10.14445/23939117/IJMS-V11I1P104

Abstract:

Objective: This study aimed to evaluate the functional and clinical outcomes of patients treated surgically for recurrent anterior shoulder dislocation using the Latarjet technique, following the Rowe criteria, over a 12-month follow-up period. Additionally, the study evaluated postoperative complications. Methods: A retrospective analysis was conducted on 22 cases of recurrent traumatic anterior shoulder dislocation in 21 patients who underwent the Latarjet technique at Tishreen University Hospital between 2019 and 2021. Functional outcomes were measured using the Rowe score at 6 and 12 months post-surgery compared to preoperative scores. Range of motion and strength assessments were conducted on both operated and healthy shoulders. Detailed documentation of complications such as dislocation recurrence, graft non-union, resorption, screw loosening, and osteoarthritis was performed. Results: The mean Rowe score significantly improved from 39.21±6.3 pre-surgery to 88.32±5.2 at 6 months post-surgery and further to 90.78±5.8 at 12 months post-surgery (p<0.001). The range of motion in the operated shoulder was notably less than in the healthy shoulder, particularly in external rotation movement. At the final follow-up, a single case of dislocation, 4.5%, was reported with no subluxation instances. Graft non-union and resorption each occurred in 4.5% of cases, while screw breakage and migration were absent. Screw loosening was observed in 4.5% of patients, and osteoarthritis was detected in 9% of cases, classified as stage 1 based on the Samilson and Prieto criteria. Conclusions: The Latarjet procedure is a safe and effective technique for managing recurrent anterior shoulder dislocation. It provides excellent stability, functional improvement, and positive radiological outcomes over a one-year follow-up period.

Keywords:

Anterior shoulder dislocation, Glenohumeral instability, Latarjet, Recurrence rate, Surgery.

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