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Satisfactory Functional Results and Complication Rates After Anterior Glenoid Bone Block Reconstruction in Recurrent Shoulder Dislocation: A Mean 4-Year Follow-up Comparative Study
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Hatem Farhan Imam
Staff Zu Site
Abstract In Staff Site
Journal:
Egyptian orthopaedic Journal Egyptian orthopaedic Journal
Volume:
Keywords :
Satisfactory Functional Results , Complication Rates After
Abstract:
Background: Anterior recurrent instability of the glenohumeral joint is a common clinical problem among 3 the young population. Glenoid reconstruction with bone graft has become the treatment of choice, 4 particularly in significant deficiency (˃ 20%). This study aims to assess the functional results of glenoid 5 reconstruction using Latarjet and iliac bone graft in management of glenoid insufficiency associated with 6 recurrent anterior dislocation of the glenohumeral joint. 7 Methods: Patients suffering from anterior shoulder instability with glenoid defect > 20% were included in 8 this study between 2016 and 2021. University of California at Los Angeles (UCLA) shoulder scale and 9 Constant score were used to assess the functional improvement. Preoperative and final postoperative 10 continuous outcomes were compared with one-tailed paired t-test and the outcomes across groups were 11 compared using two-tailed independent t- test. P-value of < 0.05 was considered statistically significant for 12 both tests. 13 Results: This trial included 50 patients; twenty-five underwent mini-open Latarjet, and 25 underwent 14 arthroscopic tricortical iliac bone grafting (ICBG). The mean follow-up durations were 50.1 ± 5.9 months 15 for Laterjet and 51.6 ± 6.8 months for ICBG. Both techniques showed statistically significant improvement 16 in the final UCLA (31.1± 2.1 in Laterjet, and 30.2± 2.2 in ICBG) and Constant (90.2± 4.6 in Laterjet, and 17 89± 5.01 in ICBG) scores. There was no statistically significant difference regarding mean age, sex, side 18 of injury, mechanism of injury, follow-up period, and clinical outcome between both surgical treatments. 19 At the end of the study, both groups demonstrated statistically significant improvement in the range of 20 motion (p˂ 0.00001). Only one, non-adherent patient in Laterjet group had post-operative dislocation. In 21 ICBG group, two patients had partial bone graft resorption, 3 graft site morbidities, and 1 hardware 22 prominence.
Author Related Publications
Ahmed Hatem Farhan Imam, "Management of Osteochondral Defects in the Knee via Osteochondral Autograft Plug Transfer: An Assessment of the Short-term Results", Egyptian orthopaedic Journa, 2021
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Ahmed Hatem Farhan Imam, "Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study", Advances in Orthopedics, 2021
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Ahmed Hatem Farhan Imam, "Global posterior elbow approach versus dual lateral and medial elbow approaches in the management of terrible triad injury of the elbow", Egyptian orthopaedic Journa, 2022
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Ahmed Hatem Farhan Imam, "Outcomes of different Surgical Methods in Fixation of Mid-Shaft Clavicle Fractures", Egyptian orthopaedic Journal:, 2022
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Ahmed Hatem Farhan Imam, "Triple attack procedure for the treatment of recurrent injury of the anterior cruciate ligament with varus deformity of the proximal tibia", Egyptian orthopaedic Journal, 2020
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Department Related Publications
Ahmed Hatem Farhan Imam, "Management of Osteochondral Defects in the Knee via Osteochondral Autograft Plug Transfer: An Assessment of the Short-term Results", Egyptian orthopaedic Journa, 2021
More
Ahmed Hatem Farhan Imam, "Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study", Advances in Orthopedics, 2021
More
Ahmed Hatem Farhan Imam, "Global posterior elbow approach versus dual lateral and medial elbow approaches in the management of terrible triad injury of the elbow", Egyptian orthopaedic Journa, 2022
More
Ahmed Hatem Farhan Imam, "Outcomes of different Surgical Methods in Fixation of Mid-Shaft Clavicle Fractures", Egyptian orthopaedic Journal:, 2022
More
Adel Abdelaziem Ahmed Sallim, "The Outcome of Modified Dunn's Procedure for Moderate and Severe Slipped Capital Femoral Epiphysis", www.ghrnet.org/index.php/ijo, 2018
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