Eoghan T Hurley1, M Shazil Jamal2, Zakariya S Ali2, Connor Montgomery3, Leo Pauzenberger3, Hannan Mullett3. 1. Sports Surgery Clinic, Dublin, Ireland; Department of Trauma & Orthopaedic Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland. Electronic address: eoghanhurley@rcsi.ie. 2. Sports Surgery Clinic, Dublin, Ireland; Department of Trauma & Orthopaedic Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland. 3. Sports Surgery Clinic, Dublin, Ireland.
Abstract
BACKGROUND: This study systematically reviewed the evidence in the literature to ascertain the functional outcomes, recurrences rates, and subsequent revision rates after the open Latarjet procedure at a minimum of 10 years of follow-up. METHODS: Two independent reviewers performed the literature search based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, using the Embase, MEDLINE, and The Cochrane Library Databases. Studies that reported a minimum of 10 years of clinical follow-up after the Latarjet procedure were included. RESULTS: Our review found 13 studies including 822 patients (845 shoulders) meeting our inclusion criteria. Patients (82% men) were an average age of 27.4 years, and mean follow-up was 199.2 months (16.6 years). The commonly used functional outcome score was the Rowe score with a weighted mean average of 88.5. The overall rate of return to play sports was 84.9%, with 76.3% returning to the same level of play. The rate of good/excellent outcomes was 86.1%. The recurrent instability rate was 8.5%, with 3.2% of patients having recurrent dislocations. The revision rate was 3.7%, with 1.6% of patients undergoing revisions due to recurrence. There were arthritic changes in 38.2% of patients and residual shoulder pain in 35.7%, with 4.8% experiencing daily pain. CONCLUSIONS: The Latarjet procedure for anterior shoulder instability results in excellent functional outcomes at long-term and a high rate of return to sport among athletes. However, varying rates of recurrence, residual pain, and progression of instability arthropathy are still of concern.
BACKGROUND: This study systematically reviewed the evidence in the literature to ascertain the functional outcomes, recurrences rates, and subsequent revision rates after the open Latarjet procedure at a minimum of 10 years of follow-up. METHODS: Two independent reviewers performed the literature search based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, using the Embase, MEDLINE, and The Cochrane Library Databases. Studies that reported a minimum of 10 years of clinical follow-up after the Latarjet procedure were included. RESULTS: Our review found 13 studies including 822 patients (845 shoulders) meeting our inclusion criteria. Patients (82% men) were an average age of 27.4 years, and mean follow-up was 199.2 months (16.6 years). The commonly used functional outcome score was the Rowe score with a weighted mean average of 88.5. The overall rate of return to play sports was 84.9%, with 76.3% returning to the same level of play. The rate of good/excellent outcomes was 86.1%. The recurrent instability rate was 8.5%, with 3.2% of patients having recurrent dislocations. The revision rate was 3.7%, with 1.6% of patients undergoing revisions due to recurrence. There were arthritic changes in 38.2% of patients and residual shoulder pain in 35.7%, with 4.8% experiencing daily pain. CONCLUSIONS: The Latarjet procedure for anterior shoulder instability results in excellent functional outcomes at long-term and a high rate of return to sport among athletes. However, varying rates of recurrence, residual pain, and progression of instability arthropathy are still of concern.
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: Joseph J Ruzbarsky; Philip-C Nolte; Bryant P Elrick; Cpt Matthew T Provencher; Peter J Millett Journal: JBJS Essent Surg Tech Date: 2021-01-20