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

Abstract

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.

Failed Latarjet procedure: a systematic review of surgery revision options

“…In the literature, the rate of new signs or progression of radiographic arthritis was described as being between 28 and 38.2% of patients treated with primary open Latarjet [ 26 , 28 ]. These data are in line with those for the patients analysed in our study.…”

Editorial Commentary: Personalized Medicine for Shoulder Instability May Result in Best Outcomes With the Lowest Complication Rates

“…These results are promising and interesting, especially in the particular situation of subcritical glenoid bone loss (<20%), where we all know that bony procedures can assure satisfactory results with the price of greater rate of complications and greater risk of glenohumeral arthritis in the long term. 13 In conclusion, I think that the ASA technique can be an appropriate augmentation in cases of anterior shoulder instability and hyperlaxity, especially in overhead athletes.…”

Recurrence of instability after Latarjet procedure: causes, results and treatment algorithm

“…The major part of the graft should be subequatorial, with an optimal location at about 4 or 5 o'clock (4). The position with respect to the glenoid surface is determined in the axial plane and should be flush with the articular surface (7). It must be kept in mind that the depth of the cartilage www.efortopenreviews.org is underestimated by the CT scan, and according to Kany et al, the graft is considered accurately positioned when the medialization and lateralization were less than 5 and 3 mm to the glenoid subarticular bone, respectively (23).…”

“…Although the recurrence rate reported with Latarjet has been 0–18% in studies with a follow-up of less than 10 years, it may raise to 5–26% in those over 10 years ( 6 , 7 ). Shoulder instability after Latarjet is a challenging situation.…”