Chronic shoulder instability using the Latarjet technique: About 20 cases

Ayoub Bouhmou *, Brahim Marzouki, Jihad Radi, Kamal Lahrach, Amine Marzouki and Fawzi Boutayeb

Department of traumatology and orthopedic surgery A, Hassan II University hospital, Fez, Morocco.
 
Research Article
World Journal of Advanced Research and Reviews, 2024, 23(02), 2233–2238
Article DOI10.30574/wjarr.2024.23.2.2417
 
Publication history: 
Received on 06 July 2024; revised on 17 August 2024; accepted on 19 August 2024
 
Abstract: 
This retrospective study included 20 patients operated on in the Traumatology and Orthopedics Surgery Department (A) of the HASSAN II University Hospital in Fez, treated with a LATARJET
·         between January 2016 and December 2023, a 5-year period
·         In our series, the mean age at surgery was 27 years.
·         Male predominance was evident, with a traumatic context found in 90% of cases.
·         The apprehension test was positive in 65% of cases.
·         Our patients underwent a systematic standard preoperative radiological work-up.
·         We opted for the LATARJET technique
·         Elbow-to-body immobilization for 21 days post-operatively.
·         They were followed up in consultation with a 5-year follow-up.
The results of our series are very satisfactory according to the ROWE score:
·         -85% of patients complained of no pain. Stability was perfect in 18 cases (90%).
·         -Unrestricted mobility was restored in 80% of cases.
·         -Only one case of recurrence (5%)
·         One patient with postoperative osteoarthritis, corresponding to 5%.
In all, we had 85% good and excellent results, versus 15% fair and poor results.
The results of this study are similar to those found in the literature, confirming that the LATARJET technique is the most reliable in the treatment of anterior shoulder instability, with good functional results and the fewest complications.
 
Keywords: 
Luxation; Shoulder; Chronic instability; Latarjet
 
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