《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (2): 191-196.doi: 10.3969/j.issn.1006-9771.2021.02.012

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Effect of Modified Rehabilitation Program for Postoperative Management after Arthroscopic Latarjet Procedure

Wei SUN1,Hong LEI2,Wei-yi JING1,Zhen-dong ZHANG1,Yan HUANG1()   

  1. 1.Department of Orthopedics and Sports Medicine, the 7th Center of PLAGH, Beijing 100700, China
    2.Department of Rehabilitation, Peking University Third Hospital, Beijing 100191, China
  • Received:2020-03-28 Revised:2020-06-29 Published:2021-02-25 Online:2021-02-26
  • Contact: Yan HUANG E-mail:huangyanlxq@126.com

Abstract: Objective

To assess the clinical outcomes of our modified postoperative rehabilitation program after total arthroscopic Latarjet procedure.

Methods

From July, 2017 to March, 2019, 32 patients suffered from habitual anterior shoulder dislocation were treated with arthroscopic Latarjet procedure in our medical center. They were randomly assigned to control group (n = 15) and experimental group (n = 17). The control group received conventional rehabilitation program after shoulder arthroscopic Bankart repair, while the experimental group received modified rehabilitation program after arthroscopic Latarjet procedure. After surgery, they followed our postoperative management and rehabilitation program, and finished every phase of follow-up. Before and three weeks and six weeks after surgery, they were accessed with Visual Analogue Score (VAS) for pain, active range of motion (AROM) and functional assessment. Twelve months after surgery, their satisfaction were compared.

Results

None of them was lost at one-year follow-up postoperatively. No recurrent dislocation occurred. Three months after surgery, the VAS, AROM and the scores of shoulder functional assessments were better in the experimental group than in the control group (|t| > 2.149, P < 0.05). Six months after surgery, no significant difference was found in VAS and AROM between two groups (|t| < 1.481, P > 0.05), and the scores of shoulder functional assessments were better in the experimental group than in the control group (|t| > 2.300, P < 0.05). Twelve months after surgery, the percentage of restored throwing ability and patients' satisfaction (t = -4.564, P < 0.001) were higher in the experimental group than in the control group.

Conclusion

Compared with the conventional rehabilitation program after shoulder arthroscopic Bankart repair, modified postoperative rehabilitation program for arthroscopic Latarjet procedure is safer and more effective, which could bring better functional outcomes and higher patients' satisfaction.

Key words: habitual anterior shoulder dislocation, arthroscopy, Latarjet procedure, rehabilitation

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