Clinical results of shoulder arthroscopy combined with an open modified Latarjet procedure for chronic anterior shoulder instability with glenoid bony loss

摘要

The purpose of this study was to follow up the clinical results of the modified Latarjet procedure combined with shoulder arthroscopy for chronic anterior shoulder dislocation with glenoid bony defect. From 1999 to 2004, we evaluated 28 patients with 28 shoulders receiving shoulder arthroscopy combined with an open modified Latarjet procedure. The average age of the patients was 28.5 years. The average length of follow-up in this series was 108.2 months (range 86—126 months). At the final follow-up, the Rowe score was excellent in 21 patients (75%), and good in seven patients (25%). No patient reported subluxation or recurrent instability. The average American Shoulder and Elbow Surgeons score was 93.4, and the average total Western Ontario Shoulder Instability score was 72.74%. Shoulder arthroscopy before the Latarjet procedure is recommended because of the higher incidence of intra-articular lesions affecting satisfactory functional outcomes.