Long-term results of the Latarjet procedure for anterior instability of the shoulder

The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience

“…Factors associated with development of degenerative disease included increased age at onset of symptoms and surgery; a longer time from occurrence to surgery; and the average number of preoperative instability episodes, which was also found to be significantly higher in those with severe osteoarthritis. 3 In this study, 52% of patients developed degenerative changes a mean of 12 years (range, [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] after their index dislocation. The majority had anterior instability and exhibited severe symptoms that required definitive surgery.…”

“…Following this index procedure, there was a recurrence rate of 69% (25 of 36 shoulders), which is considerably higher than in other patient subgroups. 1,11,21 Epileptics therefore appear to be prone to ongoing symptoms but exhibit a significantly lower rate of recurrence when treated with skeletal stabilization (P ¼ .004). Persistent postoperative seizures affected 82% (27 of 33 patients) of the cohort and are therefore likely to have been the principal factor contributing to this high recurrence rate.…”

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

“…Hovelius et al 35 reported a 3.4% recurrence rate after the Bristow-Latarjet procedure performed in 118 patients at 15-year followup, with a 98% satisfaction rate in their cohort. Mizuno et al 36 reported a postoperative recurrence rate of 5.9% at a mean of 20 years after 68 Latarjet procedures. Bhatia et al 37 reported the results of 10 clinical studies on the Latarjet procedure in their systematic review and showed postoperative recurrent instability rates ranging from 0% to 8%, with the duration of follow-up ranging from 6 months to 14.3 years.…”

Management of an engaging Hill–Sachs lesion: arthroscopic remplissage with Bankart repair versus Latarjet procedure

“…The Latarjet operation, as considered a more invasive procedure, is thought to have more complications, including infection, graft non-union, graft lysis, degenerative joint disease, and subscapularis injury compared with the arthroscopic remplissage procedure [1,13,15,25,27,34]. Therefore, an evaluation of the unexpected postoperative adverse effects that may emerge is needed.…”