Neer Award 2019: Latarjet procedure vs. iliac crest bone graft transfer for treatment of anterior shoulder instability with glenoid bone loss: a prospective randomized trial

Moroder, Philipp; Schulz, Eva; Wierer, Guido; Auffarth, Alexander; Habermeyer, Peter; Resch, Herbert; Tauber, Mark

doi:10.1016/j.jse.2019.03.035

Cited by 117 publications

(136 citation statements)

References 63 publications

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“…Eight out of the nine studies (88.9%) reported clinical or functional subjective outcome variables [21][22][23][24][25][27][28][29]. All mean postoperative clinical/functional subjective scores which were reported in the studies of this review were significantly improved compared to the respective mean preoperative values.…”

Section: Clinical/functional Subjective Scoresmentioning

confidence: 82%

“…One out of nine studies of this review (11.1%) had a level of evidence III [26], one (11.1%) had a level of evidence I [24], while all other studies (77.8%) had a level of evidence IV ( Table 2).…”

Section: Level Of Evidence and Quality Of The Studiesmentioning

confidence: 84%

“…1). Following the application of the inclusionexclusion criteria, nine articles were found eligible for our systematic analysis [21][22][23][24][25][26][27][28]. A summary flowchart of our literature search according to PRISMA guidelines can be found in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Apart from the study by Moroder et al [24], all the other papers were characterized by selection, detection, and performance bias, while all apart from three studies [24,27,29] (33.3%) declared that some of their authors ((("glenoid bone loss":ti,ab,kw OR "glenoid defects":ti,ab,kw OR "glenoid defect":ti,ab,kw)) AND ((Anterior:ti,ab,kw AND [mh "Shoulder dislocation"]) OR "Anterior shoulder instability":ti,ab,kw OR "Anterior shoulder dislocation":ti,ab, kw OR "Anteroinferior Shoulder Instability":ti,ab,kw OR "shoulder instability":ti,ab,kw)) AND ("iliac crest bone grafting":ti,ab,kw OR "iliac crest bone graft":ti,ab,kw OR "iliac crest bone grafts":ti,ab,kw OR "iliac graft":ti,ab,kw OR "iliac grafts":ti,ab,kw OR "glenoid bone block":ti,ab,kw OR "Arthroscopic bone block grafting":ti,ab,kw OR "J-bone graft":ti,ab,kw) ((("glenoid bone loss":ti,ab,de,tn,kw OR "glenoid defects":ti,ab,de,tn,kw OR "glenoid defect":ti,ab,de,tn,kw)) AND ((Anterior:ti,ab,de,tn,kw AND 'Shoulder dislocation'/exp) OR "Anterior shoulder instability":ti,ab,de,tn,kw OR "Anterior shoulder dislocation":ti,ab,de,tn,kw OR "Anteroinferior Shoulder Instability":ti,ab, de,tn,kw OR "shoulder instability":ti,ab, de,tn,kw)) AND ("iliac crest bone grafting":ti,ab,de,tn,kw OR "iliac crest bone graft":ti,ab,de,tn,kw OR "iliac crest bone grafts":ti,ab,de,tn,kw OR "iliac graft":ti,ab,de,tn,kw OR "iliac grafts":ti,ab,de,tn,kw OR "glenoid bone block":ti,ab,de,tn,kw OR "Arthroscopic bone block grafting":ti,ab,de,tn,kw OR "J-bone graft":ti,ab,de,tn,kw)…”

Section: Level Of Evidence and Quality Of The Studiesmentioning

confidence: 99%

“…Four studies (44.4%) used screws for the bone block fixation [22,23,25,29], while one study (11.1%) used endobuttons [21] and the other one (11.1%) sutures [27]. Finally, there were two studies (22.2%) that examined the use of a J-shaped formed iliac crest bone block that fixed without any implants (implant-free technique) [26,28] and one study [24] (11.1%) that comprised two groups: in the first one, the coracoid graft was fixed with screws, while in the second one, a J-shaped formed iliac crest bone block was fixed without any implants ( Table 2).…”

Section: Type Of Graft and Fixationmentioning

confidence: 99%

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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

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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.

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