Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure

Haeni, David; Opsomer, Gaëtan; Sood, Amit; Munji, Jeremy James C.; Sánchez, Manuel A. Bueno; Villain, Benoît; Walch, Gilles; Lafosse, Laurent; d’Arthroscopie, Société Française

doi:10.1016/j.jse.2016.08.007

Cited by 55 publications

(47 citation statements)

References 32 publications

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“…Zhu et al 16 não tentaram correlacionar a incidência ou a gravidade da reabsorção com a perda óssea da glenóide, e todos os pacientes de sua série tinham um defeito ósseo pré-operatório > 20% na glenóide. Haeni et al 25 realizaram um estudo prospectivo com 15 pacientes após o procedimento de Latarjet artroscópico e verificaram que a metade superior do coracoide sofre uma significativa quantidade de osteólise após 6 meses. Uma diferença de seu estudo foi que a reabsorção foi avaliada através de tomografias tridimensionais com análise volumétrica.…”

Section: Discussionunclassified

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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Section: Discussionunclassified

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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“…When osteolysis results in prominent screws, these might cause pain due to irritation of the subscapularis muscle and cartilaginous damage to the humeral head due to abutment 80. Alternative techniques to fixate the graft include the use of a mini plate,83 suture buttons84 85 and bioabsorbable screws 86.…”

Section: Considerationmentioning

confidence: 99%

Review of Latarjet (1954) on the treatment of recurrent shoulder dislocations

Linde

Wessel

Trantalis³

et al. 2018

Journal of ISAKOS

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“…This is in concordance with previous studies that recognize the high frequency of resorption after Latarjet (whether open or arthroscopic) and the preponderance to favor proximal resorption. [32][33][34] Although this resorption has not necessarily been correlated with functional outcomes at this time, we have concern for the risk of exposed screw heads in the long term for arthrosis and subscapularis erosion, and this may necessitate hardware removal either prophylactically or after symptoms develop. Dumont et al 27 reoperated on 12.5% of their patients for screw removal because of prominence after graft resorption.…”

Section: Arthroscopic Latarjet: the Learning Curve Should Not Be Prohmentioning

confidence: 99%

Editorial Commentary: The Wake of the Dragon: Will the Orthopaedic Community Adopt the Shoulder Arthroscopic Latarjet Procedure as We Adopted the Arthroscopic Rotator Cuff Repair?

Boileau

Saliken

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The Latarjet procedure is a complex and difficult operation when performed both with an open approach and arthroscopically. The difficulties come from the fact that it is a combined intra- and extra-articular procedure, and that working close to the brachial plexus may be frightening for surgeons. Because of the high complication and reoperation rates reported in the literature, this procedure is, at the moment, rejected by a large part of the orthopaedic community, specifically in North America. The Chinese experience shows, after the European one, that arthroscopic Latarjet is an efficient and irreplaceable option for the treatment of recurrent anterior shoulder instability in the context of capsular and/or glenoid deficiency. A recent study shows that the arthroscopic procedure provides accurate bone block positioning and high rates of healing, excellent clinical results (no recurrence of instability at 2-year follow-up), and low rates of complications (no neurovascular injury). Although the arthroscopic Latarjet should be approached with caution, the learning curve should not be thought of as prohibitive. To learn how to perform an arthroscopic Latarjet, surgeons should visit an experienced surgeon and take a course to practice on cadavers first. Although it will take time and effort to learn and perform this operation correctly, we should command our Chinese colleagues to encourage us to follow their path. There is no reason that in the near future the orthopaedic community does not adopt the arthroscopic Latarjet procedure, as we adopted the arthroscopic rotator cuff repair and other complex surgical procedures. Among the strongest reasons to perform the Latarjet procedure arthroscopically are the accuracy of graft placement, the safety for neurovascular structures provided by direct visualization and magnification, and the excellent clinical results allowing young people to go back to sport, including high-risk (contact, overhead) sports.

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Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure

Cited by 55 publications

References 32 publications

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

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

Review of Latarjet (1954) on the treatment of recurrent shoulder dislocations

Editorial Commentary: The Wake of the Dragon: Will the Orthopaedic Community Adopt the Shoulder Arthroscopic Latarjet Procedure as We Adopted the Arthroscopic Rotator Cuff Repair?

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