Early clinical outcome of Latarjet Procedure in Athletic patients with Recurrent Anterior Shoulder Instability and glenoid bone loss in a Sample of Egyptian Population | ||||
| The Egyptian Orthopaedic Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 21 August 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/eoj.2025.404615.1062 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mahmoud Massoud  1; Mohamed Kamal Ismail 2
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| 1Orthopaedic department, ARMED FORCES COLLEGE OF MEDICINE (AFCM), Cairo | ||||
| 2Department orthopedic surgery AFCM Cairo Egypt | ||||
| Abstract | ||||
| Abstract Background: Anterior shoulder dislocations account for nearly 50% of all joint dislocations. In cases with significant glenoid bone loss, the arthroscopic Bankart repair demonstrates a high failure rate. The Latarjet procedure offers a more stable alternative, especially in active individuals. Objective: This study aimed to evaluate the early clinical and radiological outcomes of the Latarjet procedure in middle-aged adults with traumatic, recurrent anterior shoulder instability, focusing on results within six months postoperatively. Patients and Methods: A prospective study was conducted on 41 middle-aged male patients presenting with recurrent anterior shoulder instability and isolated glenoid bone loss ≥20%. The open Latarjet procedure involved transferring the coracoid process to the anteroinferior glenoid edge and securing it with two 4.0 mm cancellous screws, creating a “triple blocking effect.” Functional outcomes were assessed using the Oxford Shoulder Instability Score (OSIS), range of motion (ROM), and Visual Analogue Scale (VAS). Graft union was evaluated using CT imaging at six months. Results: Glenoid bone loss ranged from 21.4% to 33% (mean 27.37 ± 3.95%). OSIS showed significant improvement postoperatively (24.83 ± 6.34 vs. 37.29 ± 9.7 preoperatively; p < 0.001). ROM and VAS scores also improved significantly (p < 0.001). Complications occurred in 7 patients (17%): pain/stiffness (4.87%), nonunion (7.31%), graft lysis (2.4%), and hardware failure (2.4%). No neurovascular injuries or graft malposition were reported. Conclusion: The open Latarjet procedure offers reliable early outcomes in treating recurrent anterior shoulder instability with glenoid bone loss, showing good stability, functional recovery, and low complication rates. | ||||
| Keywords | ||||
| coracoid transfer; shoulder stabilization; bone block technique; functional outcome; orthopedic sports surgery | ||||
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