Open Latarjet Procedure in Bra Strap Incision and Functional Outcome

Abstract

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Introduction: The open Latarjet operation is often performed via the anterior deltopectoral route. In women, the bra strap might cover the scar cosmetically by making a more medial and vertical skin incision. This incision is known as the bra strap incision. Objectives: This study was done to evaluate the functional outcome of open latarjet procedure in bra strap incision. Materials and Methods: The cross-sectional Observational study was conducted in the Department of Orthopedic, National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) from June 2022 to May 2023. A total of 20 female patients were included in the study. Data was collected over a period of 12 months and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: In this study, most of the respondents 13 (65.0%) lies between 25 years to 34 years. Mean ± SD of the respondents was 28.31 ± 3.25 years. Most of the patients 12 (60.0% were underweight, 6 (30.0%) patients BMI were in between normal range and 2 (10.0%) were overweight. Mean ± SD of the patients BMI was 23.3 ± 5.4 kg/m2. Among the 20 operated shoulders, 14 (70.0%) were right shoulders and 6 (30.0%) were left shoulders. Among the 20 operated shoulders, 13 were dominant and 7 were non-dominant. The mean absolute CMS was 82 (range 64–96) points, the relative CMS was 84% (range, 64–97), the mean pain level was 14 (range, 8–15) points assessed using the CMS, and the mean subjective shoulder value (SSV) was 86% (range, 60–100). The mean distances from the bra strap center to the acromioclavicular joint, the tip of the coracoid process, and the top of the anterior axillary fold lie approximately 27 ±11 mm, 13 ± 9 mm, and 31 ± 10 mm lateral to the bra strap center respectively. Among the 20 patients, 18 (90.0%) rated their scar as “very nice” 1 (5.0%) patient rated their scar as “Nice” and 1 (5.0%) patient were moderately satisfied with the scar aesthetics. Conclusion: When compared to previously published data, this investigation demonstrates that the bra strap incision does not appear to impact the therapeutic outcome and is highly accepted by female patients. Although the bra strap's usual location can be identified, it is better to mark the incision beforehand for ideal placement because to the wide variances in distances.