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Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 2 | Issue 2 | July-Dec 2017 | Page 9-11 | Domingo Beltramelli, Mauricio Oehler, Bruno Pintos, Emerson Kucharski, Viviana Teske Authors: Domingo Beltramelli [1], Mauricio Oehler [2], Bruno Pintos [2], Emerson Kucharski [2], Viviana Teske [2] [1] Jef of Shoulder Group Montevideo Uruguay and CASMU Hospital [2] Shoulder […]

Experience of surgical management of acute and chronic post-traumatic elbow instability. A retrospective study

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 2 | Issue 2 | July-Dec 2017 | Page 5-8 | Felipe Patricio Cichero, Warner Larrondo, Juan Antonio Castellaro, Gonzalo Díaz, Julio Terán Authors: Felipe Patricio Cichero [1], Warner Larrondo [2], Juan Antonio Castellaro [3], Gonzalo Díaz [3], Julio Terán [3] [1] Fellow of shoulder and elbow surgery […]

Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Experience of surgical management of acute and chronic post-traumatic elbow instability. A retrospective study

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

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Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Authors: Domingo Beltramelli [1], Mauricio Oehler [2], Bruno Pintos [2], Emerson Kucharski [2], Viviana Teske [2]

[1] Jef of Shoulder Group Montevideo Uruguay and CASMU Hospital
[2] Shoulder Group and CASMU Hospital Montevideo Uruguay

Address of Correspondence
Dr. Alexandre de Almeida:
Rua Vitório Buzelatto, 222/601. Caxias do Sul, RS, Brazil.
Zip: 95020290.
E-mail: bone@visao.com.br

Abstract

Background: The purpose of this study is to make a retrospective evaluation of the long-term evolution of patients who were operated using the Latarjet in order to evaluate the results regarding the rate of recurrence and arthrosis in the series taken.
Materials and Methods: We considered 58 patients who were operated more than 10 years ago using Latarjet procedure, average follow-up of 13,8 years. The average age at the time of the surgery was 27 years old, 46 of them were males and 12 females and 39 of the total had their dominant side affected. 33 practiced sports, 18 professionally and 15 as a spare time activity. In 22 cases the technique was performed using one screw, and in 36 cases were used two screws.
Results: Using the Carter Rowe scale for the functional evaluation, from a preoperative average of 38,5 we reached 88,2 at the end of follow-up. The recurrence was 5,7%. All the cases show glenoid bone injury that were reviewed using preoperative x-ray which were considered to compare with current evolving x-ray analyzing arthrosis with the Samilson-Prieto criteria. Only 2 patients showed arthrosis in stage 1 in the preoperative. At the time of the evaluation 18% show arthrosis, 2 cases in stage 3, 4 in stage 2 and 4 cases in stage 1. From the ones that practiced sports professionally, 15 resume their activity, and from the ones practicing sports recreationally, 10 resume it.
Conclusions: The Latarjet procedure shows excellent results to treat anterior instability of the shoulder in the long-term. The levels of recurrence and arthrosis are low.
Level of evidence: Level 4. Case Series. Treatment Study.
Keywords: Latarjet procedure, anterior instability of the shoulder, arthrosis.

References

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How to Cite this article: Beltramelli B, Oehler M, Pintos B, Kucharski E, Teske V. Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results. Acta of Shoulder and Elbow Surger July – Dec 2017;2(2):9-11.

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Experience of surgical management of acute and chronic post-traumatic elbow instability. A retrospective study

July 10, 2017/0 Comments/in Vol 2| Issue 2| July-Dec 2017 /by ASESADMIN2016

Authors: Felipe Patricio Cichero [1], Warner Larrondo [2], Juan Antonio Castellaro [3], Gonzalo Díaz [3], Julio Terán [3]

[1] Fellow of shoulder and elbow surgery Clínica Dávila, Santiago, Chile.
[2] Chief of shoulder and elbow surgery unit Clínica Dávila, Santiago, Chile.
[3] Staff surgeon of shoulder and elbow unit Clínica Dávila, Santiago, Chile.

Address of Correspondence
Dr. Felipe Patricio Cichero,
Clínica Dávila, Recoleta 464, Recoleta, Santiago, Chile.
Email: felipe.cichero@gmail.com

Abstract

Background: The elbow is the second most commonly dislocated major joint in adults.Elbow dislocation can lead to acute or chronic instability. There are different surgical options and functional outcomes in both cases. The purpose of this study is to assess the functional outcomes and the postoperative complications of these two groups.
Methods: We retrospectively reviewed the functional outcomes of cases of acute and chronic post-traumatic elbow instability that were surgically managed between 2013 and 2016 in adult population. All patients were assessed radiographically and clinically using the Mayo Elbow Performance Score and The Disabilities of the Arm, Shoulder and Hand Score at six months follow-up.
Results: Four male patients were included, two in each group of acute and chronic instability. In Three cases the medial and lateral collateral ulnar ligaments were reconstructed using semitendinosus allograft. In one case the repair of both collateral ligaments was performed usingsuture anchors. Two acute coronoid fractures were managed by using the lasso-type technique and one nonunion treated with two cannulated screws. The mean post operative Mayo Elbow Performance Score were 95 for the acute instability group and 85 for the chronic instability group. The mean Disabilities of the Arm, Shoulder and Hand post operative scores were 5,8 and 18,3 for the acute and chronic instability groups respectively. There was one case of ulnar neuropaxia that resolved spontaneously at two months follow-up. All patients had a reduced and concentric elbow in control radiographs at six months follow-up.
Conclusions: Both groups presented satisfactory results after being managed by different surgical techniques.
Keywords: Elbow instability, elbow dislocation, collateral ligaments.

References

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How to Cite this article: Cichero FP, Larrondo W, Castellaro JA, Díaz G, Terán J. Experience of surgical management of acute and chronic post-traumatic elbow instability. A retrospective study. Acta of Shoulder and Elbow Surgery July – Dec 2017;2(2):5-8.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results

Experience of surgical management of acute and chronic post-traumatic elbow instability. A retrospective study

Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results

Experience of surgical management of acute and chronic post-traumatic elbow instability. A retrospective study

Full Sized Blog Element (Big Preview Pic)

Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results

Authors: Domingo Beltramelli [1], Mauricio Oehler [2], Bruno Pintos [2], Emerson Kucharski [2], Viviana Teske [2]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Experience of surgical management of acute and chronic post-traumatic elbow instability. A retrospective study

Authors: Felipe Patricio Cichero [1], Warner Larrondo [2], Juan Antonio Castellaro [3], Gonzalo Díaz [3], Julio Terán [3]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

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