Selvaraj M Karthik, Das Tapan Kumar, Martin Nikhil Joseph, Sundar M Shyam, Rajan David V
KS Ortho Care, Singanallur, Coimbatore, 641005 Tamil Nadu India.
Ortho One Orthopaedic Speciality Centre, Trichy Road, Singanallur, Coimbatore, 641005 Tamil Nadu India.
Indian J Orthop. 2021 Mar 10;55(3):723-727. doi: 10.1007/s43465-021-00385-7. eCollection 2021 Jun.
Latarjet procedure is commonly performed for recurrent anterior shoulder instability with glenoid side bone loss. Classic Latarjet procedure can be performed using specially designed drill guides, jigs, or by freehand technique. Here we have described a technical note on classic Latarjet procedure performed with freehand technique utilizing simple rulers and caliper. The functional and radiological outcomes of our patients have also been analysed.
149 open classic Latarjet procedures were performed using our technique between March 2015 and July 2018. The mean age of the patients was 32.95 years (Range 22-59 years). The functional outcome of the patients was measured using Western Ontario Shoulder Instability (WOSI) and Oxford Shoulder Instability Score (OSIS) at 2 years of follow-up. Screw and graft positioning were studied in 24 consecutive patients with a postoperative computed tomography (CT) scan.
There was no incidence of recurrent subluxation or dislocation post-surgery. Mean OSIS score increased from 15.63 ± 3.20 preoperatively to 42.44 ± 3.88 postoperatively ( value < 0.05). WOSI score decreased significantly from 62.54% ± 8.24 to 10.26 ± 6.33 postoperatively at 2-year follow-up ( value < 0.05). Postoperative CT scan also showed satisfactory screw placement in all patients.
Open Latarjet procedure performed using freehand technique provides good functional and radiological outcomes in patients with recurrent anterior shoulder instability with glenoid side bone loss.
The online version contains supplementary material available at 10.1007/s43465-021-00385-7.
拉塔热手术通常用于治疗伴有肩胛盂侧骨质缺损的复发性前肩不稳。经典的拉塔热手术可使用专门设计的钻孔导向器、夹具或徒手技术进行。在此，我们描述了一篇关于使用简单直尺和卡尺通过徒手技术进行经典拉塔热手术的技术说明。我们还分析了患者的功能和影像学结果。
2015年3月至2018年7月期间，使用我们的技术进行了149例开放性经典拉塔热手术。患者的平均年龄为32.95岁（范围22 - 59岁）。在随访2年时，使用西 Ontario 肩不稳（WOSI）和牛津肩不稳评分（OSIS）来评估患者的功能结果。对连续24例患者进行术后计算机断层扫描（CT）以研究螺钉和移植物的位置。
术后无复发性半脱位或脱位的发生。平均OSIS评分从术前的15.63±3.20增加到术后的42.44±3.88（ 值<0.05）。在2年随访时，WOSI评分从术前的62.54%±8.24显著下降至术后的10.26±6.33（ 值<0.05）。术后CT扫描也显示所有患者的螺钉位置满意。
对于伴有肩胛盂侧骨质缺损的复发性前肩不稳患者，采用徒手技术进行开放性拉塔热手术可提供良好的功能和影像学结果。
在线版本包含可在10.1007/s43465 - 021 - 00385 - 7获取的补充材料。
