Y Bouju1, F Gadéa2, J Stanovici2, H Moubarak2, L Favard2. 1. CHRU de Tours, Hôpital Trousseau, Service de Chirurgie Orthopédique et Traumatologique, 37044 Tours, France. Electronic address: yves.bouju@gmail.com. 2. CHRU de Tours, Hôpital Trousseau, Service de Chirurgie Orthopédique et Traumatologique, 37044 Tours, France.
Abstract
INTRODUCTION: In 1995, our team modified the Latarjet-Patte procedure by associating "south-north" capsule retention with reinsertion to the edge of the glenoid cavity to the coracoid bone-block. HYPOTHESIS: The present minimum 10-year follow-up study tested the hypothesis that the rate of osteoarthritis could be reduced by the strictly extra-articular position of the bone-block and stability be enhanced by the associated Bankart effect. MATERIAL AND METHOD: Between January 1995 and December 2001, 78 shoulders were stabilized using the modified Latarjet-Patte procedure in 76 patients with a mean age at surgery of 26.7 years; 89.7% could be followed up, 82.8% of whom also had radiographic follow-up. Fifty-nine were sports players, including 25 at competition level. Stability was assessed on a questionnaire, any dislocation or subluxation being counted as recurrence. RESULTS: At a mean 13 years' follow-up (range, 10-15 years), there had been no revision surgery. Mean Duplay score was 82.6, mean Subjective Shoulder Value 91.9% and the satisfaction rate 98.5%. The recurrence rate was 1.4% and 10 patients reported residual apprehension. The osteoarthritis rate was 8.5%. Seven bone-blocks projected, but only one was associated with osteoarthritis (stage 1) (non-significant). There were 4 non-unions and 9 lyses, without instability or pain. DISCUSSION: The modified procedure provided a low rate of recurrence and an incidence of osteoarthritis (8.5%) much lower than in any other published series with a minimum 10 years' follow-up. The strictly extra-capsular situation of the bone-block appeared as an important factor in limiting long-term osteoarthritis. Capsule reinsertion also seemed to alleviate the radiologic complications. LEVEL OF EVIDENCE: IV, retrospective study.
INTRODUCTION: In 1995, our team modified the Latarjet-Patte procedure by associating "south-north" capsule retention with reinsertion to the edge of the glenoid cavity to the coracoid bone-block. HYPOTHESIS: The present minimum 10-year follow-up study tested the hypothesis that the rate of osteoarthritis could be reduced by the strictly extra-articular position of the bone-block and stability be enhanced by the associated Bankart effect. MATERIAL AND METHOD: Between January 1995 and December 2001, 78 shoulders were stabilized using the modified Latarjet-Patte procedure in 76 patients with a mean age at surgery of 26.7 years; 89.7% could be followed up, 82.8% of whom also had radiographic follow-up. Fifty-nine were sports players, including 25 at competition level. Stability was assessed on a questionnaire, any dislocation or subluxation being counted as recurrence. RESULTS: At a mean 13 years' follow-up (range, 10-15 years), there had been no revision surgery. Mean Duplay score was 82.6, mean Subjective Shoulder Value 91.9% and the satisfaction rate 98.5%. The recurrence rate was 1.4% and 10 patients reported residual apprehension. The osteoarthritis rate was 8.5%. Seven bone-blocks projected, but only one was associated with osteoarthritis (stage 1) (non-significant). There were 4 non-unions and 9 lyses, without instability or pain. DISCUSSION: The modified procedure provided a low rate of recurrence and an incidence of osteoarthritis (8.5%) much lower than in any other published series with a minimum 10 years' follow-up. The strictly extra-capsular situation of the bone-block appeared as an important factor in limiting long-term osteoarthritis. Capsule reinsertion also seemed to alleviate the radiologic complications. LEVEL OF EVIDENCE: IV, retrospective study.
Authors: P Randelli; C Fossati; C Stoppani; F R Evola; L De Girolamo Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-01-08 Impact factor: 4.342
Authors: Ron Gilat; Ophelie Lavoie-Gagne; Eric D Haunschild; Derrick M Knapik; Kevin C Parvaresh; Michael C Fu; Brian Forsythe; Nikhil Verma; Brian J Cole Journal: Shoulder Elbow Date: 2020-07-28
Authors: Lukas P E Verweij; Erik C Pruijssen; Gino M M J Kerkhoffs; Leendert Blankevoort; Inger N Sierevelt; Derek F P van Deurzen; Michel P J van den Bekerom Journal: Knee Surg Sports Traumatol Arthrosc Date: 2020-09-16 Impact factor: 4.342