Comparison of the Latarjet Procedure With the Modified Putti-Platt Surgery for Recurrent Anterior Shoulder Dislocation With Respect to Functional Outcome

TL;DR

This study compares two surgical procedures for shoulder dislocation and finds similar outcomes, suggesting surgeon preference and patient factors may guide treatment choice.

Contribution

The study provides a direct comparison of Latarjet and modified Putti-Platt surgeries for shoulder instability using functional outcomes.

Findings

Both procedures showed similar functional outcomes in patients with recurrent shoulder dislocation.

Most patients (55%) had excellent outcomes, with no significant difference between the two surgical methods.

Patient and surgeon factors may influence the choice of procedure rather than outcome differences.

Abstract

Introduction

Shoulder dislocation is the most common injury encountered in orthopedic outpatient department. The choice of procedure depends on the expertise of surgeons. The objective of this study was to compare the Latarjet procedure with the modified Putti-Platt surgery for recurrent anterior shoulder dislocation in terms of functional outcomes.

Materials and methods

A quasi-experimental study evaluated 60 patients with recurrent anterior shoulder instability. Patients were assigned to either Latarjet or modified Putti-Platt surgery. Functional outcomes were assessed at six months using the Constant-Murley shoulder score.

Results

This study encompassed 60 patients (mean age: 23.93±5.88 years) undergoing shoulder procedures. Functional outcomes exhibited a majority of 55% excellent, 35% good, 6.7% fair, and 3.3% poor outcomes. No significant differences in functional outcomes were found between the procedures.

Conclusion

Both procedures may be viable options for recurrent shoulder instability. The choice may depend on patient factors and surgeon preference. Further research is needed to refine techniques and identify ideal candidates.