Latarjet procedure for anterior shoulder instability: a 24-year follow-up study

Chillemi, Claudio; Guerrisi, Mario; Paglialunga, Carlo; Santone, Francesco Salate; Osimani, Marcello

doi:10.1007/s00402-020-03426-2

Cited by 30 publications

(25 citation statements)

References 36 publications

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“…The results reported in this study describe a lower incidence of OA than those previously reported by other authors [13,52], probably because of the shorter follow-up. Hovelius et al [24] found a mild OA in 35.1% of shoulders and a moderate or severe dislocation arthropathy in 14% at 15 years of follow-up.…”

Section: Discussioncontrasting

confidence: 58%

“…Singer et al [ 52 ] in a follow-up study of 20 years, showed 29% of significant OA (grade 2 or 3 of Samilson and Prieto classification). Chillemi et al [ 13 ], in a 24-years follow-up study, also assessed the presence of OA in 52.5% of shoulders at the final follow-up (grade 2 or 3 was found in 25% of the shoulders, according to Samilson and Prieto classification). Despite these signs of joint degeneration, all these authors described good-to-excellent results and high level of satisfaction among their patients.…”

Section: Discussionmentioning

confidence: 99%

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Low grade of osteoarthritis development after Latarjet procedure with a minimum 5 years of follow-up: a systematic review and pooled analysis

Menon

Fossati

Magnani

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose The purpose of this systematic review and pooled analysis was to evaluate incidence and risk factors for glenohumeral osteoarthritis (OA) in patients who underwent Latarjet procedure with a minimum of 5-year follow-up. Methods The PRISMA guidelines were followed to perform this systematic review. PubMed and EMBASE were searched up to February 29, 2020 for English, human in vivo studies that evaluated glenohumeral OA in patients undergoing Latarjet procedure at least 5 years after surgery. A pooled analysis on the included databases sent by authors was performed to evaluate the risk factors influencing the development or progression of dislocation arthropathy after the Latarjet procedure. Results Four studies, including a total of 280 patients (213 males and 67 females), were analysed. In our study population, the median age at surgery was 25.0 years (range 20.8–32.6 years). and 92.1% were athletes. In 90% of the cases, the number of dislocations before surgery were fewer than 5. The recurrence of instability after Latarjet procedure was observed only in seven patients (2.5%). The position of the bone graft resulted flush to the anterior glenoid rim in 238 cases (85.3%), medial in 8 (2.9%) and overhanging in 33 (11.8%). Radiological signs of development or progression of shoulder OA were observed in 25.8% of the patients, of which 88.6% presented a grade 1 of OA according to Samilson and Prieto classification. The overhanging position of the bone graft resulted statistically significant for onset or worsening of OA. The age at surgery, the number of dislocations before surgery and the Hill–Sachs lesion were not significantly associated with joint degeneration. Instead, hyperlaxity showed a prevention role in the development of OA after open Latarjet procedure. Conclusion The Latarjet procedure is a valid and safe surgical treatment in recurrent anterior shoulder instability with a low risk of developing moderate or severe OA also at long-term follow-up. The overhanging position of the bone graft represents the principal risk factor of joint degeneration, whereas the hyperlaxity seems to be protective. Finally, age, gender, time between first dislocation and surgery, and number of dislocations do not seem to affect the onset of OA after Latarjet procedure. Therefore, an accurate execution of the Latarjet procedure can be considered a valid treatment even in young and athletes thanks to the low recurrence rates and the low development of major long-term complications. Level of evidence IV.

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Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Low grade of osteoarthritis development after Latarjet procedure with a minimum 5 years of follow-up: a systematic review and pooled analysis

Menon

Fossati

Magnani

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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“… 62 , 63 Chillemi et al conducted a study with a 25 year follow up in which none of the 40 patients reported any episode of re-dislocation. 64 …”

Section: Open Latarjet Techniquementioning

confidence: 99%

“…62,63 Chillemi et al conducted a study with a 25 year follow up in which none of the 40 patients reported any episode of redislocation. 64 Studies have shown that post-operative complications from open Latarjet procedure range from 7-30%. 65,66 The most common complications include hematoma, recurrent instability, neurological complication, infection, post-operative stiffness, graft/implant failure or malpositioning, bone block nonunion, and osteoarthritis.…”

Section: Indications and Outcomes Of Open Latarjet Surgerymentioning

confidence: 99%

Open Stabilization Procedures of the Shoulder in the Athlete: Indications, Techniques, and Outcomes

Haratian¹,

Yensen²,

Bell³

et al. 2021

OAJSM

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“…Clinical studies have reported good outcomes with both screw fixation 9,19 and button fixation 14,20 ; however, the Latarjet procedure has been associated with complications including hardware failure or graft fracture. 21–24 Biomechanical studies have looked at the ultimate failure load (UFL) of Latarjet constructs and their modes of failure.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting biomechanical strength of Latarjet constructs: A systematic review and meta-regression

Huish

Kelly²,

Cutter³

2020

Shoulder & Elbow

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Background The Latarjet procedure reduces recurrent glenohumeral instability but has potential hardware and graft complications. The procedure has been modified to use various screw types as well as suture buttons. Biomechanical studies have evaluated the effect of these implants on construct strength. With varying results it is unclear whether there is an optimal implant to use. Methods We conducted a systematic review of human cadaveric biomechanical studies evaluating Latarjet ultimate failure load. Two independent reviewers screened articles and included them after full text review. Additional factors including implants used, graft orientation, cortices engaged, drill diameter, and screw characteristics were recorded. Meta-regression was performed on the 145 specimens from eight studies that met inclusion criteria. Results Screw fixation resulted in a 396.8 N (95% CI, 149.8–643.7) N higher ultimate failure load against shear stresses than suture buttons (p = 0.002). There were no differences between implants for ultimate failure load against tensile forces. Tensile strength was significantly affected by drill diameter with each millimeter of increase reducing the mean ultimate failure load by 127.4 N (95% CI, 41.2–213.6) N (p = 0.004). Conclusions These results suggest that using screw fixation and minimizing drill diameter can obtain the maximum ultimate failure load against both shear and tensile forces in a Latarjet construct.

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Latarjet procedure for anterior shoulder instability: a 24-year follow-up study

Cited by 30 publications

References 36 publications

Low grade of osteoarthritis development after Latarjet procedure with a minimum 5 years of follow-up: a systematic review and pooled analysis

Low grade of osteoarthritis development after Latarjet procedure with a minimum 5 years of follow-up: a systematic review and pooled analysis

Open Stabilization Procedures of the Shoulder in the Athlete: Indications, Techniques, and Outcomes

Factors affecting biomechanical strength of Latarjet constructs: A systematic review and meta-regression

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