title: [Latarjet procedure for recurrent anterior instability of the shoulder. Report of 41 cases].
abstract: OBJECTIVE
  Evaluate the technique of Bristow-Latarjet in the treatment of the recurrent dislocation of the shoulder.
  
  
  METHODS
  It was a continuous retrospective study on 46 cases selected in the CHU of Dakar over 11 years. From our criteria of inclusion, 41 patients were retained. There were 37 men for 4 women, whose average age at the time of the intervention was 29 years (extreme: 20 - 44 years). The management of the first episode was unsuited in 25 times. The average time of the first repetition was 10 months and its number varied between 5 and 36 episodes. The treatment of the recurrences was also misfit in 23 times. All our patients were treated according to the technique of Bristow-Latarjet. A standard immobilization Mayo clinic during 3 weeks was made with a systematic rehabilitation. The evaluation was done according to the scale of Constant with 45,6 months an average retreat.
  
  
  RESULTS
  We found: 7 excellent cases (17%); 14 very good cases (34%); 9 good cases (22%); 6 average cases (15%); 5 bad cases (12%). Five cases of omarthrosis (3 types II and 2 types III of Samilson-Prieto) were found like two surface cases of sepsis. There was neither post-operative recurrence nor iatrogenic nervous attack.
  
  
  CONCLUSIONS
  The recurrent anterior dislocation of the shoulder represents a frequent complication of primary dislocations of the shoulder touching especially young subjects. Stabilization by the anterior coracoid abutment according to the technique of Bristow-Latarjet led well represents one of the best techniques for its treatment.
authors: Service d'Orthopédie-Traumatologie CHU A, Le Dantec, Dakar. danielsane@hotmail.com
authors: A D
authors: AD
authors: Sane
authors: N F
authors: NF
authors: Coulibaly
authors: Z
authors: Z
authors: Taouil
authors: C
authors: C
authors: Dieme
authors: M H
authors: MH
authors: Sy
authors: A V
authors: AV
authors: Dansokho
authors: A
authors: A
authors: Ndiaye
authors: S I L
authors: SI
authors: Seye
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures; D012008:Recurrence; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000517:prevention & control / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D055815:Young Adult