“… 9 Per the literature, increased total operative time increases the likelihood of postoperative complications, with a 14% increase for every 30 minutes of additional operating time. 12 Notably, however, Laboute et al 28 reported that Latarjet procedures result in a significantly lower risk of instability recurrence and a higher rate of return to sport than arthroscopic Bankart. Additionally, in long-term follow-up, Hovelius et al 23 reported that Latarjet-Bristow procedures had better stability than open Bankart repairs with suture anchors.…”
“… 9 Per the literature, increased total operative time increases the likelihood of postoperative complications, with a 14% increase for every 30 minutes of additional operating time. 12 Notably, however, Laboute et al 28 reported that Latarjet procedures result in a significantly lower risk of instability recurrence and a higher rate of return to sport than arthroscopic Bankart. Additionally, in long-term follow-up, Hovelius et al 23 reported that Latarjet-Bristow procedures had better stability than open Bankart repairs with suture anchors.…”
“…Ein erhöhtes Auftreten der traumatischen Schulterinstabilität wurde für Zweikampfsport Zweikampfsport wie Rugby, American Football, Australian Football, Handball, Basketball, Eishockey und Fußball ebenso wie für Kampfsportarten Kampfsportarten und Ringen dokumentiert. Dies gilt ebenso für Sportarten mit Sturzgefahr Sturzgefahr wie Skateboarden, Snowboarden, Surfen, Skifahren, Überkopf- und Wurfsportarten [ 29 ].…”
Section: Risikofaktoren Für Rezidive Nach Weichteilstabilisierungenunclassified
“…Der Vergleich von 120 Sportlern, die mit dem ABRK- oder Latarjet(LAT)-Verfahren operiert wurden, lieferte signifikante Unterschiede [ 29 ]. Die Return-to-Sports-Rate Return-to-Sports-Rate (Training) nach der LAT-Operation war signifikant höher, und die Return-to-Sports-Zeit Return-to-Sports-Zeit war signifikant kürzer ( p = 0,031 und 0,034).…”
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.
“…Conservative management often entails closure reduction followed by immobilization and physical rehabilitation. While the common surgical options for shoulder instability repair are Arthroscopic Bankart and Latarjet-Bristow procedures [7][8][9] .…”
Background: Arthroscopic Bankart repair and open Latarjet procedures are the most frequent surgical treatments for shoulder instability and recurrent shoulder dislocation. Objectives: Therefore, we performed research to assess the clinical outcomes and recurrence rate of instability between both Arthroscopic Bankart repair and open Latarjet techniques. Methods: A cross-sectional study was performed at Lahore General Hospital, Lahore from 2021-23, comprising 74 patients, managed surgically for the condition of recurrent shoulder dislocation. The patients were allocated into two groups viz Group A and B comprising 37 patients in each, who were managed through Arthroscopic Bankart repair and open Latarjet techniques, respectively. Post-operative complications, re-occurrence and success rate were measured in terms of SSV scores. Results: Average age of patients in Arthroscopic Bankart group was 28.34+5.31 years while in open Latarjet group; it was 29.09+6.19 years. 14 (37.83%) patients of Arthroscopic Bankart repair group revealed recurrent shoulder dislocation, while no such complaint was found in the open Latarjet technique. Twenty-seven patients of Arthroscopic Bankart group showed satisfaction with the procedure and 33 out of 37 patients (89.18%) were satisfied with open Latarjet technique. Patients in open Latarjet technique group showed successful recovery of shoulder dislocation and their SSV was 87.91%, while the patients in Arthroscopic Bankart repair group showed less SSV score of 59.76%. Conclusion: Open Latarjet group patients had a greater rate of functional satisfaction, while the arthroscopic Bankart repair group showed a trend for more recurrence. Open Latarjet operation had a higher success rate and patients had a better rate of return to previous top-level sports than Arthroscopic Bankart technique. Keywords: Latarjet; Re-occurrence; Shoulder dislocation; Sports medicine; Surgical complications.
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