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Latarjet Procedure Versus Free Iliac Graft In Management Of Recurrent Shoulder Dislocation With Bone Defect, A Comparative Study

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Applied and Basic Science.

Abstract

Background: Over the last couple of decades, there has been much discussion on how best to manage patients with recurrent traumatic anterior glenohumeral instability. When dealing with bone loss due to repeated shoulder dislocation, Latarjet and Eden Hybinette are both excellent treatment options. In instances of recurrent shoulder dislocation with glenoid bone loss or Hill Sachs lesion of the humeral head, the goal of this study is to evaluate the functional outcomes of Latarjet against free tricortical iliac graft.Cases and procedures: Forty adult patients with repeated shoulder dislocations and bone loss participated in this prospective randomised controlled trial (RCT). Two groups of patients were selected at random. (twenty cases of Eden Hybinette and twenty handles for Latarjet aircraft). We compared the outcomes radiographically using CT after at least six months and clinically using the modified Rowe score. Potential side effects in both groups were also recorded. No clinically or radiographically significant differences were seen between the groups (P >.05). Latarjet group had significantly reduced ROM (particularly internal and exterior rotation) at the last follow-up (P.05). Tramadol caused repeated dislocation in one patient in the latarjet group. Two people in each set had solely frontal lobe anxiety. Ten percent of patients in the Eden group had donor-site sensory problems. On CT, the grafts in the iliac group seemed bigger. In conclusion, Latarjet and Eden Hybinette are two competing methods for regaining bone-loss-related shoulder stability.better ROM.

DOI

10.21608/bjas.2023.230242.1231

Keywords

Bone augmenting techniques, Latarjet procedure, Eden Hybinette procedure, Recurrent shoulder dislocation with bone loss

Authors

First Name

Mohamed

Last Name

Eldin

MiddleName

-

Affiliation

orthopedic surgery Dept., Faculty of Medicine Banha University

Email

mohamedsalah@gmail.com

City

-

Orcid

-

First Name

EL-sayed

Last Name

Bayomy

MiddleName

-

Affiliation

orthopedic surgery Dept., Faculty of Medicine Banha University

Email

el-sayedbayomy@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Moussa

MiddleName

-

Affiliation

orthopedic surgery Dept., Faculty of Medicine Banha University

Email

midokinggg1982@gmail.com

City

-

Orcid

-

Volume

8

Article Issue

8

Related Issue

43071

Issue Date

2023-08-01

Receive Date

2023-08-02

Publish Date

2023-08-01

Page Start

87

Page End

91

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_328525.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=328525

Order

11

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Latarjet Procedure Versus Free Iliac Graft In Management Of Recurrent Shoulder Dislocation With Bone Defect, A Comparative Study

Details

Type

Article

Created At

28 Dec 2024