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.
Highlights
IntroductionНестабильность плеча определяется как симп Shoulder instability is defined as a symp томатическое патологическое движение голов tomatic abnormal motion of the humeral ки плечевой кости по отношению к суставному head relative to the scapula articular process отростку лопатки во время активного движения during active shoulder motion [5]
The graft was placed in the correct position in 88 % of cases
Нестабильность плеча определяется как симп Shoulder instability is defined as a symp томатическое патологическое движение голов tomatic abnormal motion of the humeral ки плечевой кости по отношению к суставному head relative to the scapula articular process отростку лопатки во время активного движения during active shoulder motion [5]
Summary
Нестабильность плеча определяется как симп Shoulder instability is defined as a symp томатическое патологическое движение голов tomatic abnormal motion of the humeral ки плечевой кости по отношению к суставному head relative to the scapula articular process отростку лопатки во время активного движения during active shoulder motion [5]. Для лечения нестабильности плечевого сустава stability, including shoulder capsule surgeries, разработаны свыше 300 оперативных методик accessory ligaments creation, musculoplasty, и их модификаций, в числе которых операции bone autoplasty with coracoid process or free на капсуле плечевого сустава, создание допол block graft [13]. Chronic shoulder instability тельное ограничение наружной ротации плеча, is often followed by a significant bone defect удлинение сроков нетрудоспособности пациен in the anterior part of the scapula articular тов, развитие деформирующего артроза. Кро process or by bipolar damages of the humeral ме этого, хроническая нестабильность плеча head and glenoid leading to recurrent shoul часто сопровождается значительным костным der dislocation. Osteoplastic surgeries дефектом переднего отдела суставного отрост present a considerable advantage over soft ка лопатки или наличием биполярных повреж tissue surgeries [8]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
