Bony Bankart lesions and recurrent dislocations with multiple episodes have poor results when managed arthroscopically. Classical Latarjet using a long incision and cutting of subscapularis tendon is associated with several complications. This study was done to evaluate the outcome of Latarjet procedure by mini-open technique in recurrent shoulder dislocations with or without bony Bankart lesion.
Materials and Methods: A total of 16 patients managed by mini open Latarjet technique with a 3-4 cms long incision and splitting the subscapularis tendon were followed up for a minimum of one year. The outcome was calculated using ROWE score for the shoulder at final follow up.
Results: The mean external rotation achieved was 57.5 degrees (45-70 degrees). The functional outcome as per the mean ROWE score was excellent in 13 patients and good in 3. The overall mean ROWE score was found to be 91.8% (80-95). Coracoid position was found to be medial in 3 patients while no lateralisation of the graft was noticed. 12 patients showed complete union while 3 showed delayed union (>6 months). One patients only developed fibrous union (6.25%). One patient developed Staph infection post-operatively.
Conclusion: The classical Latarjet procedure results in a large scar and decreased external rotation. Adequate exposure can be obtained by a mini open incision with splitting of the subscapularis. This improved functional outcomes and had a smaller scar.