2017
DOI: 10.11138/mltj/2017.7.1.026
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Computerized tomographic assessment and clinical evaluation in shoulder instability treated with the Latarjet-Patte procedure using one screw and washer

Abstract: SummaryBackground: The Latarjet-Patte (L-P) procedure is indicated in anterior instability of the shoulder with a glenoid or humeral bone loss. Our purpose is to evaluate clinical outcome and computerized tomographic (CT) findings as position and resorption of the graft and articular degeneration. Methods: From 2006 to 2009 50 patients underwent to L-P, 48 was contacted by telephone and 26 were available for follow-up (3 to 6 years). Quick-DASH and Rowe scores was used, 22 patients perform CT. Results: None of… Show more

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Cited by 12 publications
(11 citation statements)
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References 19 publications
(14 reference statements)
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“…Second, our study was based on the operative technique of the open Latarjet procedure using two screws. The open Latarjet procedure using one screw and a washer also reportedly provides satisfactory clinical outcomes [24], and we consider this technique useful when a coracoid bone graft of > 25 mm cannot be obtained. However, single-screw fixation may not provide sufficient stability against rotation, which leads to graft nonunion or migration [25].…”
Section: Discussionmentioning
confidence: 99%
“…Second, our study was based on the operative technique of the open Latarjet procedure using two screws. The open Latarjet procedure using one screw and a washer also reportedly provides satisfactory clinical outcomes [24], and we consider this technique useful when a coracoid bone graft of > 25 mm cannot be obtained. However, single-screw fixation may not provide sufficient stability against rotation, which leads to graft nonunion or migration [25].…”
Section: Discussionmentioning
confidence: 99%
“…Sex was not reported in 48 patients in 1 study. 14 Bilateral procedures were reported for 24 patients. 7 , 8 , 19 , 24 , 52 For the congruent arc modification, a total of 289 shoulders were identified in 288 patients with 93% (269 of 288) of patients being male .…”
Section: Resultsmentioning
confidence: 99%
“…Owing to the natural bony architecture of the glenohumeral joint, the shoulder is inherently unstable, representing the most frequently dislocated joint in the human body. 14 , 17 After a traumatic anterior shoulder dislocation, glenoid bone loss (GBL) from the anteroinferior surface is common, occurring in up to 22% of initial dislocations and 90% of patients with recurrent shoulder instability. 28 , 42 , 46 , 49 In the US population alone, the reported incidence of glenohumeral joint instability is 23.9 cases per 100,000 patient-years, 13 , 22 with younger age, male sex, and involvement in contact sports or military duties being known risk factors for anterior instability after injury.…”
mentioning
confidence: 99%
“…A computed tomography scan evaluation with 3-dimensional reconstruction of the affected shoulder was performed at final follow-up from surgery in order to evaluate the coracoid bone graft 13 . A specialist radiologist evaluated the difference in position of the screws and the graft and statistical differences were evaluated.…”
Section: Ct Analysismentioning
confidence: 99%