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. 2015 Jun 15;3(2):310-4.
doi: 10.3889/oamjms.2015.066. Epub 2015 Jun 9.

Bristow-Latarjet Technique: Still a Very Successful Surgery for Anterior Glenohumeral Instability - A Forty Year One Clinic Experience

Vilson Ruci  1 , Artid Duni  1 , Alfred Cake  2 , Dorina Ruci  3 , Julian Ruci  2
Affiliations

Bristow-Latarjet Technique: Still a Very Successful Surgery for Anterior Glenohumeral Instability - A Forty Year One Clinic Experience

Vilson Ruci et al. Open Access Maced J Med Sci. .

Abstract

Aim: To evaluate the functional outcomes of the Bristow-Latarjet procedure in patients with recurrent anterior glenohumeral instability.

Patients and methods: Personal clinical records of 42 patients with 45 operated shoulders were reviewed retrospectively. Patient age at time of first dislocation, injury mechanism, and number of recurring dislocations before surgery were recorded. The overall function and stability of the shoulder was evaluated.

Results: Thirty five (78%) of the scapulohumeral humeral instabilities were caused by trauma. The mean number of recurring dislocations was 9 (95% confidence interval [CI], 0-18); one patient had had 17 recurrences. Mean follow-up 46 months (95% CI, 16-88). No dislocation happened postoperatively. Four patients have fibrous union (9%). Only two had clinical sign of pain and discomfort. One of them was reoperated for screw removal with very good post-operative result. The overall functional outcome was good, with a mean Rowe score of 88 points (95% CI, 78-100). Scores of 27 (64%) of the patients were excellent, 9 (22%) were good, 4 (9.5%) were fair, and 2 (4.5%) were poor.

Conclusion: The Bristow-Latarjet procedure is a very good surgical treatment for recurrent anterior-inferior instability of the glenohumeral joint. It must not be used for multidirectional instability or psychogenic habitual dislocations.

Keywords: Bankart lesion; Bristow; Latarjet; instability; shoulder.

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Figures

Figure 1
Figure 1
Coracoid transfer anterior to glenoid rim fixed with a single screw.
Figure 2
Figure 2
Two weeks after surgery 35 years old patient.
Figure 3
Figure 3
Horizontal split of subscapularis muscle.
Figure 4
Figure 4
Ideal placement for titanium screw just below the equator line.
Figure 5
Figure 5
Safe zone for screw insertion (schematic draw).
See this image and copyright information in PMC

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