Recurrent Instability after the Latarjet Procedure

Alkhelaifi, Khalid; Alzobi, Osama Z.; Mahmoud, Shady A.; Zikria, Bashir A.

doi:10.5435/jaaosglobal-d-23-00205

Cited by 1 publication

(2 citation statements)

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“…Another study showed that up to one-third of the overall surgical complications associated with the Latarjet procedure may be related to the use of screw fixation [2], arthroscopic Latarjet procedure did not decrease the rate of screw related complications. The reported rate of screw-removal may be higher after the arthroscopic Latarjet procedures (up to 18%) than after open procedures (up to 7.3%), and is mainly indicated for persistent shoulder pain and/or screw loosening [20].…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment of Anterior Shoulder Instabilities Using the Latarjet Technique (about 40 Cases)

Zied,

Wajdi,

Hedi

et al. 2024

OJO

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Purpose: Surgical treatment of chronic anterior shoulder instability is a difficult therapeutic challenge for contact athletes. The aim of our study is to evaluate the clinical and radiological results of 40 cases of chronic anterior shoulder instability treated in our institution by Latarjet technique. Methods: We report our experience with the intervention of Latarjet modified by the analysis of a retrospective study of 40 cases. They were all young athletic men, with an average age of 29 years with a predominance of the dominant shoulder. Results: Eighty percent had bone lesions, the first dislocation being traumatic (plating). One patient had a recurrence of his instability due to a new trauma and 67% resumed sport within an average period of eight months, some of whom still had functional discomfort in sports practice (9 patients). After an average follow-up of 75 months, 93% of patients were satisfied with their intervention. Only two mechanical complications were observed. Conclusion: Chronic anterior shoulder instability is pathology of young and active subjects. The preregulenoid coracoid block according to Latarjet represents the therapeutic method of choice in the treatment of chronic anterior instabilities of the shoulder, especially in young and athletic subjects. The result of this intervention remains good despite the complications that can occur such as pseudarthrosis, osteoarthritis, lysis or mobility of the screw.

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Section: Discussionmentioning

confidence: 99%

“…Although generally yielding excellent results, the procedure carries a 15 to 30% complication rate. Although recurrent instability is a major concern, various complications such as infection, nerve injuries, and hardware impingement can also necessitate revision after a Latarjet procedure [2].…”

Section: Introductionmentioning

confidence: 99%