Ligamentocapsulotenodesis in surgical treatment of the habitual dislocation of the shoulder

Based on the derotation osteotomy of the surgical humeral neck according to Weber B. G. (1977) for treatment of the shoulder habitual dislocation the authors worked out the technique of distraction ligamentocapsulotenodesis, providing for derotation-correcting humeral osteotomy, osteosynthesis with the Ilizarov fixator and 1-1,5 cm humeral lengthening. MRI examination was made in 34 patients before and after surgery with and without contrast. The problems of the pathogenesis of the shoulder habitual dislocation were studied. The shoulder stabilization occurs at the expense of the formation of the periarticular scarry sleeve. The long-term results of treatment were assessed in 51 patients using Rowe-Zarins grading system. The mean age of the patients was 34,3 years, the mean period of control - 5,6 years. Excellent and good results were registered in 36 patients (70,6%), fair - in 15 (29,4%).