Die Mini-open-Latarjet-Technik als Therapie bei rezidivierender vorderer Instabilität des Schultergelenks

Pogorzelski, Jonas; Beitzel, Knut; Imhoff, Andreas B.

doi:10.1007/s00064-016-0461-9

Cited by 8 publications

(2 citation statements)

References 12 publications

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“… 2 , 18 , 19 This improves the inherent stability of the glenohumeral joint because of the increased excursion required to dislocate, and it provides an anteroinferior soft tissue sling. 27 The arthroscopic Bankart repair improves stability by directly tightening the anterior capsule as well as repairing the anterior labrum into a so-called anteroinferior bumper. 33 …”

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confidence: 99%

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Ialenti

Mulvihill

Feinstein

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Anterior shoulder instability can be a disabling condition for the young athlete; however, the best surgical treatment remains controversial. Traditionally, anterior shoulder instability was treated with open stabilization. More recently, arthroscopic repair of the Bankart injury with suture anchor fixation has become an accepted technique.Hypothesis:No systematic reviews have compared the rate of return to play following arthroscopic Bankart repair with suture anchor fixation with the Bristow-Latarjet procedure and open stabilization. We hypothesized that the rate of return to play will be similar regardless of surgical technique.Study Design:Systematic review; Level of evidence, 4.Methods:We performed a systematic review and meta-analysis focused on return to play following shoulder stabilization. Inclusion criteria included studies in English that reported on rate of return to play and clinical outcomes following primary arthroscopic Bankart repair with suture anchors, the Latarjet procedure, or open stabilization. Statistical analyses included Student t tests and analyses of variance.Results:Sixteen papers reporting on 1036 patients were included. A total of 545 patients underwent arthroscopic Bankart repair with suture anchors, 353 with the Latarjet procedure, and 138 with open repair. No significant difference was found in patient demographic data among the studies. Patients returned to sport at the same level of play (preinjury level) more consistently following arthroscopic Bankart repair (71%) or the Latarjet procedure (73%) than open stabilization (66%) (P < .05). Return to play at any level and postoperative Rowe scores were not significantly different among studies. Recurrent dislocation was significantly less following the Latarjet procedure (3.5%) than after arthroscopic Bankart repair (6.6%) or open stabilization (6.7%) (P < .05).Conclusion:This systematic review demonstrates a greater rate of return to play at the preinjury level following arthroscopic Bankart repair and the Latarjet procedure than open stabilization. Despite this difference, >65% of all treated athletes returned to sport at their preinjury levels, with other outcome measures being similar among the treatment groups. Therefore, arthroscopic Bankart repair, the Latarjet procedure, and open stabilization remain good surgical options in the treatment of the athlete with anterior shoulder instability.

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confidence: 99%

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Ialenti

Mulvihill

Feinstein

et al. 2017

Orthopaedic Journal of Sports Medicine

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“…When labral tears are accompanied by relevant bone loss, high failure rates are observed when the osseous deficit is not addressed properly [10, 17, 20]. To restore native glenoid configuration, both open and arthroscopic procedures have been described [13, 16, 21]. Regarding arthroscopic techniques, bone graft procedures using iliac crest and the Latarjet procedure are well‐established options [4, 5, 8, 13].…”

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confidence: 99%

Bone grafts used for arthroscopic glenoid reconstruction restore the native glenoid anatomy

Bockmann¹,

Venjakob²,

Gebing³

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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Long-term results of arthroscopic capsulolabral revision repair for failed anterior shoulder instability repair using suture anchors at a minimum of 10 years follow-up

Aboalata,

Plath,

Eltair

et al. 2024

Arch Orthop Trauma Surg

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Die Mini-open-Latarjet-Technik als Therapie bei rezidivierender vorderer Instabilität des Schultergelenks

Abstract: Since 2009 64 mini-open Latarjet procedures (61 patients) performed. In all, 9.4 % of patients suffered from persistent instability (dislocations and subluxations); only 1 patient needed revision surgery due to instability.

Cited by 8 publications

References 12 publications

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Bone grafts used for arthroscopic glenoid reconstruction restore the native glenoid anatomy

Long-term results of arthroscopic capsulolabral revision repair for failed anterior shoulder instability repair using suture anchors at a minimum of 10 years follow-up

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