RECURRENT ANTERIOR SHOULDER DISLOCATION TREATED BY OPENINFERIOR GLENOHUMERAL LIGAMENT RECONSTRUCTION

The anterior capsulolabralcomplex repair with inferior glenohumeral ligament reconstruction has been encouraging predominantly in young active population, and heavy workers with traumatic anterior shoulder dislocation. The aim of this study was to assess the clinical outcome of patients who underwent inferior glenohumeral ligament reconstruction for recurrent traumatic anterior shoulder instability by the open method. A prospective study of 40 patients with a mean age of 30 years ( 20 – 50 years ) who underwent open reconstruction of the inferior glenohumeral ligament ( RIGHL) to treattraumatic recurrent anterior shoulder dislocation was conducted. All patients met the criteria for inclusion in the study. They had traumatic anterior shoulder dislocation with subsequent recurrent instability. All were males with no professional athletes among them. Detachment of the dominant shoulder from the glenoid marginwas found in all cases . No patient had surgical intervention before. Twenty patients had the right shoulder affected. All patients were evaluated by physical examination and followed for a minimum of 6 months (15-80 months). Rowe score was used for the clinical assessment of patients. The mean modified Rowe score was 93.3% (65% -100%) with 92.3% good and excellent results. There were 14 excellent, 10 good, 5 fair, and 3 poor results due to redislocation after major trauma ( RTA). There was no loss of range of motion compared to preoperative values. These observations point out that glenoid sided capsulolabral repair can reestablish shoulder stability in patients with recurrent traumatic anterior dislocation, and success rates comparable to those of other open anterior shoulder repair procedures can be achieved. Although arthroscopic repair for recurrent shoulder instability is a choice for most surgeons nowadays, open repair remains an excellent option and should not be forgotten especially with the lack of experience or arthroscopic availability.