Early Outcomes and Perioperative Complications of the Arthroscopic Latarjet Procedure: Systematic Review and Meta-analysis

Cerciello, Simone; Corona, Katia; Morris, Brent J.; Santagada, Domenico Alessandro; Maccauro, Giulio

doi:10.1177/0363546518783743

Cited by 57 publications

(53 citation statements)

References 38 publications

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“…rates found in this study are consistent with the recent literature regarding arthroscopic or open Latarjet procedures 5,17. Lost to follow-up (n = 121) Flowchart.…”

supporting

confidence: 90%

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Hardy

Sabatier²,

Laboudie

et al. 2019

Am J Sports Med

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Background: The preoperative number of dislocations has been previously proved to be a major factor influencing the results after Bankart repair with more preoperative dislocations correlated with higher recurrence rates and more reoperations. This could possibly be because of the lower quality of the tissue repaired during the procedure after multiple dislocations. On the other hand, the Latarjet procedure does not ''repair'' but rather reconstructs and augments the anterior glenoid.Purpose/Hypothesis: The main objective was to report the clinical outcomes of patients undergoing a Latarjet procedure after 1 dislocation versus multiple (2) dislocations. The hypothesis was that the preoperative number of dislocations would not influence clinical results.Study Design: Cohort study; Level of evidence, 3.Methods: Patients older than 18 years who had undergone a primary Latarjet procedure for shoulder instability with at least 2 years of follow-up were included. Three different techniques were used: a mini-open technique using 2 screws, an arthroscopic technique using 2 screws, and an arthroscopic technique using 2 cortical buttons. Patients were evaluated and answered a questionnaire to assess the number of episodes of dislocation before surgery, the time between the first dislocation and surgery, recurrence of the dislocation, revision surgery, the Walch-Duplay score, the Simple Shoulder Test score, and the visual analog scale (VAS) score for pain.Results: A total of 308 patients were included for analysis with a mean follow-up of 3.4 6 0.8 years. Of that, 83 patients were included in the first-time dislocation group and 225 in the recurrent dislocation group. At last follow-up, the rates of recurrence and reoperation were not significantly different between groups: 4.8% in the first-time dislocation group versus 3.65% in the recurrent dislocation group and 6.1% versus 4.0%, respectively. The overall Walch-Duplay scores at last follow-up were also comparable between the 2 groups, 67.3 6 24.85 and 71.8 6 25.1, even though the first-time dislocation group showed a lower pain subscore (15.0 6 8.6 vs 18.0 6 7.5; P = .003). The VAS for pain was also significantly higher in the first-time dislocation group compared with the recurrent dislocation group (1.8 6 2.3 vs 1.2 6 1.7; P = .03). Conclusion:The number of episodes of dislocation before surgery does not affect postoperative instability rates and reoperation rates after the Latarjet procedure. However, patients with first-time dislocations had more postoperative pain compared with patients with recurrent dislocations before surgery.

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“…rates found in this study are consistent with the recent literature regarding arthroscopic or open Latarjet procedures 5,17. Lost to follow-up (n = 121) Flowchart.…”

supporting

confidence: 90%

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Hardy

Sabatier²,

Laboudie

et al. 2019

Am J Sports Med

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“…Recent data regarding intraoperative complications and revision surgery are variable. Complications range from 4% 5 to 16.5%, 6 and need for revision from 5.4% 7 to 5.7%. 6 Regarding the rate of late arthritic changes, all of the reported studies only reported intermediate follow-up, which is not sufficient to draw clear conclusions.…”

Section: See Related Article On Page 3221mentioning

confidence: 99%

“…Complications range from 4% 5 to 16.5%, 6 and need for revision from 5.4% 7 to 5.7%. 6 Regarding the rate of late arthritic changes, all of the reported studies only reported intermediate follow-up, which is not sufficient to draw clear conclusions. The 3 available recent systematic reviews and meta-analyses concluded that the arthroscopic Latarjet procedure is a valid alternative to open surgery, although it is more technically demanding, requires longer operative time, and should be performed only in high-volume centers by experienced arthroscopists.…”

Section: See Related Article On Page 3221mentioning

confidence: 99%

“…The 3 available recent systematic reviews and meta-analyses concluded that the arthroscopic Latarjet procedure is a valid alternative to open surgery, although it is more technically demanding, requires longer operative time, and should be performed only in high-volume centers by experienced arthroscopists. [6][7][8] The technical demands may be overcome with experience because operative time has been shown to significantly decrease with surgical experience and reaches a plateau after 30 cases. 9 This evidence has been recently confirmed by Kordasiewicz, Kici nski, Małachowski, Boszczyk, Chaberek, and Pomianowski 10 in their article, "Arthroscopic Latarjet Stabilization: Analysis of the Learning Curve in the First 90 Primary Cases -Early Clinical Results and Computed Tomography Evaluation."…”

Section: See Related Article On Page 3221mentioning

confidence: 99%

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Editorial Commentary: Arthroscopic Latarjet: An Analysis of Outcomes and Complications Through its Learning Curve

Santagada¹,

Morris²,

Cerciello³

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The arthroscopic Latarjet has been proposed in the past decade to reduce the rate of bone block malpositioning, decrease soft-tissue damage associated with open approach, and possibly decrease intraoperative complications. Several recent studies have reported similar or even superior results with arthroscopic Latarjet compared with those achieved with open technique. However, arthroscopic Latarjet is known to be more technically demanding and some feel that it should be performed by expert shoulder surgeons with advanced arthroscopic skills. Surgical innovations should be adopted when they have potential advantages for patients. Despite the initial challenges and learning curve of arthroscopic Latarjet, experience and technical skills may reduce the rate of intraoperative complications for this technically demanding procedure.

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“…On the basis of the rise in the number of publications related to laparoscopy within the past 10 years and emergence of descriptions of more advanced surgical procedures with greater surgeon experience, there is a requirement for an updated review to investigate and illustrate the types of complications associated with laparoscopic and laparoscopy‐assisted procedures in dogs. Recently, systematic reviews dedicated to surgical treatments have been conducted in human and veterinary surgery by using non‐randomized studies with adapted and validated quality assessment scales 22‐25 . In contrast to a narrative review, a systematic review uses a more rigorous approach to reviewing the literature on a specific topic, including a comprehensive and systematic search strategy and the use of predefined strict inclusion and exclusive criteria 26 .…”

Section: Introductionmentioning

confidence: 99%

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

et al. 2020

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Objective To evaluate and report the quality of the scientific literature reporting complications associated with laparoscopic and laparoscopic‐assisted procedures in client‐owned or healthy research dogs and to report and illustrate laparoscopic complications related to individual organ systems. Study design Systematic review. Animals Client‐owned or healthy research dogs. Methods A literature review was performed by using PubMed and CAB abstracts for English‐language studies providing descriptions of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs. Study selection used PRISMA (Preferred Reporting Items for Systematic reviews and Meta‐Analyses) guidelines. Quality assessment was performed by using a MINORS (Methodological Items for Non‐Randomized Studies) scoring system and a grading scale of level of evidence. Descriptive statistics were used. Results In total, 741 manuscripts were identified, with 64 manuscripts eligible for data extraction and quality assessment. The most represented organ system was the female genital tract, represented by 22 (34.4%) studies. The most commonly reported intraoperative and postoperative complications were related to abdominal entry and portal incisions, respectively. In 53 of 54 non‐randomized studies, high risk of bias was found. Forty‐eight (75%) studies provided level III or IV evidence. Conclusion This report provides an updated review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs, classified by organ system. The overall quality of evidence was low, limiting direct comparison of complication rates between studies. Clinical significance There is a need for implementation of standardized criteria for defining complications, study time frames and greater numbers of high quality prospective randomized trials in veterinary laparoscopy to permit comparison of complication and conversion rates between published studies and across organ systems.

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Early Outcomes and Perioperative Complications of the Arthroscopic Latarjet Procedure: Systematic Review and Meta-analysis

Cited by 57 publications

References 38 publications

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Outcomes After Latarjet Procedure: Patients With First-Time Versus Recurrent Dislocations

Editorial Commentary: Arthroscopic Latarjet: An Analysis of Outcomes and Complications Through its Learning Curve

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

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