ObjectiveEvaluate the results and complications of Latarjet procedure in patients with anterior recurrent dislocation of the shoulder.MethodsFifty-one patients (52 shoulders) with anterior recurrent dislocation, surgically treated by Latarjet procedure, were analyzed retrospectively. The average follow-up time was 22 months, range 12–66 months; The age range was 15–59 years with a mean of 31; regarding sex, 42 (82.4%) patients were male and nine (17.6%) were female. The dominant side was affected in 29 (55.8%) shoulders. Regarding the etiology, 48 (92.3%) reported trauma and four (7.6%) had the first episode after a convulsion.ResultsThe average elevation, lateral rotation and medial rotation of the operated shoulder were, respectively, 146° (60–80°), 59° (0–85°) and T8 (T5 gluteus), with statistical significance for decreased range of motion in all planes, compared with the other side. The scores of Rowe and UCLA were 90.6 and 31.4, respectively, in the postoperative period. Eleven shoulders (21.2%) had poor results: signs of instability (13.4%), non-union (11.5%) and early loosening of the synthesis material (1.9%). There was a correlation between poor results and convulsive patients (p = 0.026).ConclusionWe conclude that the Latarjet procedure for correction of anterior recurrent dislocation leads to good and excellent results in 82.7% of cases. Complications are related to errors in technique.

ObjectivesTo evaluate the results from arthroscopic surgical treatment of rotator cuff injuries in patients aged 65 years and over.MethodsBetween 1998 and 2009, 168 patients underwent operations. Five cases were excluded. The remaining 163 patients were stratified according to their age group: 65–69 years (49.1%), 70–74 (26.4%) and 75 years and over (24.5%). Their mean age was 71 years (range: 65–83). There were 63 male patients (38.7%). The mean length of time with pain, from the onset of symptoms to the surgery, was 23 months (range: 2 days to 240 months). Sixty-two patients (38%) reported histories of trauma and 26 (16%) reported that their pain worsened through exertion.ResultsFrom the UCLA criteria, 80.4% of the results were excellent, 16% good, 1.8% fair and 1.8% poor. Complications occurred in 11%. The final clinical result did not show any correlation with age progression, injury size or tendons affected. However, there was a significant association (p < 0.001) between the presence of trauma and larger injuries. The length of time between the onset of symptoms and the surgical procedure had a significant relationship (p < 0.027) with the postoperative results: the longer this time was, the worse the results were.ConclusionArthroscopic treatment of rotator cuff injuries in patients aged 65 years and over presented excellent and good results in 96.4% of the cases, according to the UCLA assessment, with a low complication rate. Advanced age did not show any influence on the postoperative clinical evolution, but the earlier the surgical treatment was instituted, the better the results were.

This study provides evidence suggesting that patient-related known factors such as higher ASA score predisposes to shoulder arthroplasty-associated infection. Furthermore, unusual pathogens associated with PSI were identified.

Como citar este artigo: da Silva LA, et al. Avaliação dos resultados e das complicaç ões em pacientes com instabilidade anterior de ombro tratados pela técnica de Latarjet. Rev Bras Ortop. 2015. http://dx.doi.org/10.1016/j.rbo.2014.09.012 No. of Pages 8 r e v b r a s o r t o p . 2 0 1 5;x x x(x x):xxx-xxx w w w . r b o . o r g . b r Artigo original informações sobre o artigo Histórico do artigo: Recebido em 7 de agosto de 2014 Aceito em 22 de setembro de 2014 On-line em xxx Palavras-chave: Instabilidade articular/cirurgia Luxação glenoumeral Ombro r e s u m o Objetivo: Avaliar os resultados e as complicaç ões da cirurgia de Latarjet em pacientes acometidos pela instabilidade recorrente anterior de ombro. Métodos: Foram analisados, retrospectivamente, 51 pacientes (52 ombros) com diagnóstico de luxação recidivante anterior, operados pela técnica de Latarjet. O tempo médio de seguimento foi de 22 meses, variação de 12 a 66 meses; a faixa etária variou de 15 a 59 anos, com média de 31; em relação ao sexo, 42 (82,4%) pacientes eram do masculino e nove (17,6%) do feminino. O lado dominante foi acometido em 29 (55,8%) ombros. Quanto à etiologia, 48 (92,3%) referiram trauma e quatro (7,6%) tiveram o primeiro episódio após um quadro de convulsão. ARTICLE IN PRESSResultados: As médias de elevação, rotação lateral e rotação medial ativas do membro operado foram, respectivamente, de 146 • (60 • a 180 • ), 59 • (0 • a 85 • ) e T8 (T5 a glúteo), houve significância estatística quanto à diminuição da amplitude de movimento em todos os planos, quando comparado com o lado contralateral (não operado). As médias de pontuação de Rowe e UCLA foram de 90,6 e 31,4, respectivamente, no período pós-operatório. Onze ombros (21,2%) apresentaram maus resultados: sinais de instabilidade (13,4%), pseudoartrose (11,5%) e soltura precoce do material de síntese (1,9%). Houve correlação entre maus resultados e pacientes convulsivos (p = 0,026).Conclusão: O procedimento de Latarjet para correção da luxação anterior recidivante leva a bons e excelentes resultados em 82,7% dos casos.

Objective: To evaluate the clinical results from patients with traumatic anterior shoulder instability that was treated surgically through arthroscopic viewing, using bioabsorbable anchors and a technique for remove the cartilage of the anterior glenoid rim for repairing a Bankart lesion. Method: Between March 2006 and October 2008, 27 shoulders in 27 patients with a diagnosis of traumatic anterior shoulder instability were operated. The patients’ mean age was 28 years and they had had between two and 25 previous episodes of dislocation. The patients were predominantly male (24; 89%). The minimum length of follow-up was 24 months and the mean was 36 months. None of the patients had previously undergone surgery on the affected shoulder or had any significant bone lesion at the glenoid margin. The postoperative clinical assessment was done using the Rowe scale. To measure the preoperative and postoperative joint range of motion, we used the method described by the American Academy of Orthopaedic Surgeons (AAOS). Results: According to the Rowe criteria, 25 patients (93%) achieved excellent results and two (7%) had poor results. None of the patients presented good or fair results. Twenty-three patients were satisfied with the results obtained (85%), and returned to their activities without limitations, while four patients (15%) had some degree of limitation. There was recurrence of instability in two patients (7%). Conclusion: Treatment of traumatic anterior shoulder instability through arthroscopic viewing using a technique for remove the cartilage of the anterior glenoid rim for repairing a Bankart lesion provided excellent results for 93% of the patients operated.