{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:34:39Z","timestamp":1773599679093,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to assess the effects of coracoid bone block (modified Latarjet) procedure on clinical and functional results in cases with glenoid bone defect accompanied with anterior shoulder instability.\\r\\nMethods: The study included 35 patients (average age: 35 years; range: 20 to 58 years) with glenoid bone defect and recurrent dislocations treated with the modified Latarjet procedure. There were 12 sports injuries, 5 post-epileptic cases and 18 recurrent anterior shoulder dislocation following non-sports-related injuries. Recurrence was reported in 7 patients formerly treated with the Bankart procedure. Average number of preoperative dislocations was 10.8\u00b16.5 and average time range between the first dislocation and surgery was 14.9\u00b113.2 months. All patients underwent preoperative diagnostic arthroscopy. Postoperative isometric exercises in braces were assigned for the first 6 weeks, followed by active strengthening exercises. Pre- and postoperative functional results were evaluated using the ASES (American Shoulder and Elbow Surgeons) and Rowe scores and pain using the VAS (Visual Analog Scale). \\r\\nResults: Osseous union of coracoid graft was achieved in all patients. Average follow-up was 24\u00b112.2 (range: 12 to 74) months. No degenerative arthritis or continuing instability was detected in any of the patients. Average forward flexion was 165\u00b0\u00b120\u00b0 and external rotation 59\u00b0\u00b113\u00b0. Mean preoperative ASES and Rowe scores of 49.6\u00b110.6 and 47.9\u00b121.5 increased postoperatively to 91.3\u00b111 and 89.1\u00b19.2, respectively. Mean VAS scores decreased significantly from 6.2\u00b12.4 to 1.8\u00b10.6 postoperatively (p&lt;0.05). \\r\\nConclusion: Shoulder functionality and former activity levels can be successfully achieved in terms of increased patient satisfaction through use of the modified Latarjet surgery in the treatment of glenoid bone defect and anterior shoulder instability.\n\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 anterior omuz instabilitesine e\u015flik eden glenoid kemik defektli olgularda korakoid kemik blok (modifiye Latarjet) prosed\u00fcr\u00fcn\u00fcn klinik ve fonksiyonel sonu\u00e7lara etkilerinin de\u011ferlendirilmesi idi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Tekrarlayan \u00e7\u0131k\u0131k nedeniyle ba\u015fvuran ve modifiye Latarjet prosed\u00fcr\u00fc ile tedavi edilen, glenoid kemik defektli 35 hasta (ortalama ya\u015f: 35, da\u011f\u0131l\u0131m: 20-58) \u00e7al\u0131\u015fmaya al\u0131nd\u0131. On iki hastada spor travmas\u0131, 5\u2019inde epilepsi n\u00f6betleri sonras\u0131, 18\u2019inde ise spor d\u0131\u015f\u0131 travma sonras\u0131 tekrarlayan anterior omuz \u00e7\u0131k\u0131\u011f\u0131 hikayesi mevcuttu. Daha \u00f6nce Bankart onar\u0131m\u0131 uygulanan 7 hastada n\u00fcks vard\u0131. Hastalar\u0131n ameliyat \u00f6ncesi ortalama \u00e7\u0131k\u0131k say\u0131s\u0131 10.8\u00b16.5, ilk \u00e7\u0131k\u0131ktan ameliyata kadar ge\u00e7en ortalama s\u00fcre ise 14.9\u00b113.2 ay olarak kaydedildi. Giri\u015fim \u00f6ncesinde t\u00fcm hastalara tan\u0131sal artroskopi yap\u0131ld\u0131. Hastalara ameliyat sonras\u0131 ilk 6 hafta ask\u0131 i\u00e7inde izometrik egzersizler, sonras\u0131nda aktif g\u00fc\u00e7lendirme egzersizleri uyguland\u0131. Ameliyat \u00f6ncesi ve sonras\u0131 fonksiyonel sonu\u00e7lar ASES (American Shoulder and Elbow Surgeons) ve Rowe skorlar\u0131 ile, a\u011fr\u0131 ise VAS (Visual Analog Scale) ile de\u011ferlendirildi.\\r\\nBulgular: Ortalama 24\u00b112.2 (da\u011f\u0131l\u0131m: 12-74) ay takip edilen hastalar\u0131n t\u00fcm\u00fcnde greft kaynamas\u0131 sa\u011fland\u0131. Hi\u00e7bir hastada dejeneratif artrit bulgusu ve devam eden instabilite saptanmad\u0131. Ortalama \u00f6ne fleksiyon 165\u00b0\u00b120\u00b0, d\u0131\u015f rotasyon 59\u00b0\u00b113\u00b0 olarak \u00f6l\u00e7\u00fcld\u00fc. Ameliyat \u00f6ncesi ASES ve Rowe skorlar\u0131, s\u0131ras\u0131yla, ortalama 49.6\u00b110.6 ve 47.9\u00b121.5 iken bu de\u011ferlerin son kontrollerinde 91.3\u00b111 ve 89.1\u00b19.2\u2019ye y\u00fckseldi\u011fi g\u00f6r\u00fcld\u00fc. Hastalar\u0131n ortalama VAS skorlar\u0131 ise 6.2\u00b12.4\u2019ten iken ameliyat sonras\u0131nda 1.8\u00b10.6 de\u011ferlerine geriledi (p&lt;0.05).\\r\\n\u00c7\u0131kar\u0131mlar: Anterior omuz instabilitesi ve glenoid kemik defekti varl\u0131\u011f\u0131nda uygulanacak modifiye Latarjet cerrahisi ile omuz fonksiyonelli\u011finin kazan\u0131lmas\u0131 ve eski aktivite d\u00fczeyine d\u00f6n\u00fc\u015fle birlikte hasta memnuniyeti a\u00e7\u0131s\u0131ndan ba\u015far\u0131l\u0131 sonu\u00e7lar almak m\u00fcmk\u00fcnd\u00fcr.<\/jats:p>","DOI":"10.3944\/aott.2013.3130","type":"journal-article","created":{"date-parts":[[2014,3,16]],"date-time":"2014-03-16T08:55:18Z","timestamp":1394960118000},"page":"393-399","source":"Crossref","is-referenced-by-count":9,"title":["Modified Latarjet procedure for patients with glenoid bone defect accompanied with anterior shoulder instability"],"prefix":"10.5152","volume":"47","author":[{"given":"Ata","family":"Can lar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerem","family":"Bilsel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilker","family":"Eren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derya","family":"Celik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilal","family":"Cil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Demirhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2760\/2714","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:24:47Z","timestamp":1763465087000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2013,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2013.3130","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}