Placing the Latarjet in Context

Reider, Bruce

doi:10.1177/0363546519892245

Cited by 7 publications

(7 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…After eliminating duplicates and screening titles and abstracts, 39 were assessed for eligibility. Of these 39 studies, 29 were excluded [3, 4, 8–10, 14, 16, 17, 19, 21, 26, 28, 30–35, 38, 40–42, 46–48, 54, 55, 58, 59]. Ten studies were included in final qualitative synthesis and, finally, six of which [2, 18, 20, 24, 25, 52] were not taken into consideration because the databases were not available.…”

Section: Resultsmentioning

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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

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

View full text Add to dashboard Cite

show abstract

“…In 2016, Virk et al [33] found that in case of open surgical procedure, complications tend to occur later (34.2 months) than in case of arthroscopic procedure (12.6 months), which leads to the conclusion that open surgical procedure is more suitable for high-risk patients. In 2020, Reider [34] pointed out that more and more orthopedic surgeons use the open surgical anterior soft-tissue stabilization procedure as an alternative to the arthroscopic procedure when treating high-risk patients.…”

Section: Discussionmentioning

confidence: 99%

Functional outcomes after surgical treatment of anterior soft-tissue shoulder instability using a minimally invasive anterior approach

et al. 2022

View full text Add to dashboard Cite

Introduction. The purpose of this paper is to present and analyze the results of treatment of anterior soft-tissue shoulder instability using an open surgical technique with a minimally invasive anterior approach, as well as to emphasize the benefits of using an open surgical procedure in high-risk patients. Material and Methods. All patients underwent surgery at the Clinic of Orthopedic Surgery and Traumatology in Novi Sad in the period between January 2013 and September 2017. Out of 138 patients undergoing surgery for anterior shoulder instability, 40 patients came for follow-up examination. The average age of subjects was 27 ? 6. Medical history was taken from each patient and the range of motion and muscle strength of the operated shoulder was examined. The subjects filled out a questionnaire regarding the functional status of the operated shoulder, their experience in resuming sports activities, and their subjective feeling of pain. The Constant-Murley score was used to assess the postoperative results. Results. Postoperatively, the mean Constant-Murley score was 90.3 ? 11.5, while 87.5% patients had excellent and good results. Compared to the contralateral uninjured shoulder, there was a statistically significant difference (p < 0.05) in the Constant-Murley score, in external rotation of the abducted shoulder (13.2? ? 10.4?), as well as in shoulder adduction (10.25? ? 9.7?). Out of 35 patients who were athletes, 27 continued to actively engage in sports following the surgical treatment. Four patients had a re-dislocation (10%). Conclusion. Open surgical treatment of the anterior shoulder joint instability using a minimally invasive anterior approach is a reliable, time-tested procedure that provides favorable clinical results in young high-risk contact and overhead athletes with timely diagnosis and surgical care.

show abstract

“…In Langzeitnachuntersuchungen der LAT-Technik nach Walch fand sich eine geringe Arthroseprogredienz, sofern kein laterales Überstehen des Knochenblocks vorlag [ 43 , 46 ]. Reider zieht die Schlussfolgerung, dass eine korrekt ausgeführte LAT-Operation das Arthroserisiko nicht zu erhöhen scheint [ 47 ].…”

Section: Instabilitätsarthroseunclassified

Chronische posttraumatische Schulterinstabilität

et al. 2023

View full text Add to dashboard Cite

ZusammenfassungDie chronische posttraumatische Schulterinstabilität ist durch traumaassoziierte, rezidivierende Luxationen charakterisiert. Es wird kontrovers diskutiert, wie Risikofaktoren zur Auswahl zwischen arthroskopischer Bankart-Reparatur mit Kapselshift (ABRK), Latarjet- und Alternativtechniken gewichtet werden sollten. Als Risikofaktoren gelten Lebensalter, Hyperlaxizität, Sportprofil und Knochenverlust. Die ABRK geht mit hoher Patientenzufriedenheit und Rückkehr zum Sport einher. Rezidive treten, assoziiert mit Risikofaktoren, noch nach mehreren Jahren auf. Latarjet- oder Knocheneingriffe erzielen eine hohe Patientenzufriedenheit und dauerhafte Stabilität im Revisionsfall, können aber auch als Ersteingriff bei entsprechendem Risikoprofil indiziert sein, wobei von einer höheren Rate meist leichter Komplikationen berichtet wurde. Jegliche Techniken unterliegen einer ernstzunehmenden Lernkurve. Bei korrekter Durchführung scheint das Risiko einer operationsbedingten Arthroseentwicklung nicht erhöht zu sein; diese wird vielmehr durch die Anzahl der Rezidivluxationen und traumatische Gewalteinwirkung beeinflusst.

show abstract

Placing the Latarjet in Context

Cited by 7 publications

References 29 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

Functional outcomes after surgical treatment of anterior soft-tissue shoulder instability using a minimally invasive anterior approach

Chronische posttraumatische Schulterinstabilität

Contact Info

Product

Resources

About