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Coracoid tendon transposition a.m. Bristow-Latarjet.

P Jalovaara1, T Niinimäki, J Rämö

  • 1Department of Surgery, University of Oulu, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1988
PubMed
Summary

The Bristow-Latarjet operation for anterior shoulder instability showed good results, though four cases had poor outcomes due to transplant placement or undiagnosed multidirectional instability.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability Research

Background:

  • Anterior glenohumeral instability is a common cause of shoulder dysfunction.
  • The Bristow-Latarjet procedure is a surgical option for managing recurrent anterior instability.
  • Assessing surgical outcomes and identifying failure factors is crucial for improving patient care.

Purpose of the Study:

  • To evaluate the outcomes of the Bristow-Latarjet operation for anterior glenohumeral instability.
  • To identify reasons for failure in cases with unsatisfactory results.
  • To correlate pre-operative diagnoses with post-operative outcomes.

Main Methods:

  • A retrospective follow-up study of 23 shoulders that underwent the Bristow-Latarjet procedure.
  • Average follow-up duration of 24 months (range 15-36 months).
  • Classification of instability types including recurrent dislocations, chronic subluxations, and multidirectional subluxations.

Main Results:

  • Four out of 23 shoulders (17.4%) were classified as poor outcomes at follow-up.
  • Failure in one case was attributed to excessively proximal coracoid transplant placement.
  • Failure in three cases was linked to pre-existing multidirectional instability, confirmed by autotraction tests and stress roentgenograms.

Conclusions:

  • The Bristow-Latarjet procedure demonstrates effectiveness for anterior glenohumeral instability.
  • Careful pre-operative assessment is vital to rule out multidirectional instability, a potential cause of failure.
  • Optimal graft placement is critical for successful surgical outcomes in this procedure.

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