अगर आपका कन्धा उतर जाता है तो क्या लैटरजेट सर्जरी करनी चाहिए ? Latarjet Surgery in Hindi
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- เผยแพร่เมื่อ 1 พ.ย. 2021
- अगर आपका कन्धा उतर जाता है तो क्या लैटरजेट सर्जरी करनी चाहिए ?
कन्धा बार बार निकल जाना
कंधे के डिस्लोकेशन में लैटरजेट सर्जरी
क्या लैटरजेट सर्जरी बेस्ट सर्जरी है
क्या लैटरजेट सर्जरी में कोई कम्प्लीकेशन नहीं है
लैटरजेट सर्जरी क्या होती है , कब करनी चाहिए
Typical damage to the shoulder joint starts as a torn ligament the first time the shoulder comes out of the socket. This injury is called a Bankart tear and is seen very commonly, especially in young patients (under the age of 35) who sustain an initial shoulder dislocation.2 During that initial dislocation, or with subsequent dislocations, additional damage to other structures can occur. Often cartilage or bone about the socket is damaged, and these injuries may be more difficult to repair.
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Glenoid Bone Loss
When bone damage occurs, the damage can either occur to the ball or the socket of the shoulder. Damage to the ball is called a Hill-Sachs lesion. Damage to the socket causes fractures and bone loss to the glenoid (the socket of the shoulder).3
When the shoulder socket is damaged, the socket may progressively get worn away. As this occurs, the chance of recurrent dislocation goes up. In fact, glenoid bone loss can get to the point where patients have a hard time keeping the shoulder in the socket at all. One treatment for glenoid bone loss is called Latarjet surgery.
Latarjet Surgery
The Latarjet procedure was designed to augment the glenoid with additional bone. The bone comes from the scapula (shoulder blade) and is a hook of bone called the coracoid. The coracoid is a hook of bone in the front of the shoulder blade and is the attachment for several muscles. During Latarjet surgery, the surgeon removes the coracoid from its attachment to the scapula and moves the coracoid, and the muscle attachments, a few centimeters to the front of the shoulder socket. Once in position, the coracoid is screwed to the shoulder socket.
The Latarjet procedure accomplishes two important tasks: First, it increases the amount of bone of the shoulder socket to restore bone that had been lost. Second, the muscles attached to the coracoid create a sling, to help support the shoulder in the front of the joint.
The Latarjet is a very successful procedure at restoring stability to the shoulder joint. In fact, historically, this surgery was used as a standard treatment for people with shoulder dislocations. As newer surgical techniques have improved, the Latarjet is now seldom used for a standard dislocation repair. Rather, the Latarjet procedure is preferred for those patients who have worn away at least 25% of the shoulder socket.
Rehabilitation following Latarjet surgery lasts for at least 4-6 months. The initial phases of rehabilitation are needed to protect the shoulder sufficiently to allow for full bone healing. Therefore, the mobility is restricted for the first few months while bone healing occurs. At that point, gradually the shoulder motion can be increased, followed by progressive strengthening.
Complications
Complications are unusual after Laterjet surgery, but there are some significant concerns. This is not a minor surgical procedure, and rehab after surgery can be lengthy. Some of the unique concerns include a nonunion of the bone that is transferred to the shoulder socket. In order for the surgery to fully heal, the bone must fuse to the front of the socket; in about 3% of patients, a nonunion of this bone can occur. Many major nerves surround the coracoid in the front of the shoulder. Damage to these nerves is possible during the surgical procedure. Lastly, patients having this surgery should understand that most people who have Laterjet surgery do not have normal range of motion of the joint after surgery. This is usually acceptable given the improvement in the stability of the joint.
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thank u so much sir
Sir advices Dene ke liye bahot bahot dhanyawad
Verry important and valuable information dr. sir. Thank you sir
I always watch your vdo sir
thank you sir for vdo
Sir Namaskar Durbinse kiyejane wale sarjarime kitne Tag kosht kharcha Aatehai. Sir
Posterior recurrent mey kay latergent karnw milaga ??
How to get information of percentage of bone loss?
sir meri mother ke left sholder aur neck me pain hai aur 4 din se unka haath upar nahi uth raha hai.Neorologist se treatment liye lekin pain khatam nahi horaha...
Aap kaha se ho sir
Mene arthroscopi kiya hai
Epilepsy se karn Mera 4 time shoulder dislocation ho gaya hai aur mujhe bone lose Kitna hai ho pata nahi hai latrajet ka cost kya hai
Iska khrch kitnahota h
Which test tends to know the percentage of bone loss.. in mri and ct its not mentioned
sir I have done arthroscopic bankart surgery and in MRI it was probably bony bankart lesion. was this surgery good
Sir Saturday ko mera accident ho gaya tha is karan s 2 bar inferior shoulder dislocation ho gaya h x ray karane k bad Dr. n shoulder par tapping ki h 5 din m tapping hutne k liye bol reha h kya mera shoulder dislocation hona band ho jayga kya .....?
Sir mera bankart repair hua tha 2016 me but vo fail hogya h, mera boneloss kamm h bhot to mrko latarjet surgery krani chiye?
Sir meri bone lose 19.8 % approx hai mujhe kon shi.. surjury karni best rahegi ..?
Sir,
Sir i am from nasik Bonloss 21% .. which surgery is good ??