Optimization of the Algorithm for Choosing the Surgical Treatment of Anterior Recurrent Instability of the Shoulder Joint

Introduction . Chronic recurrent instability of the shoulder joint is a frequent outcome conservative treatment oftraumatic dislocation (2.8–30 % cases). Preoperative examination largely determines surgical this pathology. The aim study was to provide clinical assessment developed algorithm for patients with anterior instability. Materials and methods. results 98 were studied. included tests, MRI or CT calculation bone loss. Fifty-six (57.1 %) underwent Bankart operation, 14 (14.3 – Latarjet operation. Twenty-three (23.5 + Remplissage surgery, 5 (5.1 remplissage. result assessed on ROWE scale. Results Bone defects significant in formation (“glenoid off track”) found 19.4 patients, “glenoid track” 80.6 %. According proposed treating joint, state an indication surgery. When used, indications operation displayed. remplissage procedure indicated case presence Hill-Sachs grade 3 defect hyperelasticity tissues joint. mean score entire group before surgery 41.5 ± 12.8 points, 15 months after sur gery 94.9 3.4 points. Two dislocations revealed, one which associated repeated trauma, other incorrect choice stabilization technique. One complication (axillary nerve neuropathy) observed, arrested conservatively. Conclusions allowed us obtain positive 97.9 cases.