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Quality of life following an open Latarjet-Bristow procedure In a general population with a recurrent anterior shoulder Instability

Quality of life following an open Latarjet-Bristow procedure In a general population with a recurrent anterior shoulder Instability

Collen Nkosi, MBChB, SOUTH AFRICA Nyiko Chauke, MBCHB, FC Orth (CMSA),Mmed Ortho Surg (Wits), SOUTH AFRICA

University of the Witwatersrand , JOHANNESBURG, Gauteng, SOUTH AFRICA


2021 Congress   ePoster Presentation     Not yet rated

 

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Sports Medicine

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Summary: The Latarjet-Bristow procedure improves the quality of life in a general population similarly to an athletic population.


Introduction

Despite the high reporting on anterior glenohumeral instability, to date there are no studies that reports on the quality of life following a Latarjet-Bristow procedure with a recurrent anterior shoulder instability. The purpose of this study was to evaluate quality of life in patients who had a Latarjet-Bristow procedure.

Methods

A single centre retrospective review with a prospective recall of patients who underwent a Latarjet-Bristow technique for recurrent anterior glenohumeral instability at the Chris Hani Baragwanath Academic hospital Orthopaedic Department between 01 January 2017 and 31 March 2020. Outcomes measures included: Health related quality of life using the Short Form-36 questionnaire, patient related outcome measures using the Western Ontario Shoulder Instability Index and Rowe scores.

Results

A total of 66 patients were identified to participant in the study; 40 (60.6%) responded and were included in the analysis.There were nine females and 31 males with the median age of
32 years (27.5 - 41 years). Three cases had bilateral anterior shoulder instability with a single
joint being operated and three patients were epileptic.Physical and mental components summary of the SF-36 showed a better health related quality of life in the general population.There was a significant strong correlation between SF-36 and WOSI. However, SF-36 and Rowe score showed a fair correlation. Our study revealed an overall 15 % complication rate of which 7.5% of patients were hardware-related complications, 2.5% instability arthropathy and 7.5% recurrence rate.

Conclusion

The Latarjet-Bristow procedure improves the quality of life in a general population similarly to an athletic population.The number of episodes of dislocation before surgery and the delayed surgical intervention did not increase the recurrent anterior shoulder instability rates postoperative.


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