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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2019

Open Access 01-12-2019 | Flush | Research article

Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure

Authors: Jian Xu, Haifeng Liu, Wei Lu, Weimin Zhu, Liangquan Peng, Kan Ouyang, Hao Li, Daping Wang

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

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Abstract

Background

As several neurologic and hardware complications have been reported with screw fixation. Suture buttons are used to serve as an alternative to screw fixation to obtain better outcome and to reduce the complication. The purpose of this study was to observe the clinical outcomes and make the radiologic assessment of a modified suture button (MSB) arthroscopic Latarjet procedure.

Methods

A total of ninty-one patients with recurrent shoulder joint dislocation who underwent MSB arthroscopic Latarjet procedure was retrospectively reviewed. Fifty cases identified from the chart review met the inclusion criteria. The clinical outcomes and position of the grafts, glenohumeral degeneration, and graft healing condition were assessed postoperatively in a follow-up with at least one and half of a year.

Results

All the fifty patients were satisfied with their clinical outcome. The overall complication rate was 4% in this study. The mean visual analog scale score, the affected shoulder active mobility in Ers(external rotation at the side), Era(external rotation in abduction) decreased significantly; the ASES score, Rowe score, Walch-Duplay score improved significantly. CT scans in the sagittal view showed that grafts in 88% of cases were in good position, grafts in 12% of cases were fixed too superiorly and inferiorly. In the axial view grafts in forty cases were flush with the glenoid rim, ten were considered as too lateral. The ten grafts became remodeled and were more flush with the glenoid rim in the follow-up.

Conclusions

The MSB arthroscopic Latarjet procedure provides excellent outcome with few complications, and no degenerative changes were observed in the follow-up. Moreover, the graft fixed too laterally presented a phenomenon of remodeling and became flush with the glenoid rim over time.
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Metadata
Title
Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure
Authors
Jian Xu
Haifeng Liu
Wei Lu
Weimin Zhu
Liangquan Peng
Kan Ouyang
Hao Li
Daping Wang
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Flush
Published in
BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-019-2544-x

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