The directed ligamento-capsular-tenodesis in surgical treatment of the shoulder habitual dislocation

Abstract

The technique of directed ligamento-capsular-tenodesis, developed by the authors, provides for multiple closed osteoperforation of humeral bone along the intertubercular sulcus and the inside semi-circumference of humeral surgical neck, as well as along the frontal edge of scapular articular cavity for reinforcement of the shoulder capsule damaged (making a scarry barrier) in patients with the shoulder habitual dislocation under x-ray control (electrooptical transducer). 78 patients with posttraumatic anterior habitual dislocation of the shoulder have been treated. The patients’ age varied within the interval of 18-67 years. There were 47 men (60,2%) and 31 women (39,8%). The shoulder stability was restored in most patients with preservation of full range of movements and cosmetic picture. Recurrent dislocation of the shoulder occurred in 2 (2,6%) patients due to heavy load lifting.