Latarjet procedure versus open capsuloplasty in traumatic anterior shoulder dislocation: long-term clinical and functional results

Carli, Angelo De; Vadalà, Antonio; Proietti, Lidia; Ponzo, Antonio; Desideri, Davide; Ferretti, Andrea

doi:10.1007/s00264-018-4195-1

Cited by 14 publications

(20 citation statements)

References 27 publications

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“…Several studies included patients who underwent a prior stabilization procedure, 17,21,24,27,37,39 while several other studies excluded patients with a prior surgical procedure to the index shoulder. 7,14,15,35,38 Mean follow-up was 9.2 AE 3.5 years for studies with a minimum 5-year follow-up and 22.6 AE 7.5 years for studies with a minimum 10-year follow-up (p ¼ 0.017).…”

Section: Patient Demographicsmentioning

confidence: 99%

“…Of these, nine were level IV studies 17,21,24,26,27,[35][36][37] and six level III studies. 7,14,15,[38][39][40] Characteristics of studies reporting outcomes of Latarjet procedures at a minimum 5-and 10-year follow-up are presented in Table 1.…”

Section: Literature Search and Selectionmentioning

confidence: 99%

“…The incidence of recurrent instability was reported in all included studies with minimum 5-year (8 studies; n ¼ 647 shoulders) 7,14,27,35,[37][38][39][40] and 10-year (7 studies; n ¼ 405 patients) 15,17,20,21,24,26,36 follow-up. A total of 127 patients experienced recurrent instability following the Latarjet.…”

Section: Recurrent Instabilitymentioning

confidence: 99%

“…[4][5][6] Operative intervention is typically required in the setting of glenoid bone loss to restore stability, thereby minimizing pain and functional restrictions. 7 Bony augmentation procedures are recommended in patients with as little as 13.5% glenoid bone loss, 8 as inferior outcomes with higher rates of recurrent instability are reported in patients treated with isolated soft tissue procedures. [9][10][11][12] A common and effective treatment of recurrent anterior instability with significant glenoid bone loss is the Latarjet procedure.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of the Latarjet procedure with minimum 5- and 10-year follow-up: A systematic review

et al. 2020

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Background The purpose of this study was to evaluate mid- and long-term outcomes following the Latarjet procedure for anterior shoulder instability. Methods PubMed, MEDLINE, Embase, and Cochrane libraries were systematically searched, in line with PRISMA guidelines, for studies reporting on outcomes following the Latarjet procedure with minimum five-year follow-up. Outcomes of studies with follow-up between 5 and 10 years were compared to those with minimum follow-up of 10 years. Results Fifteen studies reporting on 1052 Latarjet procedures were included. Recurrent instability occurred in 127 patients, with an overall random summary estimates in studies with a minimum five-year follow-up of 0–18% (I2 = 90%) compared to 5–26% (I2 = 59%) for studies with a minimum 10-year follow-up. Overall rates for return to sports, non-instability related complications, and progression of arthritis estimated at 65–100% (I2 = 87%), 0–20% (I2 = 85%), and 8–42% (I2 = 89%) for the minimum five-year follow-up studies and 62–93% (I2 = 86%), 0–9% (I2 = 28%), and 9–71% (I2 = 91%) for the minimum 10-year follow-up studies, respectively. All studies reported good-to-excellent mean PRO scores at final follow-up. Conclusions The Latarjet is a safe and effective procedure for patients with shoulder instability. The majority of patients return to sport, though at long-term follow-up, a trend towards an increased incidence of recurrent instability is appreciated, while a significant number may demonstrate arthritis progression.

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Section: Patient Demographicsmentioning

confidence: 99%

Section: Literature Search and Selectionmentioning

confidence: 99%

Section: Recurrent Instabilitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcomes of the Latarjet procedure with minimum 5- and 10-year follow-up: A systematic review

et al. 2020

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“…De Carli [30] compared results of two different open surgical techniques (open capsuloplasty and Bristow-Latarjet procedure) at a mid-to-long-term follow-up (6 years) in patients with recurrent traumatic anterior shoulder dislocations. The author found no statistical difference in terms of recurrent dislocation rates, clinical shoulder stability tests, and scoring scales.…”

Section: Upper Limbmentioning

confidence: 99%

The history of Italian Orthopaedics

Papalia

Falez

2018

International Orthopaedics (SICOT)

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Outcomes are comparable using free bone block autografts versus allografts for the management of anterior shoulder instability with glenoid bone loss: a systematic review and meta-analysis of “The Non-Latarjet”

Gilat

Wong

Lavoie-Gagne

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Glenoid augmentation using free bone blocks for anterior shoulder instability has been proposed as an alternative to or bail-out for the Latarjet procedure. The purpose of this investigation was to systematically review and compare outcomes of patients undergoing glenoid augmentation using free bone block autografts versus allografts. Methods A systematic review using PubMed, MEDLINE, Embase, and the Cochrane Library databases was performed in line with the PRISMA statement. Studies reporting outcomes of patients treated with free bone block procedures for anterior shoulder instability with minimum 2-year follow-up were included. Random efects modelling was used to compare patientreported outcomes, return to sports, recurrent instability, non-instability related complications, and development of arthritis between free bone block autografts and allografts. Results Eighteen studies comprising of 623 patients met the inclusion criteria for this investigation. There were six studies reporting on the use of allografts (of these, two used distal tibial, three iliac crest, and one femoral head allograft) in 173 patients and twelve studies utilizing autografts (of these, ten used iliac crest and two used free coracoid autograft) in 450 patients. Mean age was 28.7 ± 4.1 years for the allograft group and 27.8 ± 3.8 years for the autograft group (n.s). Mean follow-up was 98 months in autograft studies and 50.8 months for allograft studies (range 24-444 months, n.s). Overall mean increase in Rowe score was 56.2 with comparable increases between autografts and allografts (n.s). Pooled recurrent instability rates were 3% (95% CI, 1-7%; I 2 = 77%) and did not difer between the groups (n.s). Arthritic progression was evident in 11% of autografts (95% CI, 2-27%; I 2 = 90%) and 1% (95% CI, 0-8%; I 2 = 63%) of allografts (n.s). The overall incidence of non-instability related complications was 5% (95% CI, 2-10%; I 2 = 81%) and was similar between the groups (n.s). Pooled return to sports rate was 88% (95% CI, 76-96%; I 2 = 76%). Conclusion Glenoid augmentation using free bone block autograft or allograft in the setting of recurrent anterior shoulder instability with glenoid bone loss is efective and safe. Outcomes and complication incidence using autografts and allografts were comparable. Due to the high degree of heterogeneity in the data and outcomes reported in available studies, which consist primarily of retrospective case series, future prospective trials investigating long-term outcomes using free bone block autograft versus allograft for anterior shoulder instability with glenoid bone loss are warranted. Level of evidence IV.

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Latarjet procedure versus open capsuloplasty in traumatic anterior shoulder dislocation: long-term clinical and functional results

Cited by 14 publications

References 27 publications

Outcomes of the Latarjet procedure with minimum 5- and 10-year follow-up: A systematic review

Outcomes of the Latarjet procedure with minimum 5- and 10-year follow-up: A systematic review

The history of Italian Orthopaedics

Outcomes are comparable using free bone block autografts versus allografts for the management of anterior shoulder instability with glenoid bone loss: a systematic review and meta-analysis of “The Non-Latarjet”

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