Clinical outcomes and recurrence rate of 4 procedures for recurrent anterior shoulder instability: ASA, remplissage, open, and arthroscopic Latarjet: a multicenter study

Maiotti, Marco; Vita, Andrea De; Benedetto, Massimo De; Cerciello, Simone; Rossi, Carlo Maria; Giunta, Angelo Di; Raffelini, Francesco; Cascio, Riccardo Lo; Pirani, Piergiorgio; Castricini, Roberto

doi:10.1016/j.jse.2022.10.030

Cited by 12 publications

(8 citation statements)

References 49 publications

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“…In particular augmentation with the upper third of the subscapularis tendon produces an additional triple effect: addressing the stretched portion of the subscapularis tendon, always present in chronic shoulder instability; amending capsular insufficiency; and restoring the physiological coracohumeral ligament tension without causing external rotation restriction. 26 , 27 , 28 , 29 , 30 Furthermore, by augmentation of the subscapularis on the glenoid neck, it is possible to get better covering of the xenograft. Moreover, the previously countered graft reduces the surgical time and avoids the possible mismatching of the handmade holes with the glenoid tunnels.…”

Section: Discussionmentioning

confidence: 99%

“…The upper third of the subscapularis tendon, as described in the Maiotti technique, 23 , 24 , 25 , 26 , 27 , 28 , 29 was usually fixed at the 2 o’clock (right shoulder) or 10 o’clock (left shoulder) position over the glenoid rim. The upper third of the subscapularis tendon was penetrated at least 5 mm from its superior border with a suture-passing device loaded with tape (LabralTape; Arthrex, Naples, FL) slightly flush to the articular surface in the mediolateral position just over the xenograft.…”

Section: Surgical Techniquementioning

confidence: 99%

“…The glenoid drill holes were performed by a specific posterior guide (Arthrex, Naples, FL). After the glenoid reconstruction procedure, an arthroscopic subscapularis augmentation (ASA) 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 was performed ( Video 1 ).…”

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confidence: 99%

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Arthroscopic Xenograft With Cerclage Fixation: A Method for Glenoid Bone Loss Reconstruction With Cerclage Fixation Using a Specific Posterior Guide

Maiotti,

Massoni

2023

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

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Arthroscopic Xenograft With Cerclage Fixation: A Method for Glenoid Bone Loss Reconstruction With Cerclage Fixation Using a Specific Posterior Guide

Maiotti,

Massoni

2023

Arthroscopy Techniques

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“…Furthermore, as the authors noted, ''little is known regarding a comparison of the arthroscopic and open approach methods,'' despite numerous comparative studies and subsequent meta-analyses of the available literature. 6,11,13,16,18 Our prior systematic review found no statistically significant differences in complications between the open and arthroscopic approaches (risk ratio, 1.07; 95% CI, 0.64-1.77; I 2 = 24%; P \ .81). 15 Additionally, subgroup analysis found no difference in graft, hardware, wound, or nerve complications.…”

Section: Dear Editormentioning

confidence: 90%

Complications Related to Latarjet Shoulder Stabilization: Letter to the Editor

Hurley¹,

Crook²,

Klifto³

et al. 2023

Am J Sports Med

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“…The commonly performed surgeries are (1) repair of the soft tissue lesion (Bankart repair) and (2) reconstruction with a coracoid bone block (Bristow–Latarjet procedure) [1]. Both can be performed using either open or arthroscopic procedure [15, 20]. Compared to the isolated Bankart repair, the Bristow–Latarjet procedure has a lower recurrent dislocation rate, especially for patients with risk factors, including competitive athletes, young patients, and those with large bony defects [10, 18, 24, 31].…”

Section: Introductionmentioning

confidence: 99%

Previously failed Bankart repair and the duration from first dislocation to surgery were the risk factors associated with the level of return to sports after coracoid transfer

Song

Zhang

Bai

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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Purpose This study aims to determine the rate of diferent levels of return to sports (RTS) in athletes undergoing the modiied arthroscopic Bristow procedure and the factors associated with the level of RTS. MethodsThe study was performed retrospectively on patients with traumatic anterior shoulder instability who underwent the modiied arthroscopic Bristow procedure with a minimum follow-up of 2 years. The RTS rate, the level of return and the timing of return were assessed. Additionally, factors such as preoperative basic information, clinical outcomes, graft position, graft healing and graft absorption were analysed to investigate their correlation with the level of RTS. Multivariate regression models were used to evaluate the factors afecting the level of RTS. Results In total, this study included 182 shoulders of 177 athletes undergoing the modiied arthroscopic Bristow procedure. Of these patients, 142 (78.0%) shoulders of 137 athletes were enrolled, with a mean of 3.3-year follow-up. At the inal follow-up, 134 (94.4%) shoulders were able to RTS, 123 (86.6%) shoulders were able to RTS to the pre-injury level, 52 (36.6%) shoulders could be completely "forgotten" without any psychological barrier during exercise. The multivariate logistic regression analysis identiied the variable associated with RTS at the pre-injury level as previously failed arthroscopic Bankart repair (p < 0.001). As for the "forgetting" operated shoulder, the duration from irst dislocation to surgery was a signiicant independent predictor (p = 0.034). Conclusion Although a large majority of athletes were able to RTS at the pre-injury level after the modiied arthroscopic Bristow procedure, about two-thirds of the athletes felt diference in shoulders on both sides and could not completely "forget" the operated shoulder during exercise. Previously failed Bankart repair and the duration from irst dislocation to surgery were the risk factors associated with the level of RTS after the modiied arthroscopic Bristow procedure. Level of evidence IV.

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Clinical outcomes and recurrence rate of 4 procedures for recurrent anterior shoulder instability: ASA, remplissage, open, and arthroscopic Latarjet: a multicenter study

Cited by 12 publications

References 49 publications

Arthroscopic Xenograft With Cerclage Fixation: A Method for Glenoid Bone Loss Reconstruction With Cerclage Fixation Using a Specific Posterior Guide

Arthroscopic Xenograft With Cerclage Fixation: A Method for Glenoid Bone Loss Reconstruction With Cerclage Fixation Using a Specific Posterior Guide

Complications Related to Latarjet Shoulder Stabilization: Letter to the Editor

Previously failed Bankart repair and the duration from first dislocation to surgery were the risk factors associated with the level of return to sports after coracoid transfer

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