George S Athwal1, Robert Meislin2, Charles Getz2, David Weinstein2, Paul Favorito2. 1. Roth|McFarlane Hand and Upper Limb Center, St. Joseph's Health Care, Western University, London, Ontario, Canada. Electronic address: gathwal@uwo.ca. 2. Roth|McFarlane Hand and Upper Limb Center, St. Joseph's Health Care, Western University, London, Ontario, Canada.
Abstract
PURPOSE: To report on the intraoperative and early postoperative (<3 months) problems and complications encountered with the arthroscopic Latarjet procedure in patients with complex anterior shoulder instability. METHODS: Between 2010 and 2014, 83 patients underwent an arthroscopic Latarjet procedure for recurrent post-traumatic anterior instability. The group's mean age was 28 ± 10 years and consisted of 76 (92%) male patients. A "problem" was defined as an unanticipated perioperative event that was not likely to affect the patient's final outcome. A "complication" was defined as an event that was likely to negatively affect outcome. RESULTS: At a mean follow-up of 17 months (range, 3 to 43 months), 20 (24%) patients sustained either a problem and/or a complication. The problem rate was 18% and the complication rate was 10%. The most commonly encountered adverse event was intraoperative fracture of the coracoid graft, which occurred in 6 patients (7%). In addition, 1 arthroscopic case was intraoperatively converted to open and 1 patient sustained a transient axillary nerve injury. A total of 7 cases underwent secondary operative procedures. The rate of problems and/or complications in primary cases was not significantly different than revision cases (P = .335). CONCLUSIONS: The rate of adverse events reported in this arthroscopic series is not insignificant and is similar to that reported with the traditional open Latarjet. With appropriate training, the arthroscopic Latarjet procedure can be effective for the management of patients with complex shoulder instability. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
PURPOSE: To report on the intraoperative and early postoperative (<3 months) problems and complications encountered with the arthroscopic Latarjet procedure in patients with complex anterior shoulder instability. METHODS: Between 2010 and 2014, 83 patients underwent an arthroscopic Latarjet procedure for recurrent post-traumatic anterior instability. The group's mean age was 28 ± 10 years and consisted of 76 (92%) male patients. A "problem" was defined as an unanticipated perioperative event that was not likely to affect the patient's final outcome. A "complication" was defined as an event that was likely to negatively affect outcome. RESULTS: At a mean follow-up of 17 months (range, 3 to 43 months), 20 (24%) patients sustained either a problem and/or a complication. The problem rate was 18% and the complication rate was 10%. The most commonly encountered adverse event was intraoperative fracture of the coracoid graft, which occurred in 6 patients (7%). In addition, 1 arthroscopic case was intraoperatively converted to open and 1 patient sustained a transient axillary nerve injury. A total of 7 cases underwent secondary operative procedures. The rate of problems and/or complications in primary cases was not significantly different than revision cases (P = .335). CONCLUSIONS: The rate of adverse events reported in this arthroscopic series is not insignificant and is similar to that reported with the traditional open Latarjet. With appropriate training, the arthroscopic Latarjet procedure can be effective for the management of patients with complex shoulder instability. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
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: Rachel M Frank; Hytham S Salem; Catherine Richardson; Michael O'Brien; Jon M Newgren; Brian J Cole; Nikhil N Verma; Gregory P Nicholson; Anthony A Romeo Journal: Orthop J Sports Med Date: 2021-05-13