Comparative Study Between Iliac Bone Grafting verses Latarjet Procedure For Surgical Management Of Anterior Shoulder Instability With Glenoid Bone defect

Abstract

Background and aim : Anatomical glenoid restoration by iliac graft transplant versus latarjet surgery is competing as a management option for recurrent traumatic anterior dislocation of the shoulder associated with glenoid bone loss. All patients, who have recurrent traumatic anterior dislocation of the shoulder with loss of glenoid bone rime, will be assessed effectively for their responses to the Latarjet or the Iliac Graft Transfer. Patients and methods : There were 40 patients presented with Anterior dislocation of the shoulder who had open Latarjet operation or ICBGT operation in this prospective random research. Rowe and ASES ratings, satisfaction level, evaluation of range of motion, and instability were all conducted before surgery and after 6, 12, and 24 months following surgery. All patients were followed up with radiographys and CT scans before and after surgery and over the time of follow-up and recorded. Results : There is no statistically signi fi cant difference between both groups for management of recurrent traumatic anterior dislocation ( P < 0.05). Conclusion : It has been observed during the follow-up over this period, and as a result of the measurements or radiographs, that there is no difference between them except the Latarjet group ' s signi fi cantly decreased exterior rotation capacity.