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Corresponding Author

Mohamed Nagah Ashour

Document Type

Original Article

Abstract

Background: Anterior shoulder instability (ASI) is a challenging clinical issue, especially in young, active, athletic patients with glenoid bone defects (GBD). One of the most popular techniques for treating these patients is the latarjet procedure. With positive clinical and radiological results, the progression went from an open to a mini-open and an all-arthroscopic procedure.

Aim and Objective: To assess the early results of arthroscopic Latarjet in the management of recurrent ASI.

Patients and Methods: This prospective study was conducted at the Al-Azhar University Hospitals from March 2022 to April 2024. Arthroscopic Latarjet was used for twenty ASI patients. Cooperative and trustworthy were the patients. Twenty male patients, ages 25.6±5.7 years on average, comprised the sample.

Results: There was no statistically significant difference between the preoperative and the final follow-up range of motion, but there was a highly statistically significant difference In Visual analog scale (VAS), Rowe score, and American Shoulder and Elbow Surgeons Score (ASES) with P-value >0.001, there was a statistically significant inverse relationship between the mean time of first dislocation to the time of surgery and the mean postoperative Rowe and ASES score (p-value 0.021), (p-value 0.0371) respectively, although between the mean number of dislocations and the mean postoperative Rowe and ASES score (p-value 0.0172), (p-value 0.0661) respectively.

Conclusion: Arthroscopy latarjet has been demonstrated to be beneficial in treating recurrent ASI despite its high cost and technical difficulty; nonetheless, a longer follow-up period is required.

Keywords

Anterior Shoulder Instability; Arthroscopic Latarjet; Glenoid Defect

Subject Area

Orthopedics

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