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العنوان
Comparative Study between Arthroscopic Bankart Repair and Latarjet Procedure in High Demands Patients with Recurrent Anterior Shoulder Dislocation /
المؤلف
Haroon,Yahia Mohamed Abdelmawgoud Mohamed.
هيئة الاعداد
باحث / Yahia Mohamed Abdelmawgoud Mohamed Haroon
مشرف / Amr Mohamed Abdelhady Sharaf
مشرف / Mohamed Hassan Sobhy Ahmed
مشرف / Ahmed Hany Ahmed Safy El Din Khater
تاريخ النشر
2017
عدد الصفحات
210p.:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

from 208

from 208

Abstract

from August 2015 to February 2017, we conducted our study on 30 high demand patients with recurrent anterior glenohumeral dislocation. Fifteen of them underwent arthroscopic Bankart repair procedure and 15 patients underwent Latarjet procedure. The mean duration of follow up in our series was 10 months ± 3.5 (range, 6-18 months). All patients were males and with mean age of 30.4 years ± 6.8 (range, 20-40 years). There were 28 dominant (93.3%) and two non-dominant (6.7%) shoulders. The mean duration from the first dislocation to surgery was 32 months ± 47 (range, 1.5-240 months). The mean number of preoperative dislocation episodes was 6.5 ± 5.8 (range, 2-20 times). Twenty patients were manual workers (66%), three were recreational athletes (10%) and 7 (23.3%) professional athletes. Patients with significant bone loss were excluded.
The main findings of this study was that, all patients returned to work/sport after a mean time of 6.4 months post-operatively. Patients who underwent latarjet procedure returned to work/sport faster than patients who underwent arthroscopic Bankart repair by two months (p value 0.021). The mean operative time for Latarjet operation was longer by 35 minutes than that of arthroscopic Bankart repair operation (p value 0.001).
There was no significant difference between the mean post-operative Rowe score for patients who underwent arthroscopic Bankart repair operation, and the mean post-operative Rowe score for patients who underwent Latarjet operation.
There was no significant difference between the mean post-operative range of motion for patients who underwent arthroscopic Bankart repair operation, and the mean post-operative range of motion for patients who underwent Latarjet operation.
Both arthroscopic Bankart repair and open Latarjet procedure are valid surgical options and have adequate outcome in treatment of patients with recurrent traumatic anterior shoulder dislocation and participate in heavy shoulder activities for short term follow up. Patients with arthroscopic stabilization take a longer time to return to work/sport.