Results From Latarjet Surgery for Treating Traumatic Anterior Shoulder Instability Associated With Bone Erosion in the Glenoid Cavity, After Minimum Follow-Up of One Year

Ikemoto, Roberto Yukio; Murachovisky, Joel; Nascimento, Luis Gustavo Prata; Bueno, Rogério Serpone; Almeida, Luiz Henrique Oliveira; Strose, Eric; Helmer, Fábio Fernando

doi:10.1016/s2255-4971(15)30411-0

Cited by 12 publications

(37 citation statements)

References 38 publications

(58 reference statements)

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“…Despite presenting statistical significance, the decrease in mobility was very slight. Ikemoto et al 18 evaluated 26 patients with a mean length of follow-up of 38 months and also observed that there was limitation of mobility in the operated shoulder in all planes, but more markedly so in relation to movements of lateral rotation. Godinho and Monteiro 11 had a larger number of patients with loss of medial rotation (13 out of 40), while lateral rotation was limited in only 11 patients, with a mean of 14.1°.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder

Silva¹,

Lima²,

Kautsky³

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveEvaluate the results and complications of Latarjet procedure in patients with anterior recurrent dislocation of the shoulder.MethodsFifty-one patients (52 shoulders) with anterior recurrent dislocation, surgically treated by Latarjet procedure, were analyzed retrospectively. The average follow-up time was 22 months, range 12–66 months; The age range was 15–59 years with a mean of 31; regarding sex, 42 (82.4%) patients were male and nine (17.6%) were female. The dominant side was affected in 29 (55.8%) shoulders. Regarding the etiology, 48 (92.3%) reported trauma and four (7.6%) had the first episode after a convulsion.ResultsThe average elevation, lateral rotation and medial rotation of the operated shoulder were, respectively, 146° (60–80°), 59° (0–85°) and T8 (T5 gluteus), with statistical significance for decreased range of motion in all planes, compared with the other side. The scores of Rowe and UCLA were 90.6 and 31.4, respectively, in the postoperative period. Eleven shoulders (21.2%) had poor results: signs of instability (13.4%), non-union (11.5%) and early loosening of the synthesis material (1.9%). There was a correlation between poor results and convulsive patients (p = 0.026).ConclusionWe conclude that the Latarjet procedure for correction of anterior recurrent dislocation leads to good and excellent results in 82.7% of cases. Complications are related to errors in technique.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder

Silva¹,

Lima²,

Kautsky³

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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“… 1 2 3 4 Even with some modifications from surgeon to surgeon, the main principle of the surgery remains the coracoid transfer through the subscapularis tendon. 1 5 6 7 It has become the treatment of choice in the settings of osseous deficiencies > 20% of the glenoid surface area, of revision surgery, and of athletes who practice high-risk contact sports, even in the setting of limited osseous deficiency. 8 For the achievement of the best result and less complications, it is mandatory to position the graft properly with the goal of healing between the coracoid process and the glenoid in a flush position.…”

Section: Introductionmentioning

confidence: 99%

“… 1 2 3 4 Mesmo com algumas modificações de cirurgião para cirurgião, o princípio básico da cirurgia continua a ser a transferência do coracoide através do tendão subescapular. 1 5 6 7 Esse procedimento se tornou o tratamento de escolha em casos com deficiências ósseas > 20% da área da superfície glenóide, na cirurgia de revisão, e em atletas de esportes de contato de alto risco, mesmo no contexto de deficiência óssea limitada. 8 Para obtenção dos melhores resultados e menos complicações, o posicionamento adequado do enxerto é essencial para que a consolidação entre o processo do coracoide e a glenóide seja nivelada.…”

Section: Introductionunclassified

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Cohen

Zaluski

Siqueira

et al. 2019

Rev Bras Ortop (Sao Paulo)

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Objective Coracoid osteolysis has been described as a possible complication after the Latarjet procedure. The aim of the present study was to investigate the incidence and risk factors associated to coracoid graft osteolysis and to correlate them with clinical results. Methods A retrospective review of 38 Latarjet procedures was conducted. Computed tomography (CT) scans were obtained from all of the patients before and at least 1 year after the surgery. Coracoid osteolysis was evaluated and correlated to preoperative factors, namely: age, smoking status, and preoperative glenoid bone loss. The patients were divided into 2 groups: A (no or minor bone resorption) and B (major or total bone resorption). The functional outcome was determined by the Rowe score. Results Coracoid graft osteolysis occurred in 22 cases (57.8%). The mean preoperative glenoid defect was 22.8% in group A, and 13.4% in group B (p = 0.0075). The mean ages of the subjects in both groups were not significantly different. Smoking did not seem to affect the main outcome either, and no correlation was found between graft osteolysis and postoperative range of motion, pain, or Rowe score. There were no cases of recurrent dislocations in our sample, although four patients presented with a positive anterior apprehension sign. Conclusion Bone resorption of the coracoid graft is present in at least 50% of the patients submitted to the Latarjet procedure, and the absence of significant preoperative glenoid bone loss showed to be the only risk factor associated with severe graft osteolysis, even though this did not influence significantly the clinical outcome.

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“…Muscle strength after anterior glenohumeral instability treatment was determined in 4 studies 16 20 22 24 (33%). Three papers (25%) used a quantitative measurement of muscle strength aided by a dynamometer and reported the position of the patient (orthostatic or neutral).…”

Section: Resultsmentioning

confidence: 99%

Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

et al. 2019

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A review involving the six major international orthopedic journals has been published recently. It described the tools used for the evaluation of outcomes in the surgical treatment of recurrent anterior dislocation of the shoulder. There are no studies that exhibit the main outcome tools for this disease in Brazil. The authors evaluated the outcomes of clinical studies involving anterior glenohumeral instability that were published in the last decade in the two leading Brazilian orthopedic journals, Revista Brasileira de Ortopedia and Acta Ortopédica Brasileira . A review of the literature was performed, including all clinical papers published between 2007 and 2016 describing at least one outcome measure before and after surgical intervention. The outcomes were range of motion, muscle strength, physical examination testing, patient satisfaction, return to sports, imaging, complications, and functional outcomes scores. Twelve studies evaluating the clinical outcomes of surgical treatment for anterior shoulder instability were published. Ten studies (83%) were case series (level of evidence IV), 1 (8%) was a case-control study (III), and 1 was a retrospective cohort (III). On average, the number of outcomes assessed was 3.7 ± 1.7. The Rowe score was used in 9 studies (75%), and 7 (58%) papers used the University of California Los Angeles (UCLA) scale. Ten studies (83%) reported complications related to surgical treatment. The complication most frequently reported was recurrent instability, found in 9 studies (75%). The national studies have preferentially used scales considered to be of low reliability, responsiveness, and internal consistency.

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Results From Latarjet Surgery for Treating Traumatic Anterior Shoulder Instability Associated With Bone Erosion in the Glenoid Cavity, After Minimum Follow-Up of One Year

Cited by 12 publications

References 38 publications

Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder

Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

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