Revisiting open capsuloplasty for the treatment of anterior shoulder instability: 35-year follow-up of the Du Toit procedure

Zaffagnini, Stefano; Russo, Alessandro; Reggiani, Leonardo Marchesini; Iacono, Francesco; Filardo, Giuseppe; Delcogliano, Marco; Visani, Andrea; Marcacci, Maurilio

doi:10.1007/s00167-007-0303-2

Cited by 3 publications

(8 citation statements)

References 31 publications

(50 reference statements)

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“…1,3,24 The use of 2 screws will probably increase the risk of a hardware complication. 32 We found 1 further study on shoulder stabilization with follow-up exceeding 30 years, 31 which reported a radiologic and clinical follow-up of 58 patients (45 with radiographic examination) operated on with the Du Toit capsuloplasty after mean 35 years, and similar results with respect to patient satisfaction. With the Samilson-Prieto classification, they reported 40% normal shoulders, 49% mild, and 11% moderate or severe arthropathy.…”

Section: Discussionmentioning

confidence: 85%

“…31 Hovelius and Saeboe 15 showed that mild to severe arthropathy had developed in 55% of the shoulders 25 years after the primary dislocation, even if no redislocation had occurred. Consequently, when different operative methods are evaluated with respect to arthropathy, one also has to consider the natural history of the first-time dislocation, where younger age (22 years) at surgery and primary dislocation have less arthropathy in the long run.…”

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confidence: 99%

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Risk of arthropathy after the Bristow-Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders

Gordins¹,

Hovelius²,

Sandström³

et al. 2015

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 85%

mentioning

confidence: 99%

Risk of arthropathy after the Bristow-Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders

Gordins¹,

Hovelius²,

Sandström³

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…The total number of patients included in the various studies was 2600, and varied from 10 14 to 570 22 (Table 2). The mean follow-up time was 16.05 years, ranging from 5 23 to 35 21 years. The average modified CMS was 47.03 (range from 23.0 16 to 76.0 19 ).…”

Section: Study Size and Follow-upmentioning

confidence: 99%

“…Many procedures were performed. The Putti-Platt technique was used in six studies (18.2%), 2,14,24 -27 the Bristow-Latarjet technique was used in seven studies (21.2%), 3,9,15,17,28 -30 the Eden Hybbinette technique was used in six studies (18.2%), 4,25,31 -34 the open Bankart was performed in five studies (15.2%), 6,8,28,35,36 the Trillat technique 15,23 was used in two studies, and arthroscopic Bankart repair, 7 Max Lange 37 and Du Toit, 21 Latarjet Patte 20 and unspecified selective capsular repair 18 were used in one study (3.0%) each. Different techniques (coracoid transfer, open soft tissue reconstruction and arthroscopic stabilization) were used in one study each.…”

Section: Type Of Managementmentioning

confidence: 99%

“…To report schematically the success rates following surgical stabilization, we considered the good excellent rates according to Rowe score and subjective assessment ( Table 5). In 10 articles (30.3%), 3,9,18,19,21,25,27,29,31,37 outcomes were reported according to Rowe score, with an average 86.2% of patients with good/ excellent outcomes (range from 55.6 to 95.5%). Regarding the satisfactory subjective assessment, in 15 of 33 articles (45.6%) 4,8,9,15,18,19,21,23 -25,28,32,33,35,37 satisfactory outcomes were observed in an average 86.8% of included patients.…”

Section: Reported Outcomes and Complicationsmentioning

confidence: 99%

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Glenohumeral arthropathy following stabilization for recurrent instability

Papalia¹,

Osti²,

Buono³

et al. 2010

British Medical Bulletin

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Little attention has been focused on the most common risk factors for post-operative glenohumeral arthropathy in patients undergoing open and arthroscopic stabilization. We performed a literature search using Medline, Cochrane and Google Scholar using the keywords: 'Shoulder instability surgery' in combination with 'glenohumeral osteoarthrosis', 'recurrent shoulder dislocation' in combination with 'surgery' and 'complications'. We identified 33 published studies. There is evidence of long-term postoperative glenohumeral arthropathy in patients undergoing surgical management for shoulder instability. The Coleman methodology score showed great heterogeneity in terms of study design, patient characteristics, management methods and outcome assessment and generally low methodological quality. Follow-up length, age at first dislocation episode and limited external rotation have been shown to be strongly associated with shoulder arthropathy. There is no univocal outcome assessment available. To define the risk factors responsible for development of postoperative glenohumeral arthropathy, controversial findings have been detected. A common validated scale for clinical and imaging measurements for shoulder arthropathy is needed, so as to allow easier and more reliable comparison of outcomes in different studies. Patients should receive controlled imaging assessment (MR and radiographs) in addition to clinical examination. There is a need to perform appropriately powered randomized clinical trials comparing clinical and imaging related outcomes in patients undergoing open, arthroscopic and conservative management for shoulder instability. Standard diagnostic assessment, common and validated clinical and imaging scoring systems are needed.

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Treatment type may influence degree of post-dislocation shoulder osteoarthritis: a systematic review and meta-analysis

Verweij

Pruijssen

Kerkhoffs

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Age at primary dislocation, recurrence, and glenoid bone loss are associated with development of osteoarthritis (OA). However, an overview of OA following traumatic anterior shoulder instability is lacking and it is unclear to what degree type of surgery is associated with development of OA in comparison to non-operative treatment. The aim of this study was to determine the degree of OA at long-term follow-up after non-operative and operative treatments for patients with anterior shoulder instability. Surgery is indicated when patients experience recurrence and this is associated with OA; therefore, it was hypothesized that shoulders show a higher proportion or degree of OA following operative treatment compared to non-operative treatment. Methods A literature search was performed in the PubMed/Medline, EMBASE, and Cochrane databases. Articles reporting the degree of OA that was assessed with the Samilson–Prieto or Buscayret OA classification method after non-operative and operative treatment for anterior shoulder instability with a minimum of 5 years follow-up were included. Results Thirty-six articles met the eligibility criteria of which 1 reported the degree of OA for non-operative treatment and 35 reported the degree of OA for 9 different operative procedures. A total of 1832 patients (1854 shoulders) were included. OA proportions of non-operative and operative treatments are similar at any point of follow-up. The Latarjet procedure showed a lower degree of OA compared to non-operative treatment and the other operative procedures, except for the Bristow procedure and Rockwood capsular shift. The meta-analyses showed comparable development of OA over time among the treatment options. An increase in OA proportion was observed when comparing the injured to the contralateral shoulder. However, a difference between the operative subgroups was observed in neither analysis. Conclusion Non-operative and operative treatments show similar OA proportions at any point of follow-up. The hypothesis that shoulders showed a higher proportion or degree of OA following operative treatment compared to non-operative treatment is not supported by the data. Operative treatment according to the Latarjet procedure results in a lower degree of OA compared to other treatments, including non-operative treatment. Level of evidence IV.

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Revisiting open capsuloplasty for the treatment of anterior shoulder instability: 35-year follow-up of the Du Toit procedure

Cited by 3 publications

References 31 publications

Risk of arthropathy after the Bristow-Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders

Risk of arthropathy after the Bristow-Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders

Glenohumeral arthropathy following stabilization for recurrent instability

Treatment type may influence degree of post-dislocation shoulder osteoarthritis: a systematic review and meta-analysis

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