La technique de Didier Patte dans les luxations récidivantes de l’épaule : notre expérience à propos de 35 cas avec un suivi d’une dizaine d’années |
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Authors: | S Toure A Bana Sa Koné Se Koné A Coulibaly R Gogoua |
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Institution: | 1. Service de chirurgie traumatologique, CHU de Cocody, BP V13, Abidjan Côte d’Ivoire;2. Service de traumatologie et d’orthopédie, CHU de Treichville, Abidjan, Côte d’Ivoire |
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Abstract: | AimsAuthors report their personal experience on the surgical treatment of repeated anterior shoulder dislocations, using an anterior bone block in accordance with the procedure suggested by Didier Patte.ResultsFrom the year 1988 and during 10 years, 35 patients suffering from repeated anterior shoulder dislocations were surgically treated by this procedure. It was appropriate to retrospectively review the clinical and functional outcomes after Patte repair for recurrent anterior glenohumeral instability. The mean follow-up was approximately 10 years, with a mean percentage of 75% for the observance. There was no recurrence after surgery. Moreover, 88% of patients had good outcomes, according to the scale suggested by Butel et al., with total resumption of work and physical activities. The occurrence of chronic complication such as osteoathrosis was scarce (only one case for the series), while 20% of subjects showed apprehension during some specific shoulder movements.ConclusionIn order to expect best functional outcomes, the choice of the surgical procedure should take into account the extent of initial injury. Considering these ground requirements, the Patte procedure seems to provide very satisfactory long-term functional outcomes. |
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Keywords: | Luxation ré cidivante de l&rsquo é paule Buté e osseuse anté rieure Suivi Ré cupé ration fonctionnelle |
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