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• W2076296866 abstract "Avaliar os resultados e as complicações da cirurgia de Latarjet em pacientes acometidos pela instabilidade recorrente anterior de ombro. Foram analisados, retrospectivamente, 51 pacientes (52 ombros) com diagnóstico de luxação recidivante anterior, operados pela técnica de Latarjet. O tempo médio de seguimento foi de 22 meses, variação de 12 a 66 meses; a faixa etária variou de 15 a 59 anos, com média de 31; em relação ao sexo, 42 (82,4%) pacientes eram do masculino e nove (17,6%) do feminino. O lado dominante foi acometido em 29 (55,8%) ombros. Quanto à etiologia, 48 (92,3%) referiram trauma e quatro (7,6%) tiveram o primeiro episódio após um quadro de convulsão. As médias de elevação, rotação lateral e rotação medial ativas do membro operado foram, respectivamente, de 146° (60° a 180°), 59° (0° a 85°) e T8 (T5 a glúteo), houve significância estatística quanto à diminuição da amplitude de movimento em todos os planos, quando comparado com o lado contralateral (não operado). As médias de pontuação de Rowe e UCLA foram de 90,6 e 31,4, respectivamente, no período pós‐operatório. Onze ombros (21,2%) apresentaram maus resultados: sinais de instabilidade (13,4%), pseudoartrose (11,5%) e soltura precoce do material de síntese (1,9%). Houve correlação entre maus resultados e pacientes convulsivos (p = 0,026). O procedimento de Latarjet para correção da luxação anterior recidivante leva a bons e excelentes resultados em 82,7% dos casos. Evaluate the results and complications of Latarjet procedure in patients with anterior recurrent dislocation of the shoulder. Fifty‐one patients (52 shoulders) with anterior recurrent dislocation, surgically treated by Latarjet procedure, were analyzed retrospectively. The average follow‐up time was 22 months, range 12‐66 months; The age range was 15‐59 years with a mean of 31; Regarding sex, 42 (82.4%) patients were male and nine (17.6%) were female. The dominant side was affected in 29 (55.8%) shoulders. Regarding the etiology, 48 (92.3%) reported trauma and four (7.6%) had the first episode after a convulsion. The average elevation, lateral rotation and medial rotation of the operated shoulder were, respectively, 146° (60° to 180°), 59° (0 to 85°) and T8 (T5 gluteus), with statistical significance for decreased range of motion in all planes, compared with the other side. The scores of Rowe and UCLA were 90.6 and 31.4, respectively, in the postoperative period. Eleven shoulders (21.2%) had poor results: signs of instability (13.4%), non‐union (11.5%) and early loosening of the synthesis material (1.9%). There was a correlation between poor results and convulsive patients (p = 0.026). We conclude that the Latarjet procedure for correction of anterior recurrent dislocation leads to good and excellent results in 82.7% of cases. Complications are related to errors in technique." @default.
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• W2076296866 date "2015-11-01" @default.
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• W2076296866 title "Avaliação dos resultados e das complicações em pacientes com instabilidade anterior de ombro tratados pela técnica de Latarjet" @default.
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• W2076296866 doi "https://doi.org/10.1016/j.rbo.2014.09.012" @default.
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