改良小切口Latarjet术治疗复发性肩关节前脱位

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Abstract Objective To evaluate the results of modified mini-open Latarjet procedure for recurrent anterior shoulder dislocation.Methods From January 2012 to December 2014 there are 14 patients，including 11 males and 3 females(4 left and 10 right)ranged from 19 to 43 years old with an average of 25.1 years old.The modified mini-open Latarjet procedure were performed for patients with anterior shoulder instability.The X-ray film and CT scan were repeated at the end of the final follow-up to find out if there was any progression of the degenerative change of the glenohumeral joint and if the transferred coracoid process united.The clinical effects were evaluated according to Constant-Murley scores and VAS scores.Results The average duration of the follow-up ranged from 12 to 36 months with an average of 22.8 months.The skin scare ranged from 4.5 to 6.5 cm with an average of 4.9 cm.According to the CT scanning at the final follow up，the graft was as at the same level of the glenoid in 92.86％ of the patients.Vertical positioning was perfect in 100.0％.The Constant-Murley scores were from 87 to 100 with an average of 94.7.The VAS score was from 0.5 to 2.0.There were no cases of recurrent dislocation or subluxation，graft fractures and the screw loosened.Conclusion The modified mini-open latarjet procedure has shown satisfactory results with good graft positioning and minimal complications.

Key words： latarjet procedure recurrent shoulder dislocation glenoid bone defect

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