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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 09
Surgical Treatment of Recurrent Dislocations of the Shoulder According to the Trillat-Latarjet Technique
El Mehdi Ouissaden, Issa Fathi, Kharmaz Mohamed, Moulay Omar Lamrani, Ahmed El Bardouni, Mustapha Mahfoud, Mohamed Saleh Berrada
Published: Sept. 18, 2019 | 115 85
DOI: 10.36347/sjams.2019.v07i09.014
Pages: 2979-2985
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Abstract
A retrospective study was made of 51 patients with recurrent shoulder dislocation for whom the Latarjet surgical procedure was performed at the CHU avicenne hospital in Rabat, from 2010 to 2018 Most cases were young adults with an average of 28 years at the time of the intervention. There was an important predominance of males. Traumatic injury was reported in 96% of cases. Apprehension test was positive in 94.8% of patients, and anterior drawer test in 58.8%. All patients underwent preoperative standard radiographs of the shoulder. The HillSachs lesion (known in French as the malgaigne notch) was identified in 58.8% of cases. Anterior glenoid rim lesions were found in 41.2%.All patients were operated on according to the Latarjet procedure. We have had satisfactory results: 94.2% of patients were completely painless. Shoulder stability was perfect in 46 cases; and quite normal shoulder mobility was restored in 86.3% of patients Only 3 patients (5.3%) developed postoperative shoulder arthrosis.Totally; 86.3% of good results have been obtained versus 13.7% of moderate or bad results This study’s results are consistent with what is reported in literature underlying the fact that the Latarjet procedure for recurrent dislocation of the shoulder is safe and provides most desirable functional results.