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Oldie but goldie: Bristow-Latarjet procedure for anterior shoulder instability
G Matthes1, V Horvath, J Seifert
1Department of Orthopedic and Trauma Surgery, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany. gerrit.matthes@uni-greifswald.de
Purpose:
To analyse the functional and radiological outcomes of the Bristow-Latarjet procedure in patients with recurrent anterior glenohumeral instability.
Methods:
Records of 29 patients were reviewed retrospectively. Date of first dislocation, injury mechanism, and number of recurring dislocations before and after surgery were recorded. The overall function and stability of the shoulder was evaluated.
Results:
24 (83%) of the glenohumeral instabilities were caused by trauma. The mean number of recurring dislocations was 8 (95% confidence interval [CI], 0-18); one patient had had 40 recurrences. No dislocation ensued postoperatively. The overall functional outcome was good, with a mean Rowe score of 90 points (95% CI, 78-100). Scores of 17 (59%) of the patients were excellent, 7 (24%) were good, 3 (10%) were fair, and 2 (7%) were poor.
Conclusion:
The Bristow-Latarjet procedure is a good surgical treatment for recurrent anterior-inferior instability of the glenohumeral joint.
