ARTHROSCOPIC LATARJET PROCEDURE: TECHNIQUE-RELATED CHARACTERISTICS, MID-TERM FUNCTIONAL RESULTS

Abstract

Relevance.Post-traumatic shoulder instability is widespread in the population and has a high social significance. Low efficacy of shoulder instability treatment determined the development of more than 300 surgical methods.Intention.The objective of the work is to study mid-term functional results of arthroscopic Latarjet surgery for treatment of shoulder instability with significant defects in the anterior edge of the scapula articular process and the humeral head.Methodology.68 arthroscopic Latarjet surgeries were performed over the period of 2013–2017 in the clinic No.2, Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia (St. Petersburg). There were analyzed the duration of surgery, the position of the coracoid process graft relative to the glenoid, functional evaluation of the treatment results.Results.The average duration of a surgery was (91 ± 12) minutes. The time for the procedure reduced with the acquisition of skills. The graft was placed in the correct position (in the range of 02.30–05.30 o’clock of the imaginary dial) in 88% of cases. Only one episode of recurrent shoulder dislocation occurred in 9 months. The limitation of external shoulder rotation averaged to 7° (from 5 to 14°).Conclusion.Mid-term clinical results of arthroscopic Latarjet surgery have confirmed that the procedure can be reliable and safe for performance as well as functionally advantageous.