Abstract: Introduction: The Latarjet procedure employs rerouting of the osteotomised coracoid process with its attached conjoined tendon through a split in the substance of subscapularis and fixed to the antero inferior aspect of glenoid rim. Screwing of the coracoid process on to the anteroinferior side of the glenoid at the level of the anterior glenoid rim was described by Latarjet 2 in 1954. In his original technique, subscapularis was incised vertically along the whole of its length, then sutured with an over- lap. Latarjet procedure is an excellent surgical option for recurrent shoulder instability associated with glenoid bone deficiency with or without engaging hillsachs lesion.
Aims: Our aim was to study the functional outcome of latarjet procedure in Indian population as many of these patients present with recurrent episodes of dislocation and most of these patients have glenoid bone loss with or without an assosciatedhillsachs lesion.
Materials and Methods: Orthopaedics department between July 2019 to October 2020 with recurrent anterior shoulder dislocation were evaluated clinically and radiologically (ap view, trans-axillary lateral view, scapular y view, CT Scan and MRI Scan). A total of 10 patients (8 male and 2 female) with mean age at the time of surgery was 22.2 years (18-30 years) with recurrent episodes of anterior shoulder dislocation and glenoid bone loss (>25%) with or without an engaging hillsachs lesion were included in our study.
Conclusion: In our study of 10 cases 9 patients had excellent to good results based on ROWE score and OSII score. Post operative range of motion of shoulder was almost fully achieved in all patients. Mean abduction was 170 deg (150-180 deg), mean external rotation loss was 20 deg (15-25 deg).
None of our patients had recurrent episode of dislocation posteratively till the latest followup. Soft tissue Bankart repairs yield good results when used for capsulolabral avulsions and tears.
With good clinical and radiological evaluation more complex lesions like bony bankarts and bankarts with associated hillsachsleison can be identified and successfully treated by latarjet procedure.
