Coracoid bone graft resorption after Latarjet procedure is underestimated: a new classification system and a clinical review with computed tomography evaluation

Zhu, Ye; Jiang, Chunyan; Lu, Yi; Li, Fenglong; Guan, Wei

doi:10.1016/j.jse.2015.05.039

Cited by 101 publications

(109 citation statements)

References 21 publications

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“…39 Late coracoid graft resorption after Latarjet procedures is also increasingly recognized. Zhu et al 40 reported that some degree of coracoid graft resorption occurs after greater than 90% of Latarjet procedures; however, the clinical significance of this finding remains unclear because graft resorption did not correlate with functional outcomes or recurrent instability. In addition, long-term outcome studies have reported significant rates of glenohumeral arthropathy after Latarjet procedures.…”

Section: Discussionmentioning

confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following Technical Note provides a diagnostic approach for suspected glenohumeral instability, as well as a detailed description of the congruent-arc Latarjet procedure, performed with a deltoid split, with its postoperative management.

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Section: Discussionmentioning

confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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“…O principal desfecho estudado foi a osteólise do enxerto coracoide, classificado em quatro tipos segundo Zhu et al 16 (►Tabela 1). De acordo com essa classificação, os pacientes foram divididos em dois grupos, A (sem reabsorcão ou menor) e B (reabsorção maior ou total).…”

Section: População Do Estudounclassified

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Cohen

Zaluski

Siqueira

et al. 2019

Rev Bras Ortop (Sao Paulo)

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Objective Coracoid osteolysis has been described as a possible complication after the Latarjet procedure. The aim of the present study was to investigate the incidence and risk factors associated to coracoid graft osteolysis and to correlate them with clinical results. Methods A retrospective review of 38 Latarjet procedures was conducted. Computed tomography (CT) scans were obtained from all of the patients before and at least 1 year after the surgery. Coracoid osteolysis was evaluated and correlated to preoperative factors, namely: age, smoking status, and preoperative glenoid bone loss. The patients were divided into 2 groups: A (no or minor bone resorption) and B (major or total bone resorption). The functional outcome was determined by the Rowe score. Results Coracoid graft osteolysis occurred in 22 cases (57.8%). The mean preoperative glenoid defect was 22.8% in group A, and 13.4% in group B (p = 0.0075). The mean ages of the subjects in both groups were not significantly different. Smoking did not seem to affect the main outcome either, and no correlation was found between graft osteolysis and postoperative range of motion, pain, or Rowe score. There were no cases of recurrent dislocations in our sample, although four patients presented with a positive anterior apprehension sign. Conclusion Bone resorption of the coracoid graft is present in at least 50% of the patients submitted to the Latarjet procedure, and the absence of significant preoperative glenoid bone loss showed to be the only risk factor associated with severe graft osteolysis, even though this did not influence significantly the clinical outcome.

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“…[34][35][36] Although clinical risk of true neurologic injury remains low, screw fixation of bone graft also carries the risk of graft osteolysis, cut out, and symptomatic harware. 16,17,19,23,26 Suspensory fixation has been described previously in the literature through an open technique as an alternative to screw fixation of with a similar biomechanical strength. 16,31 Recently, Kalogrianitis et al 33 described an arthroscopic technique of iliac crest autograft bone augmentation with suspensory suture button fixation.…”

Section: E100mentioning

confidence: 99%

“…16 In addition, because bone osteolysis has been described, especially around the superior screw, painful hardware can result. [17][18][19][20][21][22][23] These open techniques are not without complication, and more recent arthroscopic techniques to augment bone loss have been described. 21,[24][25][26][27][28][29][30] Despite the advent of these techniques, difficulty with fixation arthroscopically remains a concern.…”

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confidence: 99%

Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability

Hassebrock

Starkweather

Tokish

2020

Arthroscopy Techniques

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Glenoid bone loss remains a significant risk factor for recurrent instability after shoulder dislocation. Several options exist for glenoid bone graft augmentation, including autograft and allograft options. Strengths and weaknesses exist for each. Graft fixation with screws remains a key concern for technical viability requiring a medial portal as well as the risk of graft osteolysis. Suture button suspensory fixation is a new technique recently described for arthroscopic iliac crest bone graft; however, no description exists concerning osteochondral graft fixation. We describe an arthroscopic technique for distal tibial allograft glenoid augmentation with suspensory suture button fixation. The rationale and technical aspects of this procedure are discussed.

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Coracoid bone graft resorption after Latarjet procedure is underestimated: a new classification system and a clinical review with computed tomography evaluation

Cited by 101 publications

References 21 publications

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability

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