Latarjet Procedure for Anterior Shoulder Instability: A 24-Year Follow Up Study

Chillemi, Claudio; Guerrisi, Mario; Paglialunga, Carlo; Carli, Stefano De; Proietti, Riccardo; Osimani, Marcello

doi:10.1016/j.jse.2021.03.097

Cited by 4 publications

(4 citation statements)

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“…As regard the age, the average age of the studied group was (24.3±4.2) ranging from 18 to 35years, with the majority of them (77.8%) in the age group from 18-25 years. That was in close to the results of Chillemi et al (6) who followed 40 patients underwent an open Latarjet procedure. All the patients were available for follow-up at an average of 25.6 years.…”

Section: Discussionsupporting

confidence: 90%

Treatment of Bony Defects in Anterior Shoulder Dislocation-Latarjet Procedure: Short-Term Results

Ashour¹,

El-Soufy²,

Afifi³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Anterior glenohumeral dislocation is a widespread problem among young athletic populations. Objective: This study was aimed to evaluate the clinical and the radiological results of patients with recurrent traumatic anterior shoulder instability treated with Latarjet procedure. Patients and Methods: A clinical trial study was conducted on 18 patients with recurrent traumatic anterior shoulder instability treated at the Department of Orthopedic, Faculty of Medicine, Zagazig University Hospitals. Pre-and postoperative clinical evaluation and radiological assessment was applied. Results: The average glenoid bone loss was (24.1±2.3 %) ranging from 20 to 27. All cases showed postoperative union and most of them (94.4%) had bony union and only (5.6%) had a fibrous union. Regarding range of motion and the shoulder functional evaluation there was a highly statistically significant improvement in all examined items (p-value<0.001). 123.0 % improvement postoperatively with a highly statistically significant increase in the constant score from (48.1±6.2) to (91.4±3.7) (p-value<0.001). 93.6 % improvement postoperatively with a highly statistically significant increase in the ULCA score from (14.6±2.9) to (31.3±1.8) (p-value<0.001). Most of the studied group (16 cases, 88.8%) didn't have any postoperative complications, one case had a hematoma (5.6%) and one case had a superficial infection (5.6%). Conclusion: It could be concluded that the open Latarjet procedure has confirmed to be an effective and efficient procedure for shoulder stabilization.

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Section: Discussionsupporting

confidence: 90%

Treatment of Bony Defects in Anterior Shoulder Dislocation-Latarjet Procedure: Short-Term Results

Ashour¹,

El-Soufy²,

Afifi³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…3 Some patients show a recurrent dislocation rate of up to 90 percent and are commonly treated with arthroscopic labrum repair, capsular repair, and open bone-block techniques. 4,5,6,7 The rates of recurrent instability are documented up to 10-22.5 percent in a few case series and are mostly found in younger patients and patients with substantial bone loss. 8,9,10,11 It has been observed that the arthroscopic recurrence rate is 67 per cent in case of bone loss, whereas Bankart repair has reported a recurrence rate of 4 per cent without a bone loss Michel Latarjet, in 1954, described a blocking technique of later-jet and preferred it for patients having recurrent anterior dislocation of the shoulder with a bone loss.…”

Section: Introductionmentioning

confidence: 99%

Functional Outcome of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation

Siraj

Azim

Sajjad

et al. 2023

J Gandhara Med Dent Sci

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OBJECTIVES To find the functional outcome of the open Latarjet method for recurrent anterior shoulder dislocation. METHODOLOGY The current retrospective study was conducted at the Orthopedic and Trauma Department of the Khyber Teaching Hospital in Peshawar from September 2020 to August 2021. A total of 31 patients were included in the study, of which 29 were males and 2 were females. A detailed medical history was obtained through physical examination, and all necessary laboratory tests were requested. AP and axillary views of plain X-ray radiographs were taken. We used a CT scan on all the patients to calculate the humeral and glenoid bone loss. We had all patients undergo an MRI to rule out soft tissue pathology. Six months after surgery, the outcome was graded using the Constant Murley Score on a good, good, fair, and poor scale. RESULTS In this study open Latarjet procedure was done in 31 patients with 29 males (93.4%) and two females (6.45%). The right-sided shoulder was involved in 24 (77.14 %) patients, while the left shoulder was involved in 7 patients (22.58%). A bipolar lesion in the shoulder with bone loss was seen on the glenoid side at 17.5% (range 10-25%), and the humeral side was 22.5%. Follow-up was done for six months in which 22 patients had a very good outcome (70.96%), six patients had a good outcome(19.35%), two patients had a fair outcome(6.45%), and one patient had a poor outcome(3.22%). There were no major complications seen like graft fractures, graft malposition, neurovascular compromise, and hardware breakage CONCLUSION Recurrent anterior shoulder instability can be effectively treated with open Latarjet with excellent functional outcomes and a very low complication rate and recurrence.

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“…Latarjet coracoid bone-block is a gold-standard procedure for anteroinferior instability of the shoulder [1][2][3][4][5]. The literature reports long follow-up, with satisfactory long-term clinical results and better control of recurrence than with other shoulder stabilization techniques [6][7][8]. Technically, the procedure is demanding, requiring perfect exposure to guarantee perfect coracoid graft positioning and reduce the risk of complications [9,10] such as neurovascular lesions, especially in the axillary and musculocutaneous nerves [11].…”

Section: Introductionmentioning

confidence: 99%

A hybrid open-arthroscopic latarjet coracoid bone-block technique using “HyLa” instrumentation

Lami¹,

Fauvet²,

Ollivier³

et al. 2021

Orthopaedics & Traumatology: Surgery & Research

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Latarjet Procedure for Anterior Shoulder Instability: A 24-Year Follow Up Study

Cited by 4 publications

References 0 publications

Treatment of Bony Defects in Anterior Shoulder Dislocation-Latarjet Procedure: Short-Term Results

Treatment of Bony Defects in Anterior Shoulder Dislocation-Latarjet Procedure: Short-Term Results

Functional Outcome of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation

A hybrid open-arthroscopic latarjet coracoid bone-block technique using “HyLa” instrumentation

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