The Outcomes and Surgical Techniques of the Latarjet Procedure

Bhatia, Sanjeev; Frank, Rachel M.; Ghodadra, Neil; Hsu, Andrew R.; Romeo, Anthony A.; Bach, Bernard R.; Boileau, Pascal; Provencher, Matthew T.

doi:10.1016/j.arthro.2013.10.013

Cited by 146 publications

(101 citation statements)

References 22 publications

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“…Many authors have reported successful results. 2,3,6,13,17 Our results also showed successful outcomes in terms of recurrence: no redislocations, subluxations, or positive apprehension tests were found at final follow-up. However, we also noticed that postoperative coracoid bone graft resorption in various degrees was common.…”

Section: Discussionsupporting

confidence: 61%

Coracoid bone graft resorption after Latarjet procedure is underestimated: a new classification system and a clinical review with computed tomography evaluation

Zhu

Jiang

et al. 2015

Journal of Shoulder and Elbow Surgery

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Section: Discussionsupporting

confidence: 61%

Coracoid bone graft resorption after Latarjet procedure is underestimated: a new classification system and a clinical review with computed tomography evaluation

Zhu

Jiang

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…Mizuno et al 36 reported a postoperative recurrence rate of 5.9% at a mean of 20 years after 68 Latarjet procedures. Bhatia et al 37 reported the results of 10 clinical studies on the Latarjet procedure in their systematic review and showed postoperative recurrent instability rates ranging from 0% to 8%, with the duration of follow-up ranging from 6 months to 14.3 years. In a meta-analysis of 8 clinical studies comparing 416 shoulders treated with the Bankart repair versus 379 shoulders treated with the Latarjet procedure for instability, An et al 13 reported a significantly lower postoperative recurrent instability rate in the Latarjet cohort (11.6%) compared with the Bankart cohort (21.1%).…”

Section: Discussionmentioning

confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following Technical Note provides a diagnostic approach for suspected glenohumeral instability, as well as a detailed description of the congruent-arc Latarjet procedure, performed with a deltoid split, with its postoperative management.

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“…It also continues to be one of the most efficient stabilisation procedures. Bhatia et al assessed the rate of recurrence following an open Latarjet procedure from 0 to 8% [2]. Walch reported a 1% recurrence rate which was amongst the best of results published [3].…”

Section: Introductionmentioning

confidence: 94%

Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)—clinical results at short term follow-up

Kordasiewicz¹,

Małachowski²,

Kiciński³

et al. 2016

International Orthopaedics (SICOT)

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Results Average time of surgery was significantly shorter in ARTHRO than OPEN: respectively 110 and 120 minutes. The number of intra-operative complications was six (12.5%) in OPEN and five (8.1%) in ARTHRO. The results were comparable in both groups, with no significant difference between OPEN and ARTHRO group: satisfaction rate -96.8% and 91.9%, shoulder function -92.2% and 90%, Walch-Duplay score -83.9 and 76.7 respecively. A significant difference was reported in Rowe score: 87.8 in OPEN and 78.9 in ARTHRO. Another significant difference was found in the presence of Bsubjective apprehension^-a term referring to the subjective perception of instability with no signs of instability at clinical examination -28.7% in OPEN and 50% in ARTHRO. Range of motion in both groups were comparable, however patients in OPEN had significantly lower loss of external rotation in adduction to the side comparing to the contralateral shoulder: 7°versus 14°in ARTHRO. Recurrence was reported in three cases in each group: 6.2% in OPEN and 4.8% in ARTHRO. A revision surgery was performed in four patients (9.3%) in OPEN and six (9.7%) in ARTHRO. Radiographic evaluation showed a significantly lower rate (5%) of graft healing problems (fracture, non-union and osteolysis) after arthroscopic stabilisation, however a partial osteolysis of the proximal part of the bone block was significantly more frequent (53.5%). Conclusions The arthroscopic Latarjet stabilisation showed satisfactory and comparable results to open procedure. We recommend further investigation and development of arthroscopic technique.Level of evidence: III

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The Outcomes and Surgical Techniques of the Latarjet Procedure

Cited by 146 publications

References 22 publications

Coracoid bone graft resorption after Latarjet procedure is underestimated: a new classification system and a clinical review with computed tomography evaluation

Coracoid bone graft resorption after Latarjet procedure is underestimated: a new classification system and a clinical review with computed tomography evaluation

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)—clinical results at short term follow-up

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