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- W4313503635 abstract "BACKGROUND: Glenohumeral bone loss plays a critical role in recurrent shoulder instability by altering contact area, congruency and performance of static restrains. During this study, we tried to gauge the clinical outcomes of surgical management of shoulder instability with glenoid bone loss treated with bony block.METHODS: This is a prospective study of 19 cases of shoulder instability with glenoid bone loss treated with bone block, either by transfer of coracoid process or using iliac crest tricortical graft. Preoperative evaluation was done in the form of clinical examination and radiological investigations (radiographs, CT scan and MRI) were performed in all the patients to measure the percentage of glenoid bone loss. Patients were evaluated clinico-radiologically and functional outcomes were drawn using CONSTANT and ROWE scores.RESULTS: The mean percentage of glenoid bone loss using three-dimensional CT scan was 23.05±7.39% in our study. Coracoid process transfer (Latarjet procedure) was performed in 15 patients while tricortical iliac crest graft (Eden-Hybinette procedure) was utilized in 4 patients. The mean follow-up was 14.4±2.1 months. Mean preoperative CONSTANT and ROWE scores were 79.26±4.69 and 26.57±12.8, which improved to 92.68±5.68 and 85±11.76 respectively at the last follow-up. The mean active external rotation, abduction and forward flexion were 48.95±9.37°, 175.79±7.69° and 169.47±7.05° respectively at the last follow-up. Nine patients had internal rotation upto D12 vertebral level.CONCLUSIONS: The bony block procedures are time tested and safe operations for management of recurrent anterior shoulder instability with glenoid bone loss and provide good overall outcomes." @default.
- W4313503635 created "2023-01-06" @default.
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- W4313503635 date "2023-01-01" @default.
- W4313503635 modified "2023-09-23" @default.
- W4313503635 title "Determination of outcomes of bony block method for recurrent anterior shoulder instability with glenoid bone loss" @default.
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- W4313503635 doi "https://doi.org/10.23736/s2784-8469.22.04180-3" @default.
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