Arthroscopic Latarjet: Technique Description and Preliminary Results. Study of the First 30 Cases.
Autor: | Castropil W; Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil., Schor B; Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil., Bitar A; Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil., Medina G; Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil., Ribas LH; Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil., Mendes C; Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil. |
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Jazyk: | angličtina |
Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2020 Apr; Vol. 55 (2), pp. 208-214. Date of Electronic Publication: 2019 Dec 19. |
DOI: | 10.1055/s-0039-3400523 |
Abstrakt: | Objective Arthroscopic Latarjet has been performed with the aim to be an accurate technique with a low incidence of complications. The aim of the present study was to briefly describe the technique and to evaluate the shot-term complications following arthroscopic Latarjet procedure to correct anterior shoulder dislocation with glenoid bone loss. Methods Retrospective study with 30 subjects with anterior shoulder instability, submitted to arthroscopic Latarjet. Intraoperative and short-term postoperative complications were recorded, as well as the rate of revision surgery. Results Five cases had complication (16.7%), and in the last 10 cases no complication occurred. In 1 case (3.3%), it was required to reverse for open surgery due to a fracture of the coracoid process during fixation in the glenoid. No other intraoperative complication occurred. No infection was observed. Two cases (6.7%) evolved with temporary neuropraxia of the musculocutaneous nerve, totally reversed with physiotherapy. With a follow-up from 6 to 26 months, 2 patients (6.7%) required a new intervention for graft/screws removal and release of the joint due to excessive limitation in external rotation. There was no case of recurrence. Conclusion Even in an initial learning curve, arthroscopic Latarjet demonstrated a low rate of short-tem complications and was a safe procedure for treating anterior dislocation of the shoulder with glenoid bone loss. Competing Interests: Conflitos de Interesses Os autores declaram não haver conflitos de interesses. |
Databáze: | MEDLINE |
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