Clinical and radiological outcome after mini-open Latarjet technique with fixation of coracoid with Arthrex wedge mini-plate.

Content Provider	Europe PMC
Author	Chaudhary, Deepak Goyal, Ankit Joshi, Deepak Jain, Vineet Mohindra, Mukul Mehta, Nitin
Copyright Year	2015
Abstract	Background Technical faults leading to coracoid fractures during screw insertion and coracoid graft osteolysis are concerns with standard screw fixation techniques in Latarjet procedure. The purpose of this study is to share our experience using Arthrex wedge profile plate with mini-open technique for graft fixation, that ensures better load distribution between coracoid graft and glenoid. Methods We did retrospective analysis of 24 patients with recurrent anterior shoulder instability after failed arthroscopic Bankart's repair. Arthroscopic examination of affected shoulder was done in lateral position before making patient supine for open Latarjet. A low profile wedge plate (Arthrex) with two screws was used for the procedure. CT analysis was performed post-operatively at 6 months to see graft union and results were evaluated using the Rowe and Walch Duplay score. Results Mean follow-up time was 26 months. Postoperatively, mean forward elevation was 170.6 + 4.6° (loss of average 5.9°) and mean external rotation was 42.5 + 5.3° (loss of average 3.1°). All patients returned to their previous occupation. None reported to be having any recurrent subluxation. Functional assessment done using Rowe score and Walch Duplay score showed statistically significant improvement (p value 0.034). There were no implant-related complications and no case of coracoid graft osteolysis. Conclusions Mini-open Latarjet with graft fixation with Arthrex mini-plate provides satisfactory outcome in patients who require reoperation due to dramatic bone loss and failed soft tissue reconstruction. The modified incision improves exposure enabling plate fixation and the secure fixation accelerates rehabilitation.
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ISSN	09765662
Volume Number	7
DOI	10.1016/j.jcot.2015.09.002
PubMed Central reference number	PMC4735561
Issue Number	1
PubMed reference number	26908972
Journal	Journal of Clinical Orthopaedics and Trauma [J Clin Orthop Trauma]
e-ISSN	22133445
Language	English
Publisher	Elsevier
Publisher Date	2015-10-21
Access Restriction	Open
Rights License	© 2015 Delhi Orthopedic Association. Published by Elsevier B.V. All rights reserved.
Subject Keyword	Shoulder instability Bankarts Reoperation Mini-open Latarjet Wedge profile plate
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine