Modified arthroscopic Latarjet procedure for the treatment of anterior shoulder insta-bility
10.3969/j.issn.1671-167X.2015.02.026
- VernacularTitle:改良关节镜下喙突移位 Latarjet 手术治疗肩关节前方不稳定
- Author:
Guan WU
;
Chunyan JIANG
;
Yi LU
;
Yiming ZHU
;
Fenglong LI
;
Xu LI
- Publication Type:Journal Article
- Keywords:
Shoulder joint;
Joint instability;
Arthroscopy
- From:
Journal of Peking University(Health Sciences)
2015;(2):321-325
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To present the surgical technique and to evaluate the results of the modified ar-throscopic Latarjet procedure.Methods: Arthroscopic Latarjet procedure has proven to be a reliable method of treatment for difficult anteroinferior instability of the shoulder joint.However, there is no ante-rior capsule reattachment and too much subscapularis damage for the classic procedure.From February 2013 , we modified the classic procedure with reattachment of anterior joint capsule and muscle-tendon junction splitting of subscapularis.Coracoid graft position was evaluated using CT scanning.Results:From March 2012 to August 2014, 51 modified Latarjet procedures were successfully performed arthro-scopically for patients with anterior shoulder instability.According to the CT scanning at the final follow up, the graft was flush with the glenoid in 94.1%, and medially placed in 5.9%.Vertical positioning was perfect in 96.0%(2 to 5 o’clock), too high in 2.0%, and too low in 2.0%.There were no cases of recurrent dislocation or subluxation.Conclusion: The modified arthroscopic Latarjet procedure has shown satisfactory results with good graft positioning.It is a minimal invasive and accurate approach, which combines the advantages of the open procedure.
