Is the Latarjet procedure risky? Analysis of complications and learning curve

Abstract

IV.

Glenoid Track Instability Management Score: Radiographic Modification of the Instability Severity Index Score

“…Moreover, this more-selective criteria avoids putting as many patients at risk of developing common postoperative complications that are seen after a Latarjet procedure, including graft osteolysis, hardware complications, and development of early-onset osteoarthritis. [31][32][33][34][35][36] By using the ISIS score to guide operative decision making, glenoid bone loss that is visible on x-ray leads to Latarjet as a treatment option, therefore those who end up being treated with Bankart repair have excellent results, as they had minimal bone loss to begin with. Moreover, patients with any visible bone loss on x-ray film in the ISIS-treated patient cohort were stabilized with a Latarjet, which may have significantly decreased the risk of recurrent instability in this group relative to the overall rates seen in the GTIMS patient cohort.…”

Review of Latarjet (1954) on the treatment of recurrent shoulder dislocations

“…Regarding the open procedure, a surgeon’s experience significantly affects the surgery duration and the occurrence of early complications, whereas coracoid harvesting time and bone block positioning are not related to surgical experience 70. Regarding the arthroscopic Latarjet, increased surgical experience also decreases operating time 65 67.…”

Editorial Commentary: The Wake of the Dragon: Will the Orthopaedic Community Adopt the Shoulder Arthroscopic Latarjet Procedure as We Adopted the Arthroscopic Rotator Cuff Repair?

“…The arthroscopic Latarjet procedure has been in the literature since 2007. 17 Although a learning curve has been shown by many authors, 12,18,19 it also exists for the open Latarjet, 20 and should not be thought of as prohibitive. In fact, although these authors who studied their learning curve reduced their operative time with experience, even in their early series, they achieved reliable, safe results.…”

“…[23][24][25] In comparison, based on the literature, the arthroscopic Latarjet has a risk of nerve lesions of 0% to 1.6%. 12,18,20,26,27 On the basis of our own experience, we believe that this is due to direct visualization of the nerves (allowing placement of nerve retractors), as well as the fact that the risk of traction injuries is lowered because there is no need to exteriorize the graft during preparation. The study of Zhu et al confirms that one of the strongest reasons to perform the Latarjet procedure arthroscopically is the safety for neurovascular structures provided by the excellent visualization.…”