A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair

An, Vincent V.G.; Sivakumar, Brahman; Phan, Kevin; Trantalis, John N.

doi:10.1016/j.jse.2015.11.001

Cited by 225 publications

(229 citation statements)

References 51 publications

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“…Bhatia et al 37 reported the results of 10 clinical studies on the Latarjet procedure in their systematic review and showed postoperative recurrent instability rates ranging from 0% to 8%, with the duration of follow-up ranging from 6 months to 14.3 years. In a meta-analysis of 8 clinical studies comparing 416 shoulders treated with the Bankart repair versus 379 shoulders treated with the Latarjet procedure for instability, An et al 13 reported a significantly lower postoperative recurrent instability rate in the Latarjet cohort (11.6%) compared with the Bankart cohort (21.1%).…”

Section: Discussionmentioning

confidence: 99%

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Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following Technical Note provides a diagnostic approach for suspected glenohumeral instability, as well as a detailed description of the congruent-arc Latarjet procedure, performed with a deltoid split, with its postoperative management.

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Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8][9] Arthroscopic stabilization procedures have been similarly associated with recurrent instability, with recurrence rates ranging from 10.8% to 21.1%. [10][11][12][13] As a result, it has become essential for physicians to recognize clinical factors that place patients at increased risk of failed nonoperative or arthroscopic treatment.…”

mentioning

confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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“…3,4,8 It addresses both soft tissue and bony lesions that affect the anterior glenohumeral joint by separating the subscapularis to create a window to the anterior glenohumeral joint and transposing the horizontal aspect of the coracoid process to the anteroinferior glenoid rim. 3,4,8 It should be noted that the Latarjet procedure has been referred to as the Latarjet-Patte, Bristow-Latarjet, and coracoid transfer, with the primary differences being the number of screws used and concurrent repair of the anterior capsule. 3,8 As surgeons studied and ultimately adopted the Latarjet procedure, the reported outcomes were positive and comparable with, if not better than, the Bankart repair.…”

Section: Commentarymentioning

confidence: 99%

“…3,4,8 It should be noted that the Latarjet procedure has been referred to as the Latarjet-Patte, Bristow-Latarjet, and coracoid transfer, with the primary differences being the number of screws used and concurrent repair of the anterior capsule. 3,8 As surgeons studied and ultimately adopted the Latarjet procedure, the reported outcomes were positive and comparable with, if not better than, the Bankart repair. The systematic review and meta-analysis by An et al 8 demonstrated that the Latarjet procedure produced better outcomes than the Bankart repair procedure.…”

Section: Commentarymentioning

confidence: 99%

Outcomes of the Latarjet Procedure Compared With Bankart Repair for Recurrent Traumatic Anterior Shoulder Instability

Bliven

Parr

2018

Journal of Athletic Training

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Study Selection: Criteria used to include studies that (1) were written in English; (2) compared the outcomes of any Latarjet procedure (Bristow-Latarjet, coracoid transfer, or modified Bristow) with Bankart repair (anatomic); (3) reported a minimum of 1 outcome of recurrence, redislocation, revision, or patient-reported outcome measure; and (4) reported original data.Data Extraction: Data presented in any format (text, table, figure) were extracted from all included studies. The quality of each study was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. Summary statistics were reported as relative risks and weighted mean differences. Fixed-effects (the assumed treatment effect was the same across studies) and random-effects (variations in treatment effect were assumed among studies) models were tested. Heterogeneity between trials was assessed using the v 2 statistic, and the amount (percentage) of variation across studies due to heterogeneity was calculated using the I 2 statistic. Forest plots were used to present pooled results.Main Results: After the initial search, 245 articles were identified. After we applied the inclusion criteria, a total of 8 studies reporting on 795 patients (Latarjet ¼ 379, Bankart ¼ 416)were included in this review. Using the National Health and Medical Research Council's level of evidence, the authors scored 7 of the studies at level III and 1 study at level II. All Latarjet procedures were performed using an open technique, whereas the Bankart procedure was performed open in 6 studies and arthroscopically in 2 studies. The demographics of the patients (age, proportion of males to females, proportion with surgery on the dominant side, and proportion of revisions) were similar between the 2 surgical procedures. Four groups reported that patients who underwent the Latarjet procedure had fewer recurrences than patients in the Bankart repair group (11.6% versus 21.1%, respectively), irrespective of whether the Bankart was performed open or arthroscopically. Similarly, 4 groups observed that the Latarjet procedure resulted in fewer postsurgical redislocations (5.0%) than the Bankart (9.5%) procedure, irrespective of whether the repair was open or arthroscopic. The authors of 7 studies noted no differences between the 2 procedures in revision rates (Latarjet: 3.4%, Bankart: 4.5%), and 8 studies demonstrated no differences in complications requiring reoperation (Latarjet: 5.0%, Bankart: 3.1%). Investigators in 7 studies used the Rowe score to measure patientreported satisfaction and function; patients who underwent the Latarjet procedure reported better Rowe scores postsurgically than patients who underwent the Bankart repair (scores: 79.0 and 85.4, respectively). Researchers in 4 studies reported a loss of external-rotation range of motion, which was less in the Latarjet (11.58) compared with the Bankart (20.98) procedure. Of the 5 groups that reported return to function, a trend suggested that a greater proportion of patients wh...

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“…Previous studies have shown that soft tissue loss and stretching of the musculotendinous unit are involved with the biomechanical alteration in the glenohumeral joint balance, which are risk factors for recurring subluxation [62]. In our denced movement restriction in both surgical repairs, Latarjet and Bankart, the latter implying about 6˚ of significant postoperative restriction [56]. Regarding open surgery, one of the explanations for reduction or loss of external and internal rotation includes excessive capsule thickening, cut or shortening of subscapularis tendon, and especially, the development of fibrosis in the reconstructed capsulolabral complex [38].…”

Section: Repair Failurementioning

confidence: 49%

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

Nascimento¹,

Castro²,

Pereira³

et al. 2017

OJO

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Introduction: shoulder joint has the greatest range of motion in the human body. The shoulder anatomy promotes high mobility and favors relative sacrifice of articular stability, making it susceptible and more prone to events of instability and dislocation. This review aimed at identifying main complications of surgical treatment of anterior shoulder dislocation. Methodology: This systematic review was conducted according to the International Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines. Studies which were eligible for this systematic review included: English or Spanish language, studies published from 2000, which mentioned surgical complications of anterior shoulder dislocation in their results, both in open and arthroscopic surgery. Included studies which were required to have at least 1 complication following surgical repair. Only studies from original data were included. Results: We found 228 potentially eligible studies for the survey. Through the inclusion and exclusion criteria and after consensus among reviewers, we chose 9 studies to compose the systematic review. Conclusion: Important information emerges: recurring instability, recurring dislocation, external rotation limitation and arthritis are main surgical complications of anterior shoulder dislocation.

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A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair

Cited by 225 publications

References 51 publications

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Outcomes of the Latarjet Procedure Compared With Bankart Repair for Recurrent Traumatic Anterior Shoulder Instability

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

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