Summary

We have studied the clinical outcome with return to work and sports after Arthroscopic Latarjet procedure using Fibretape cerclage with a midterm followup in nineteen patients

Abstract

Introduction

Arthroscopic Latarjet procedure for recurrent shoulder instability with significant glenoid bone loss is gaining popularity around the world with many proposed advantages compared to open Latarjet procedure. We aimed to study the outcome of all-fibre Arthroscopic Latarjet procedure with capsular repair at our tertiary care center in Ernakulam, Kerala, India. Materials and methods: Nineteen patients with recurrent anterior shoulder instability with significant glenoid bone loss were managed with Arthroscopic Latarjet procedure using fibretape cerclage (Arthrex, Naples, FL) and followed up for a mean period of 18 months. Postoperative range of motion and function were compared with that of the opposite shoulder. Rowe, OSIS and UCLA scores were used preoperatively and postoperatively. CT scan was done for all the patients at 6 months postoperatively to confirm bony healing before allowing sporting activity. Results: There were no significant immediate intra or post-operative complications like infections or neuromuscular compromise. 2 patients reported altered sensation in the median nerve distribution which was attributed to compression by the limb positioner. None of the patients required revision surgery. External rotation was limited in the immediate postoperative period in 3 patients, but that improved over time with physical therapy. Conclusion: The results of all-fibre Arthroscopic Latarjet procedure with capsular repair are good in the management of recurrent shoulder instability with significant glenoid bone loss.