Acta Scientific Medical Sciences (ISSN: 2582-0931)

Research Article Volume 4 Issue 3

Latarjet Procedure: Where to Fix the Coracoid Block?

Khelil Khaled*, Rafrafi Abderrazek, Saadi Saber, Znagui Talel and Nouisri Lotfi

Orthopaedic Surgery Service, Main Military Hospital, Tunisia

*Corresponding Author: Khelil Khaled, Orthopaedic Surgery Service, Main Military Hospital, Tunisia.

Received: March 09, 2020; Published: April 01, 2020

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Abstract

  Anterior instability of the shoulder following traumatic dislocation in young adults is a common complication. The Latarjet procedure is the most used technique to treat this instability. This technique consists in making a coracoid block at the anterior edge of the glenoid to avoid anterior dislocation of the humeral head. We studied the clinical results depending on the position of the bone block in postoperative radiographs. Our study included 70 patients. The average age was 25 and a half. The sex ratio was 9, the objective evaluation by the Duplay score was 86.6/100 points. The patient satisfaction rate was 89% and the main complication was glenohumeral osteoarthritis, affecting 20% of patients. The radiological study shows that a too medial or a proximal block is accompanied by a lower stability score and lower overall Duplay. Furthermore, it leads to a significant increase in the rate of glenohumeral osteoarthritis.

Keywords: Shoulder; Dislocation; Larajet; Instability

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Citation

Citation: Khelil Khaled., et al. “Latarjet Procedure: Where to Fix the Coracoid Block?". Acta Scientific Medical Sciences 4.3 (2020): 139-142.



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