TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION WITH BRISTOW-LATARJET PROCEDURE

Abstract

Objectives: To describe the clinical and radiographic results of patients with traumatic recurrent anterior shoulder dislocation treated with the Bristow-Latarjet procedure. Methods: Retrospective case series including 44 patients (45 shoulders) who underwent the Bristow-Latarjet procedure. The graft was fixed ""standing"" in 84% of the shoulders, and ""lying"" in 16%. Results: The follow-up was 19.25 +/- 10.24 months. We obtained 96% of good results, with 2 recurrences presented as subluxation. Graft healing occurred in 62% of cases. The graft was positioned below the glenoid equator in 84% of the cases, and less than 10 mm from its edge in 98%. The external rotation had a limitation of 20.7 degrees +/- 15.9 degrees, while the internal rotation was limited in 4.0 degrees +/- 9.6 degrees. The limitation of rotation and the position of the graft (""standing"" or ""lying"") did not correlate with graft healing (p>0.05). Bicortical fixation was positively correlated with healing (p<0.001). Conclusion: The Bristow-Latarjet technique is indicated for the treatment of recurrent anterior dislocations and subluxations of the shoulder. It is a safe treatment method, which can be used in people with intense physical activity. Limiting shoulder mobility does not prevent patients from returning to their usual occupations.