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Contemporary methods of surgical treatment of recurrent dislocation of humeral head

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dc.contributor.author Gagiu, Nicu
dc.date.accessioned 2020-07-16T05:59:53Z
dc.date.available 2020-07-16T05:59:53Z
dc.date.issued 2018
dc.identifier.citation GAGIU, Nicu. Contemporary methods of surgical treatment of recurrent dislocation of humeral head. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 146-147. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/11333
dc.description Department of Traumatology and Orthopedics, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova en_US
dc.description.abstract Introduction. A variety of operative techniques have been described as Bristow-Latarjet technique. In our study we described the experience of surgical treatment in patients with anterior shoulder instability using this procedure. Because of the anatomical peculiarities of shoulder joint, it is more predispose to dislocation. In 16-38% cases recurrent humeral head dislocations represents complication of primary dislocations in first 6 months from the primary injury. They are mostly characteristic for young men, aged between 20-30 years in 90% cases. The open Bristow-Latarjet procedure involves the partial transfer of the coracoid process with attached short tendon of biceps muscle to the front of the glenoid. This placement of the coracoid in „weak area of the joint” acts as a bone block combined with muscle insertion prevents further dislocation of the joint. Aim of the study. Analyze the results and indication for using open Bristow - Latarjet technique in patients with anterior recurrent dislocation of the shoulder. Materials and methods. This study includes 53 patients treated with open Bristow-Latarjet procedure. In 10 cases-dislocation was reduced by people with no medical studies, another 14 were without immobilization, in 12 cases was used posterior gyps, in other 10 soft Dessault bandage. In 12 patients was found deformation of anterior and anterio-interior labrum Results. The success of removing and replacement of coracoid process on the anterior part of glenoid fosa was appreciated: during surgery, in 3 weeks after surgery due to the movement in the shoulder joint, and in 6 weeks – according to the x ray results. It showed excellent outcomes in 14 patients, good outcomes in 32 patients and satisfying outcomes in 7 patients, all having started active functional treatment in 3 weeks after surgery. 47 patients mention full satisfaction with the outcomes, no one got recurrent dislocation after treatment. Conclusions. The Bristow-Latarjet surgery is used in treatment of recurrent dislocation of hummerus head with glenoid cavity dysplasia, because this technique ensures prevention of new recurrences and allows upper extremity function recovery in 95-98%. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject shoulder instability en_US
dc.subject Bristow-Latarjet surgery en_US
dc.subject treatment outcomes en_US
dc.title Contemporary methods of surgical treatment of recurrent dislocation of humeral head en_US
dc.type Article en_US


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  • MedEspera 2018
    The 7th International Medical Congress for Students and Young Doctors, May 3-5, 2018

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