Treatment of anterior shoulder instability by latarjet coracoid bone block: preliminary functional results in a subsaharan hospital

ABSTRACT

Background: The Latarjet technique aims to stabilize the shoulder by reconstructing the glenoid rim using a bone fragment taken from the coracoid bone and generally fixed to the anteroinferior part of the glenoid. The aim of this study was to assess the functional outcome of this type of treatment. Methods: This retrospective study was conducted in several health institutions in Ivory Coast from January 2008 to December 2013. Folders of 15 patients whose shoulders were treated by the Latarjet coracoid bone block procedure for anterior shoulder instability and were followed-up for a minimum of 10 years were retrieved and data collected. Functional outcomes were assessed by the Rowe score. The data were evaluated and analysed using Epi Info and Excel statistical software. Results: The functional assessment according to the Rowe score revealed three excellent results, nine good results, two average results and one poor result. One case of recurrence was observed in the postoperative period and required a revision. Conclusion: This study suggests that the Latarjet preglenoid bone block procedure is an effective surgical procedure for treating anterior shoulder instability. It allows for a significant improvement in functional outcomes as well as a satisfactory return to sporting activity.