Short-Term Complications of the Latarjet Procedure

Shah, Anup; Butler, R. Bryan; Romanowski, James R.; Goel, Danny P.; Karadagli, Dimitrios; Warner, Jon J.P.

doi:10.2106/jbjs.j.01830

Cited by 344 publications

(247 citation statements)

References 19 publications

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“…38 Reported short-term complications after the Latarjet procedure include infection, hematoma, intraoperative graft fracture, graft malposition or malunion, nonunion, hardware complications including screw breakage, and neurovascular injury. 38 Iatrogenic neurologic injuries are possibly the most concerning, given that clinically detectable transient axillary or musculocutaneous nerve deficits have been reported postoperatively in up to 20.6% of Latarjet procedures with intraoperative nerve monitoring alert episodes occurring in 76.5% of cases. 39 Late coracoid graft resorption after Latarjet procedures is also increasingly recognized.…”

Section: Discussionmentioning

confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following Technical Note provides a diagnostic approach for suspected glenohumeral instability, as well as a detailed description of the congruent-arc Latarjet procedure, performed with a deltoid split, with its postoperative management.

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Section: Discussionmentioning

confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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“…This fact did not reach any statistical significance, so this could not be treated as any conclusion, however it could be only our suspicion that combination of technical fault and cannulated screws could increase the risk of graft fracture. Shah et al reported using canulated screws as a risk factor [16]. Three cases of recurrency in each group constituted 6.2% in OPEN and [24].…”

Section: Complications Recurrence and Revisionsmentioning

confidence: 99%

Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)—clinical results at short term follow-up

Kordasiewicz¹,

Małachowski²,

Kiciński³

et al. 2016

International Orthopaedics (SICOT)

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Results Average time of surgery was significantly shorter in ARTHRO than OPEN: respectively 110 and 120 minutes. The number of intra-operative complications was six (12.5%) in OPEN and five (8.1%) in ARTHRO. The results were comparable in both groups, with no significant difference between OPEN and ARTHRO group: satisfaction rate -96.8% and 91.9%, shoulder function -92.2% and 90%, Walch-Duplay score -83.9 and 76.7 respecively. A significant difference was reported in Rowe score: 87.8 in OPEN and 78.9 in ARTHRO. Another significant difference was found in the presence of Bsubjective apprehension^-a term referring to the subjective perception of instability with no signs of instability at clinical examination -28.7% in OPEN and 50% in ARTHRO. Range of motion in both groups were comparable, however patients in OPEN had significantly lower loss of external rotation in adduction to the side comparing to the contralateral shoulder: 7°versus 14°in ARTHRO. Recurrence was reported in three cases in each group: 6.2% in OPEN and 4.8% in ARTHRO. A revision surgery was performed in four patients (9.3%) in OPEN and six (9.7%) in ARTHRO. Radiographic evaluation showed a significantly lower rate (5%) of graft healing problems (fracture, non-union and osteolysis) after arthroscopic stabilisation, however a partial osteolysis of the proximal part of the bone block was significantly more frequent (53.5%). Conclusions The arthroscopic Latarjet stabilisation showed satisfactory and comparable results to open procedure. We recommend further investigation and development of arthroscopic technique.Level of evidence: III

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“…Recurrent instability rates following the Latarjet procedure range from 2.9% to 8%. [47][48][49][50][51] . Reported complication rate though is high (25% to 30%) with non/fibrous union, neurological injury, recurrence and infection accounting for the majority.…”

Section: Operative Management Of Complicated Anterior Instability Glementioning

confidence: 99%

“…Reported complication rate though is high (25% to 30%) with non/fibrous union, neurological injury, recurrence and infection accounting for the majority. 47,48 . A modification of the Latarjet procedure is to rotate the coracoid bone block 90 degrees to produce a 'congruent arc' bone block.…”

Section: Operative Management Of Complicated Anterior Instability Glementioning

confidence: 99%

BESS/BOA Patient Care Pathways

Brownson¹,

Donaldson²,

Fox³

et al. 2015

Shoulder & Elbow

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Short-Term Complications of the Latarjet Procedure

Cited by 344 publications

References 19 publications

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)—clinical results at short term follow-up

BESS/BOA Patient Care Pathways

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