2017 ISAKOS Biennial Congress ePoster #2041

 

Functional Outcomes Following Latarjet Reconstruction In Patients With Anterior Shoulder Instability With Gleno Humeral Bone Loss Or Previous Failed Bankart Repair

Ashish Devgun, Prof., MS, MSc(Trauma), Rohtak, Haryana INDIA
Pt BDS, PGIMS, Rohtak, Haryana, INDIA

FDA Status Not Applicable

Summary

Functional Outcomes following Latarjet reconstruction in patients with Anterior Shoulder Instability with Gleno humeral bone loss or previous failed Bankart repair. Latarjet procedure delivers promising results with low rate of recurrence and no major complications.

Abstract

Background

High recurrence rates with arthroscopic / open Bankart repairs in presence of significant glenoid bone loss or Hill–Sachs, led the march towards non-anatomic repairs with coracoid bone blocks, such as Latarjet procedure. Methods: Single centre, level 4 review of patients treated with standard Latarjet procedure, performed by a single surgeon. Study included 21 shoulders in 20 patients, 18 males & 2 females with mean age 22.4 yrs (range 18-34) and mean follow up period was 34 months (24 -48 months). Patient subtypes – Recurrent anteroinferior shoulder dislocations (n=8), failed arthroscopic Bankarts repair (n=3), antero inferior glenoid bone loss (n=10). Outcome tools - Rowe score, VAS for patient satisfaction and WOSI score. Mean number of dislocations = 12 (range 8 -24). Mean duration from first dislocation to surgery was 18 months. Results: At last FU, none had recurrent dislocation or glenohumeral osteoarthrosis. One patient had reoperation for failed graft / implant. Mean time to regain nearly full ROM was 7 months (range 6-11 months) and mean time of graft union was 14 weeks. Mean Rowe score increased from 37.9 preop to 89.6 (P = 0.002). Average WOSI scores were 76.5% (range: 6.4-100%, +/- 24.4) of normal shoulder and score decreased from 1362 pre-op to 484 at follow up (p= 0.003). 85.7 % reported excellent, good results in 9.5% and poor outcome in 4.7%. VAS showed statistically significant improvement from 7.6 pre-op to 2.3. Conclusion: Latarjet procedure delivers promising results with low rate of recurrence and no major complications.