3 dimensional CT assessment of graft osteolysis, union and placement after modified Latarjet procedure
|IJOCP | April 2014 | Volume 1 | Issue 2 | Page 12
Conference: Poona Orthopaedic Society Annual Conference POSAC-2014, India [Click for Full details]
Authors: Ashutosh Ajari , Ashish Babhulkar, Pavan Desai
Authors Affiliations: Department of Shoulder and Sports medicine, Deenanath Mangeshkar Hospital, Pune.
Address of Correspondence:
Dr. Ashutosh Ajari
Department of Shoulder and Sports medicine, Deenanath Mangeshkar Hospital, Pune
Introduction: Latarjet procedure has gained popularity as a choice for antero-inferior glenoid bone loss. It is often presumed that graft always heals and there is no graft osteolysis or non union. In contradiction to this common belief, literatures suggest that prevalence of osteolysis and graft non-union is common. This prospectiveEthics committee approved study resolved to study the union status of the coracoid graft & also the extent of osteolysis, at a minimum three months after Latarjet procedure.
Material and Method: This is a prospective study approved by DMH ethical committee. All serial patients with minimum follow up of 3 months were included in study. 3D CT of operated shoulder was done using our in house protocol and outcome measures were assessed in terms of graft healing, osteolysis and position.
Result: Total 31 patients were included in study. Only 1 patient had graft non union,two patients had fibrous union and rest bony union. 27 patientshad no osteolysis; while 4 patients had osteolysis.26 / 31 patients had perfect graft positioning.
Conclusion: Osteolysis can begin as early as three months. Non union and fibrous union are not unknown and a 3D CT will provide accurate assesment of same. Perfect graft positioning and healing are important for good clinical results.
|How to Cite this Abstract|
|Ajari A, Babhulkar A, Desai P. 3 dimensional CT assessment of graft osteolysis, union and placement after modified Latarjet procedure. I J Orthopaedic Conference Proceedings April 2014;1(2):12.|