Comparison of arthroscopic and open Latarjet with a learning curve analysis

Cunningham, Grégory; Benchouk, Samy; Kherad, Omar; Lädermann, Alexandre

doi:10.1007/s00167-015-3910-3

Cited by 119 publications

(150 citation statements)

References 21 publications

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“…5,11,39 The arthroscopic technique could increase these risks because of the specific difficulties in some of the surgical steps, such as the subscapularis split and graft positioning. 9 Consequences of subscapularis split had been widely studied in the context of open instability surgeries and open Latarjet. 5,[11][12][13]17,[36][37][38][39] However, outcomes of arthroscopic subscapularis split are still relatively unknown.…”

Section: Discussionmentioning

confidence: 99%

Subscapularis structural integrity and function after arthroscopic Latarjet procedure at a minimum 2-year follow-up

Valencia

Fernández-Bermejo

Martín-Ríos

et al. 2020

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Subscapularis structural integrity and function after arthroscopic Latarjet procedure at a minimum 2-year follow-up

Valencia

Fernández-Bermejo

Martín-Ríos

et al. 2020

Journal of Shoulder and Elbow Surgery

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“…Among 28 patients treated with an all-arthroscopic Latarjet and 36 patients treated with an open Latarjet procedure, Cunningham et al reported more frequent instances of inaccurate screw placement, longer operative times (146 vs 81 min, p=0.001) and higher complication rates (29% vs 11%, p=0.03) in the arthroscopic group without any significant differences in Walch-Duplay scores between arthroscopic and open groups. Moreover, a learning curve analysis demonstrated that 10 arthroscopic Latarjet procedures were needed to overcome the need for conversion to an open procedure 90. In our view, these data, coupled with reported rates of graft non-union and malposition, do not support the routine performance of the Latarjet procedure arthroscopically.…”

Section: Congruent Arc Latarjet Pearls and Avoiding Pitfallsmentioning

confidence: 74%

Shoulder instability: State of the Art

et al. 2016

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“…The arthroscopic Latarjet procedure has been in the literature since 2007. 17 Although a learning curve has been shown by many authors, 12,18,19 it also exists for the open Latarjet, 20 and should not be thought of as prohibitive. In fact, although these authors who studied their learning curve reduced their operative time with experience, even in their early series, they achieved reliable, safe results.…”

Section: Arthroscopic Latarjet: the Learning Curve Should Not Be Prohmentioning

confidence: 99%

Editorial Commentary: The Wake of the Dragon: Will the Orthopaedic Community Adopt the Shoulder Arthroscopic Latarjet Procedure as We Adopted the Arthroscopic Rotator Cuff Repair?

Boileau

Saliken

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The Latarjet procedure is a complex and difficult operation when performed both with an open approach and arthroscopically. The difficulties come from the fact that it is a combined intra- and extra-articular procedure, and that working close to the brachial plexus may be frightening for surgeons. Because of the high complication and reoperation rates reported in the literature, this procedure is, at the moment, rejected by a large part of the orthopaedic community, specifically in North America. The Chinese experience shows, after the European one, that arthroscopic Latarjet is an efficient and irreplaceable option for the treatment of recurrent anterior shoulder instability in the context of capsular and/or glenoid deficiency. A recent study shows that the arthroscopic procedure provides accurate bone block positioning and high rates of healing, excellent clinical results (no recurrence of instability at 2-year follow-up), and low rates of complications (no neurovascular injury). Although the arthroscopic Latarjet should be approached with caution, the learning curve should not be thought of as prohibitive. To learn how to perform an arthroscopic Latarjet, surgeons should visit an experienced surgeon and take a course to practice on cadavers first. Although it will take time and effort to learn and perform this operation correctly, we should command our Chinese colleagues to encourage us to follow their path. There is no reason that in the near future the orthopaedic community does not adopt the arthroscopic Latarjet procedure, as we adopted the arthroscopic rotator cuff repair and other complex surgical procedures. Among the strongest reasons to perform the Latarjet procedure arthroscopically are the accuracy of graft placement, the safety for neurovascular structures provided by direct visualization and magnification, and the excellent clinical results allowing young people to go back to sport, including high-risk (contact, overhead) sports.

show abstract

Comparison of arthroscopic and open Latarjet with a learning curve analysis

Abstract: Retrospective comparative analysis, Level III.

Cited by 119 publications

References 21 publications

Subscapularis structural integrity and function after arthroscopic Latarjet procedure at a minimum 2-year follow-up

Subscapularis structural integrity and function after arthroscopic Latarjet procedure at a minimum 2-year follow-up

Shoulder instability: State of the Art

Editorial Commentary: The Wake of the Dragon: Will the Orthopaedic Community Adopt the Shoulder Arthroscopic Latarjet Procedure as We Adopted the Arthroscopic Rotator Cuff Repair?

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