Arthroscopic Latarjet Stabilization: Analysis of the Learning Curve in the First 90 Primary Cases: Early Clinical Results and Computed Tomography Evaluation

Kordasiewicz, Bartłomiej; Kiciński, Maciej; Małachowski, Konrad; Boszczyk, Andrzej; Chaberek, Sławomir; Pomianowski, Stanisław

doi:10.1016/j.arthro.2019.07.007

Cited by 30 publications

(24 citation statements)

References 44 publications

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“…Immersive Virtual Reality Training: A Randomized Controlled Trial" reporting the evaluation of a training module developed by PrecisionOS Technologies (1). Virtual reality (VR) training is in potential a great addition to the residency training of surgeons (2). We highly encourage this research field with a special focus on validation (at all levels) to ensure that VR training allows correct training of skills (3,4).…”

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confidence: 99%

Improved Complex Skill Acquisition by Immersive Virtual Reality Training

Lohre

Bois

Athwal

et al. 2020

Journal of Bone and Joint Surgery

115

110

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mentioning

confidence: 99%

Improved Complex Skill Acquisition by Immersive Virtual Reality Training

Lohre

Bois

Athwal

et al. 2020

Journal of Bone and Joint Surgery

115

110

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“…On the other hand, disadvantages of the arthroscopic bone grafting procedure are a considerable learning curve, higher costs and a longer average surgical time [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Failed Latarjet procedure: a systematic review of surgery revision options

Buda¹,

D’Ambrosi

Bellato

et al. 2021

J Orthop Traumatol

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Background Revision surgery after the Latarjet procedure is a rare and challenging surgical problem, and various bony or capsular procedures have been proposed. This systematic review examines clinical and radiographic outcomes of different procedures for treating persistent pain or recurrent instability after a Latarjet procedure. Methods A systematic review of the literature was performed using the Medline, Cochrane, EMBASE, Google Scholar and Ovid databases with the combined keywords “failed”, “failure”, “revision”, “Latarjet”, “shoulder stabilization” and “shoulder instability” to identify articles published in English that deal with failed Latarjet procedures. Results A total of 11 studies (five retrospective and six case series investigations), all published between 2008 and 2020, fulfilled our inclusion criteria. For the study, 253 patients (254 shoulders, 79.8% male) with a mean age of 29.6 years (range: 16–54 years) were reviewed at an average follow-up of 51.5 months (range: 24–208 months). Conclusions Eden–Hybinette and arthroscopic capsuloplasty are the most popular and safe procedures to treat recurrent instability after a failed Latarjet procedure, and yield reasonable clinical outcomes. A bone graft procedure and capsuloplasty were proposed but there was no clear consensus on their efficacy and indication. Level of evidence Level IV Trial registration PROSPERO 2020 CRD42020185090—www.crd.york.ac.uk/prospero/

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“…Both groups had the same fixation using cancellous screws, and thus, any potential differences would likely be present as a result of graft positioning, which may contribute to the steep learning curve of the AL. 24,25 However, our study did not perform any postoperative radiological analysis of the graft and screw fixation as postoperative imaging was not routinely obtained on all patients. Kordasiewicz et al 24 the learning curve for graft positioning and found a threshold of 30 cases.…”

Section: Open Versus Arthroscopic Latarjet E3mentioning

confidence: 99%

“…24,25 However, our study did not perform any postoperative radiological analysis of the graft and screw fixation as postoperative imaging was not routinely obtained on all patients. Kordasiewicz et al 24 the learning curve for graft positioning and found a threshold of 30 cases. Furthermore, they found in another study using CT analysis that the AL approach resulted in improved screw positioning, and more superior graft positioning than with the OL approach.…”

Section: Open Versus Arthroscopic Latarjet E3mentioning

confidence: 99%

Both Open and Arthroscopic Latarjet Result in Excellent Outcomes and Low Recurrence Rates for Anterior Shoulder Instability

Hurley¹,

Ben-Ari²,

Lorentz³

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose The purpose of this study is to evaluate the patient-reported outcomes of open Latarjet (OL) compared to arthroscopic Latarjet (AL) for anterior shoulder instability. Methods A retrospective review of patients who underwent either OL or AL for anterior shoulder instability between 2011 and 2019 was performed. Recurrent instability, visual analog scale (VAS) score, Shoulder Instability-Return to Sport after Injury (SIRSI), Subjective Shoulder Value (SSV), Western Ontario Shoulder Instability (WOSI) score, patient satisfaction, willingness to undergo surgery again, and return to work/sport (RTW/RTS) were evaluated. A P value of < .05 was considered to be statistically significant. Results Our study included 102 patients in total; 72 patients treated with OL, and 30 treated with AL. There were no demographic differences between the two groups ( P > .05 for all). At final follow up (mean of 51.3 months), there was no difference between those that underwent OL or AL in the reported WOSI, VAS, VAS during sports, SSV, and SIRSI scores, nor in patient satisfaction, or whether they would undergo surgery again ( P > .05). Overall, there was no significant difference in the total rate of RTP (65% vs 60.9%; P = .74), or timing of RTP (8.1 months vs 7 months; P = .35). Additionally, there was no significant difference in the total rate of RTW (93.5% vs 95.5%; P = .75). Overall, 3 patients in the OL group and 2 patients in the AL group had recurrent instability events (6.9% vs 6.7%; P = .96), with no significant difference in the rate of recurrent dislocation (4.2% vs 3.3%; P = .84). Conclusion In patients with anterior shoulder instability, both the OL and AL are reliable treatment options, with a low rate of recurrent instability, and similar patient-reported outcomes.

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Arthroscopic Latarjet Stabilization: Analysis of the Learning Curve in the First 90 Primary Cases: Early Clinical Results and Computed Tomography Evaluation

Cited by 30 publications

References 44 publications

Improved Complex Skill Acquisition by Immersive Virtual Reality Training

Improved Complex Skill Acquisition by Immersive Virtual Reality Training

Failed Latarjet procedure: a systematic review of surgery revision options

Both Open and Arthroscopic Latarjet Result in Excellent Outcomes and Low Recurrence Rates for Anterior Shoulder Instability

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