Long-term outcomes of the Latarjet procedure for anterior shoulder instability: a systematic review of studies at 10-year follow-up

Hurley, Eoghan T.; Jamal, M. Shazil; Ali, Zakariya; Montgomery, Connor; Pauzenberger, Leo; Mullett, Hannan

doi:10.1016/j.jse.2018.08.028

Cited by 151 publications

(163 citation statements)

References 37 publications

Supporting

Mentioning

139

Contrasting

Unclassified

Order By: Relevance

“…rates found in this study are consistent with the recent literature regarding arthroscopic or open Latarjet procedures 5,17. Lost to follow-up (n = 121) Flowchart.…”

supporting

confidence: 89%

“…The main finding of the current study is that the preoperative number of episodes of dislocation does not influence recurrence rates after a Latarjet procedure as opposed to what has been previously demonstrated after arthroscopic Bankart repair. 22 The recurrence 13 and reoperation 17 This innocuity of multiple preoperative dislocations after a Latarjet procedure was found in the present study even though these multiple dislocations had created greater bony lesions and therefore had led to higher Instability Severity Index Scores. This confirms the findings from Balg and Boileau 1 and later from Phadnis et al, 26 who recommend performing a Latarjet procedure rather than an arthroscopic Bankart repair in patients with higher Instability Severity Index Scores.…”

Section: Discussionsupporting

confidence: 57%

See 1 more Smart Citation

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Hardy

Sabatier²,

Laboudie

et al. 2019

Am J Sports Med

View full text Add to dashboard Cite

Background: The preoperative number of dislocations has been previously proved to be a major factor influencing the results after Bankart repair with more preoperative dislocations correlated with higher recurrence rates and more reoperations. This could possibly be because of the lower quality of the tissue repaired during the procedure after multiple dislocations. On the other hand, the Latarjet procedure does not ''repair'' but rather reconstructs and augments the anterior glenoid.Purpose/Hypothesis: The main objective was to report the clinical outcomes of patients undergoing a Latarjet procedure after 1 dislocation versus multiple (2) dislocations. The hypothesis was that the preoperative number of dislocations would not influence clinical results.Study Design: Cohort study; Level of evidence, 3.Methods: Patients older than 18 years who had undergone a primary Latarjet procedure for shoulder instability with at least 2 years of follow-up were included. Three different techniques were used: a mini-open technique using 2 screws, an arthroscopic technique using 2 screws, and an arthroscopic technique using 2 cortical buttons. Patients were evaluated and answered a questionnaire to assess the number of episodes of dislocation before surgery, the time between the first dislocation and surgery, recurrence of the dislocation, revision surgery, the Walch-Duplay score, the Simple Shoulder Test score, and the visual analog scale (VAS) score for pain.Results: A total of 308 patients were included for analysis with a mean follow-up of 3.4 6 0.8 years. Of that, 83 patients were included in the first-time dislocation group and 225 in the recurrent dislocation group. At last follow-up, the rates of recurrence and reoperation were not significantly different between groups: 4.8% in the first-time dislocation group versus 3.65% in the recurrent dislocation group and 6.1% versus 4.0%, respectively. The overall Walch-Duplay scores at last follow-up were also comparable between the 2 groups, 67.3 6 24.85 and 71.8 6 25.1, even though the first-time dislocation group showed a lower pain subscore (15.0 6 8.6 vs 18.0 6 7.5; P = .003). The VAS for pain was also significantly higher in the first-time dislocation group compared with the recurrent dislocation group (1.8 6 2.3 vs 1.2 6 1.7; P = .03). Conclusion:The number of episodes of dislocation before surgery does not affect postoperative instability rates and reoperation rates after the Latarjet procedure. However, patients with first-time dislocations had more postoperative pain compared with patients with recurrent dislocations before surgery.

show abstract

“…rates found in this study are consistent with the recent literature regarding arthroscopic or open Latarjet procedures 5,17. Lost to follow-up (n = 121) Flowchart.…”

supporting

confidence: 89%

Section: Discussionsupporting

confidence: 57%

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Hardy

Sabatier²,

Laboudie

et al. 2019

Am J Sports Med

View full text Add to dashboard Cite

show abstract

“…Recent studies have shown a rate of complications of 21%, 1 coracoid bone block malposition of 15.4%, 2 and late arthritic changes in 38.2%. 3 The arthroscopic Latarjet has been proposed to address these problems and potentially reduce additional soft-tissue damage. Although soft-tissue dissection is reduced by the arthroscopic approach, graft positioning and intraoperative complications are still a source of concern.…”

Section: See Related Article On Page 3221mentioning

confidence: 99%

Editorial Commentary: Arthroscopic Latarjet: An Analysis of Outcomes and Complications Through its Learning Curve

Santagada¹,

Morris²,

Cerciello³

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

The arthroscopic Latarjet has been proposed in the past decade to reduce the rate of bone block malpositioning, decrease soft-tissue damage associated with open approach, and possibly decrease intraoperative complications. Several recent studies have reported similar or even superior results with arthroscopic Latarjet compared with those achieved with open technique. However, arthroscopic Latarjet is known to be more technically demanding and some feel that it should be performed by expert shoulder surgeons with advanced arthroscopic skills. Surgical innovations should be adopted when they have potential advantages for patients. Despite the initial challenges and learning curve of arthroscopic Latarjet, experience and technical skills may reduce the rate of intraoperative complications for this technically demanding procedure.

show abstract

“…It is generally believed that cases with large glenoid bone defects would require a bone block augmentation technique to restore joint stability [8,9]. The Latarjet procedure with its various amendments has been the most commonly used bone block technique [10,11]. However, while the Latarjet procedure has proved to be reliable to manage recurrent anterior shoulder instability with large glenoid bone defects, there have been concerns of a high surgical complication rate associated with this procedure [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…An alternative option that has been used either for the revision of failed Latarjet procedures [16] or for the primary treatment of glenoid bone loss [10] is the Eden-Hybinnette technique. The initial procedure which has a 100-year history was based on the concepts of anatomic glenoid bony augmentation with a tibial autograft and capsulorrhaphy [17].…”

Section: Introductionmentioning

confidence: 99%

Iliac Crest Bone Grafting for the Management of Anterior Shoulder Instability in Patients with Glenoid Bone Loss: a Systematic Review of Contemporary Literature

et al. 2020

View full text Add to dashboard Cite

Background: A number of clinical trials have been published assessing the role of iliac crest bone grafting for the management of recurrent anterior instability with glenoid bone loss in contemporary practice. We therefore performed a systematic review of contemporary literature to examine the effect of iliac crest bone grafting on postoperative outcomes of these patients. Our hypothesis is that contemporary iliac crest bone block techniques are associated with low reoperation and complication rates combined with satisfactory functional results. Methods:The US National Library of Medicine (PubMed/MEDLINE), the Cochrane Database of Systematic Reviews, and EMBASE were searched between January 2008 and December 2019 for relevant publications.Results: Following the application of the inclusion-exclusion criteria, nine articles were found eligible for our analysis. In total, 261 patients (mean age range, 25.5-37.5 years; mean follow-up range, 20.6-42 months) were included in the studies of the current review. The mean modified Coleman score was 48.6 (range 37-65), indicating an overall low-to-moderate methodological quality. In the short term, the overall all-cause reoperation rate was 6.1%, while the rate of recurrent instability was 4.8%. The graft non-union rate was 2.2%, while the rate of osteolysis, graft fracture, and infection was 0.4%, 0.9%, and 1.7%, respectively. Finally, hardware-related complications, such as screw breakage or symptomatic mechanical irritation around the screw insertion, occurred in 3.9% of the patients. Conclusions: Iliac crest bone block techniques in contemporary practice are safe and effective in the short-term (< 4 years) follow-up for the management of anterior shoulder instability with substantial glenoid bone deficiency. However, further studies of higher quality and longer follow-up are required to establish the therapeutic value of these techniques as well as to clarify whether there are differences in the outcomes of arthroscopic and open iliac crest bone block procedures.

show abstract

Long-term outcomes of the Latarjet procedure for anterior shoulder instability: a systematic review of studies at 10-year follow-up

Cited by 151 publications

References 37 publications

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Editorial Commentary: Arthroscopic Latarjet: An Analysis of Outcomes and Complications Through its Learning Curve

Iliac Crest Bone Grafting for the Management of Anterior Shoulder Instability in Patients with Glenoid Bone Loss: a Systematic Review of Contemporary Literature

Contact Info

Product

Resources

About