AI Article Synopsis
- The study compares the outcomes of two surgical techniques for treating recurrent anterior shoulder dislocation with significant bone loss: the modified Latarjet procedure using iliac allograft and the standard Latarjet procedure using the coracoid process.
- Six patients were analyzed, with both groups showing improvements in shoulder stability and functional scores at a 12-month follow-up, although the modified group had slightly better functional outcomes and range of motion.
- While both methods had good clinical results, the modified technique may come with some donor site pain, and further research is recommended for a more conclusive comparison.
Article Abstract
Background: The Latarjet procedure is a well-established technique for managing repeated anterior shoulder dislocation accompanied by massive glenoid bone loss. Aim of this article was to assess outcomes among modified Latarjet procedure using allograft from Iliac bone and a standard Latarjet procedure using the coracoid process.
Methods: Six patients with recurrent anterior shoulder instability and significant glenoid bone loss were retrospectively analyzed. Three patients underwent the modified Latarjet procedure with iliac crest bone graft (Group A), and three underwent the standard Latarjet procedure (Group B). Outcomes were assessed at the 12-month follow-up, including shoulder stability, functional scores (Constant, the American Shoulder and Elbow Surgeons (ASES) score, and the Western Ontario Shoulder Instability Index (WOSI)), range of motion, complications, and return to sports.
Results: Both groups showed improvements in stability and functional scores, with no recurrent instability reported. Group A demonstrated slightly higher functional scores and range of motion. One patient in Group A experienced donor site pain, while one patient in Group B showed significant graft resorption. Graft union was achieved in all patients. Two-thirds of patients in each group returned to their pre-injury level of sports participation.
Conclusion: Both techniques provided good clinical outcomes for anterior shoulder instability with glenoid bone loss. The modified Latarjet with iliac crest graft may offer slight advantages in functional outcomes and graft preservation but is associated with potential donor site morbidity. Larger, prospective studies are needed to definitively compare these techniques.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425764 | PMC |
| http://dx.doi.org/10.7759/cureus.67908 | DOI Listing |
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