Latarjet procedure in patients with multiple recurrent anterior shoulder dislocation and generalized ligamentous laxity

Abdelhady, Amr; AbouElsoud, Maged; Eid, Marc

doi:10.1007/s00590-014-1558-1

Cited by 17 publications

(18 citation statements)

References 16 publications

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“… # References 1, 3, 9-11, 13, 15, 16, 18, 21, 22, 24, 26, 32-36, 38, 42, 43, 46, 50-52, 56, 57, 60, 62, 64, 65, 68, 70-72, 80, 84-86, 93, 95, 97, 101-105, 107, 109-112. …”

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confidence: 99%

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Outcomes of the Latarjet Procedure Versus Free Bone Block Procedures for Anterior Shoulder Instability: A Systematic Review and Meta-analysis

et al. 2020

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Background: Free bone block (FBB) procedures for anterior shoulder instability have been proposed as an alternative to or bail-out for the Latarjet procedure. However, studies comparing the outcomes of these treatment modalities are limited. Purpose: To systematically review and perform a meta-analysis comparing the clinical outcomes of patients undergoing anterior shoulder stabilization with a Latarjet or FBB procedure. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: PubMed, Embase, and the Cochrane Library databases were systematically searched from inception to 2019 for human-participants studies published in the English language. The search was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement including studies reporting clinical outcomes of patients undergoing Latarjet or FBB procedures for anterior shoulder instability with minimum 2-year follow-up. Case reports and technique articles were excluded. Data were synthesized, and a random effects meta-analysis was performed to determine the proportions of recurrent instability, other complications, progression of osteoarthritis, return to sports, and patient-reported outcome (PRO) improvement. Results: A total of 2007 studies were screened; of these, 70 studies met the inclusion criteria and were included in the meta-analysis. These studies reported outcomes on a total of 4540 shoulders, of which 3917 were treated with a Latarjet procedure and 623 were treated with an FBB stabilization procedure. Weighted mean follow-up was 75.8 months (range, 24-420 months) for the Latarjet group and 92.3 months (range, 24-444 months) for the FBB group. No significant differences were found between the Latarjet and the FBB groups in the overall random pooled summary estimate of the rate of recurrent instability (5% vs 3%, respectively; P = .09), other complications (4% vs 5%, respectively; P = .892), progression of osteoarthritis (12% vs 4%, respectively; P = .077), and return to sports (73% vs 88%; respectively, P = .066). American Shoulder and Elbow Surgeons scores improved after both Latarjet and FBB, with a significantly greater increase after FBB procedures (10.44 for Latarjet vs 32.86 for FBB; P = .006). Other recorded PRO scores improved in all studies, with no significant difference between groups. Conclusion: Current evidence supports the safety and efficacy of both the Latarjet and FBB procedures for anterior shoulder stabilization in the presence of glenoid bone loss. We found no significant differences between the procedures in rates of recurrent instability, other complications, osteoarthritis progression, and return to sports. Significant improvement in PROs was demonstrated for both groups. Significant heterogeneity existed between studies on outcomes of the Latarjet and FBB procedures, warranting future high-quality, comparative studies.

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“… # References 1, 3, 9-11, 13, 15, 16, 18, 21, 22, 24, 26, 32-36, 38, 42, 43, 46, 50-52, 56, 57, 60, 62, 64, 65, 68, 70-72, 80, 84-86, 93, 95, 97, 101-105, 107, 109-112. …”

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confidence: 99%

“… ‡‡ References 1, 3, 9, 11, 15, 16, 18, 22, 24, 33-36, 38, 42, 51, 56, 57, 65, 68, 70, 72, 84, 86, 101, 102, 107, 109, 110. …”

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confidence: 99%

Outcomes of the Latarjet Procedure Versus Free Bone Block Procedures for Anterior Shoulder Instability: A Systematic Review and Meta-analysis

et al. 2020

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“…55 The Latarjet procedure was reported to have promising results, including lower recurrence rates, high graft union, satisfactory outcome scores, and fewer complications. 1,3,12…”

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confidence: 99%

“…55 The Latarjet procedure was reported to have promising results, including lower recurrence rates, high graft union, satisfactory outcome scores, and fewer complications. 1,3,12 Of the procedures that were graded B in favor of recommendation, arthroscopic remplissage was reported by several studies to have no restriction of movements, improved outcome scores, fewer complications, and early return to sports activities. 53,59 The remplissage procedure also showed a high stability rate, increased range of motion, and early return to sports activities.…”

Section: Discussionmentioning

confidence: 99%

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Anterior Shoulder Instability: A Systematic Review of the Quality and Quantity of the Current Literature for Surgical Treatment

Glazebrook

Miller

Wong

2018

Orthopaedic Journal of Sports Medicine

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Background:Anterior shoulder instability is the most common sequela of shoulder dislocation and can result in repeated dislocations or subluxation of the glenohumeral joint. Anterior shoulder instability can be treated conservatively or surgically with several procedures.Purpose:To date, arthroscopic Bankart is the most common surgical procedure for the treatment of anterior shoulder instability. No previous studies have compared all anterior shoulder surgical procedures. In this study, the authors performed a systematic review of journal articles describing all surgical procedures for anterior shoulder instability to determine the scientific evidence and level of recommendation.Study Design:Systematic review; Level of evidence, 4.Method:A comprehensive literature search was conducted (July 19, 2016) with 4 reputed databases: PubMed, EMBASE, the Cochrane databases, and Web of Science. The articles found in the literature search were screened by 2 reviewers on the basis of their titles, abstracts, and full text. Data were extracted from relevant studies, and potentially relevant records were selected for full-text review. Included articles were classified according to their scientific quality (level of evidence, 1-5). The studies were then combined for each surgical procedure, and a grade of recommendation was assigned for each procedure: grade A, treatment recommendation based on level 1 evidence studies; B, based on level 2 or 3 evidence studies; C, based on level 4 or 5 evidence and could represent conflicting results; or I, insufficient evidence to recommend a treatment. As such, the grade of recommendation provides a summary score for the quality and quantity of available literature to support the surgical procedures reviewed here.Results:The systematic literature review generated 11,281 articles. After screening, 655 articles were included. Results revealed 31 surgical procedures for shoulder instability following dislocation: 10 surgical procedures were given an A or B recommendation; 11, a C recommendation; and 10, an I recommendation.Conclusion:This review identified many surgical procedures to treat anterior shoulder instability. Ten of these surgical procedures had an abundant amount of published articles to describe their safety and efficacy. Arthroscopic Bankart and open Bankart were the most commonly reported procedures that cite satisfactory postoperative outcomes and limited complications. Publications on the other surgical procedures were less common. Surgeons should be careful when recommending surgery, and they should choose the appropriate surgical procedure based on evidence-based literature.

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

Pogorzelski

Beitzel

Imhoff

2016

Oper Orthop Traumatol

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Latarjet procedure in patients with multiple recurrent anterior shoulder dislocation and generalized ligamentous laxity

Abstract: IV.

Cited by 17 publications

References 16 publications

Outcomes of the Latarjet Procedure Versus Free Bone Block Procedures for Anterior Shoulder Instability: A Systematic Review and Meta-analysis

Outcomes of the Latarjet Procedure Versus Free Bone Block Procedures for Anterior Shoulder Instability: A Systematic Review and Meta-analysis

Anterior Shoulder Instability: A Systematic Review of the Quality and Quantity of the Current Literature for Surgical Treatment

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

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