Intraarticular autogenous bone grafting in recurrent shoulder dislocations

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Traumatology

Background:

• Recurrent shoulder dislocation is a common issue, particularly in young, active individuals.
• Existing surgical treatments like Eden-Hybinette or Putti-Platt can lead to reduced shoulder range of motion, impacting function.
• Limited lateral rotation is a significant functional deficit affecting daily activities, sports, and military duties.

Purpose of the Study:

• To evaluate the efficacy of a novel surgical technique for recurrent shoulder dislocation.
• To assess functional outcomes, specifically shoulder range of motion and patient satisfaction.
• To determine the rate of redislocation and bone graft healing after the procedure.

Main Methods:

• A cohort of 24 young soldiers underwent surgery using a new method involving screwing an autogenous bone graft into the glenoid rim.
• Patients were followed up for 6 to 42 months post-surgery.
• Radiographic assessment (X-rays) was performed to evaluate bone graft healing and screw placement.

Main Results:

• The surgical technique demonstrated excellent results with no redislocations in the follow-up period.
• Over 90% of patients reported satisfaction with the outcome.
• A minimal reduction in lateral shoulder rotation, approximately 10 degrees, was observed.
• Radiographs confirmed complete bone graft healing and correct positioning of AO-screws.

Conclusions:

• The investigated surgical method for recurrent shoulder dislocation is highly effective in preventing redislocation.
• The procedure offers a high level of patient satisfaction and preserves shoulder function with minimal loss of motion.
• This technique represents a promising advancement in managing shoulder joint instability.