Michael-Alexander Malahias1, Emmanouil Fandridis2, Dimitrios Chytas3, Efstathios Chronopulos3, Emmanouil Brilakis4, Emmanouil Antonogiannakis4. 1. 3rd Orthopaedic Department, Hygeia Hospital, Erythrou Stavrou 4, Marousi, 15123, Athens, Greece. alexandermalahias@yahoo.gr. 2. Hand-Upper Limb and Microsurgery Department, Hospital KAT, Athens, Greece. 3. 2nd Orthopaedic Department, School of Medicine, National and Kapodistrian University of Athens, Agias Olgas 3, Nea Ionia, 14233, Athens, Greece. 4. 3rd Orthopaedic Department, Hygeia Hospital, Erythrou Stavrou 4, Marousi, 15123, Athens, Greece.
Abstract
PURPOSE: To investigate whether arthroscopic Latarjet procedure significantly differs from the open procedure as for the clinical, functional and radiographic outcomes. METHODS: Two reviewers independently conducted a systematic search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms "shoulder" AND "anterior" AND "instability" AND "Latarjet". RESULTS: From the 259 initial papers, we finally assessed five clinical studies which were eligible to our inclusion-exclusion criteria. The mean modified Coleman score for methodological deficiencies of the studies was 65.4/100, whereas it ranged from 53/100 to 77/100. The arthroscopic technique illustrated comparable results to the open technique regarding the postoperative recurrence rate. No significant difference was found amongst groups in relation to the postoperative osteoarthritis, infection rates, soft tissue healing, postoperative mean American Shoulder and Elbow Surgeons score, mean Walch-Duplay score, fatty infiltration of the subscapularis muscle and posterior protrusion of the screw. The arthroscopic technique yielded significantly superior results as for the non-union rate of the graft, the total graft osteolysis and graft resorption, the mean Western Ontario Shoulder Instability Index score and the early postoperative pain. CONCLUSIONS: Both the open and the arthroscopic Latarjet procedures led to satisfactory radiographic and clinical outcomes for the treatment of patients with recurrent anterior shoulder instability and significant glenoid bone loss. However, the overall quality of the studies ranged from low to moderate. LEVEL OF EVIDENCE: Comprehensive and systematic review of level II-III therapeutic studies.
PURPOSE: To investigate whether arthroscopic Latarjet procedure significantly differs from the open procedure as for the clinical, functional and radiographic outcomes. METHODS: Two reviewers independently conducted a systematic search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms "shoulder" AND "anterior" AND "instability" AND "Latarjet". RESULTS: From the 259 initial papers, we finally assessed five clinical studies which were eligible to our inclusion-exclusion criteria. The mean modified Coleman score for methodological deficiencies of the studies was 65.4/100, whereas it ranged from 53/100 to 77/100. The arthroscopic technique illustrated comparable results to the open technique regarding the postoperative recurrence rate. No significant difference was found amongst groups in relation to the postoperative osteoarthritis, infection rates, soft tissue healing, postoperative mean American Shoulder and Elbow Surgeons score, mean Walch-Duplay score, fatty infiltration of the subscapularis muscle and posterior protrusion of the screw. The arthroscopic technique yielded significantly superior results as for the non-union rate of the graft, the total graft osteolysis and graft resorption, the mean Western Ontario Shoulder Instability Index score and the early postoperative pain. CONCLUSIONS: Both the open and the arthroscopic Latarjet procedures led to satisfactory radiographic and clinical outcomes for the treatment of patients with recurrent anterior shoulder instability and significant glenoid bone loss. However, the overall quality of the studies ranged from low to moderate. LEVEL OF EVIDENCE: Comprehensive and systematic review of level II-III therapeutic studies.
Entities:
Keywords:
Arthroscopic Latarjet; Bone block procedures; Bristow–Latarjet; Glenoid bone loss; Open versus arthroscopic Latarjet; Recurrent shoulder instability
Authors: Michael J Griesser; Joshua D Harris; Brett W McCoy; Waqas M Hussain; Morgan H Jones; Julie Y Bishop; Anthony Miniaci Journal: J Shoulder Elbow Surg Date: 2013-02 Impact factor: 3.019
Authors: G Nourissat; L Neyton; P Metais; P Clavert; B Villain; D Haeni; G Walch; L Lafosse Journal: Orthop Traumatol Surg Res Date: 2016-09-27 Impact factor: 2.256
Authors: Bartłomiej Kordasiewicz; Maciej Kicinski; Konrad Małachowski; Janusz Wieczorek; Sławomir Chaberek; Stanisław Pomianowski Journal: Int Orthop Date: 2018-01-04 Impact factor: 3.075
Authors: Sanjeev Bhatia; Rachel M Frank; Neil S Ghodadra; Andrew R Hsu; Anthony A Romeo; Bernard R Bach; Pascal Boileau; Matthew T Provencher Journal: Arthroscopy Date: 2014-02 Impact factor: 4.772
Authors: Alessandro Liberati; Douglas G Altman; Jennifer Tetzlaff; Cynthia Mulrow; Peter C Gøtzsche; John P A Ioannidis; Mike Clarke; P J Devereaux; Jos Kleijnen; David Moher Journal: BMJ Date: 2009-07-21
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