Outcome of Latarjet Procedure for Recurrent Anterior Shoulder Dislocation
Keywords:Bone-block, Coracoid, Dislocation, Latarjet, Shoulder
Objective: To determine the functional outcome of open Latarjet procedure for recurrent anterior shoulder dislocation.
Methods: This descriptive study was conducted in Department of Orthopaedics, Lahore General Hospital Lahore from 21st January 2019 to 29th December 2020. All adults patients of recurrent anterior shoulder dislocation fulfilling the inclusion criteria were operated with open Latarjet procedure. Functional outcome was assessed with Constant-Murley shoulder score at 6th months and rated as very good outcome (86-100 score), good outcome (71-85 score), fair outcome (56-70 score) and poor outcome (< 56 score). Comparative analysis of important outcome variables was done with paired-t test and P value < 0.05 was considered significant.
Results: The total number of patients were 35. There were 34 (97.14%) male and 1(2.85%) female. The mean age of our patients was 48.4±9.0 years. Right side was involved in 26(74.28%) and left in 9(25.71%). At 6th month postoperatively very good outcome was noted in 23(65.71%), good in 8(22.85%), fair in 2(5.71%) and poor outcome in 2(5.71%) patients. Significant pain reduction and improved range of shoulder motion was documented at 6th month. (P value < 0.05).
Conclusion: Open Latarjet technique is a reliable and safe option for recurrent anterior shoulder dislocation as very good functional outcome was achieved in majority of our patients.
Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations present to emergency departments in the United States. J Bone Joint Surg Am 2010;92(3):542-549.
Rowe CR. Acute and recurrent anterior dislocations of the shoulder. Orthop Clin North Am 1980;11(2):253–270.
Rollick NC, Ono Y, Kurji HM, Nelson AA, Boorman RS, Thornton GM, et al. Long-term outcomes of the Bankart and Latarjet repairs: A systematic review. Open Access J Sports Med 2017:8:97-105.
Levy DM, Cole BJ, Bach BR Jr.History of surgical intervention of anterior shoulder instability. J Shoulder Elbow Surg 2016; 25(6):139-150.
Rao AJ, Verma NN, Trenhaile SW. The “Floating Labrum”: bankart lesion repair with anterior capsular extension using 2 anterior working portals. Arthrosc Tech 2017; 6(5):1607–1611.
Chillemi C, Guerrisi M, Paglialunga C, Salate Santone F, Osimani M. Latarjet procedure for anterior shoulder instability: A 24-year follow-up study. Arch Orthop Trauma Surg. Arch Orthop Trauma Surg 2021;141(2):189-196.
Hurley ET, Manjunath AK, Matache BA, Jia NW, Virk M, Jazrawi LM, et al. No difference in 90-day complication rate following open versus arthroscopic Latarjet procedure. Knee Surg Sports Traumatol Arthrosc 2020.doi: https://doi.org/10.1007/s00167-020-06301-0.
Ersen A, Birisik F, Ozben H, Atalar AC, Sahinkaya T, Seyahi A, et al. Latarjet procedure using subscapularis split approach offers better rotational endurance than partial tenotomy for anterior shoulder instability. Knee Surg Sports Traumatol Arthrosc 2018; 26(1):88-93.
Young AA, Baba M, Neyton L, Godeneche A, Walch G. Coracoid graft dimensions after harvesting for the open Latarjet procedure. J Shoulder Elbow Surg 2013; 22(4):485-488.
Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 2000; 16:677-694.
Latarjet M. Treatment of recurrent dislocation of the shoulder. Lyon Chir 1954; 49(8): 994-997.
Walch G, Boileau P. Latarjet-Bristow procedure for recurrent anterior instability. Techniques in shoulder and elbow surgery 2000; 1:256-261.
Bohu Y, Abadie P, van Rooij F, Nover L, Berhouet J, Hardy A. Latarjet procedure enables 73% to return to play within 8 months depending on preoperative SIRSI and Rowe scores. Knee Surg Sports Traumatol Arthrosc 2021. doi: 10.1007/s00167-021-06475-1.
Patte D, Debeyre J. Recurrent dislocation of the shoulder. Encycl Med Chir Paris-Technique chirurgical Orthopedie 1980; 4-7.
Horner NS, Moroz PA, Bhullar R, Habib A, Simunovic N, Wong I, et al. Open versus arthroscopic Latarjet procedures for the treatment of shoulder instability: a systematic review of comparative studies. BMC Musculoskeletal Disorders 2018;19:255-264.
Ernstbrunner L, Plachel F, Heuberer P, Pauzenberger L, Moroder P, Resch H, et al. Arthroscopic versus open iliac crest bone grafting in recurrent anterior shoulder instability with glenoid bone loss: A computed tomography-based quantitative assessment. Arthroscopy 2018;34(2):352-359.
Magarelli N, Milano G, Sergio P, Santagada DA, Fabbriciani C, Bonomo L. Intra-observer and interobserver reliability of the ‘‘Pico’’ computed tomography method for quantification of glenoid bone defect in anterior shoulder instability. Skeletal Radiol 2009;38(11): 1071-1075.
Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987;160-164.
Bahrs C, Badke A, Rolauffs B, Weise K, Zipplies S, Dietz K, et al. Long-term results after non-plate head-preserving fixation of proximal humeral fractures. Int Orthop 2010;34:883-889.
Chillemi C, Guerrisi M, Paglialunga C, Santone SS, Osimani M. Latarjet procedure for anterior shoulder instability: A 24-year follow-up study. Arch Orthop Trauma Surg 2021;141:189-196.
Ernstbrunner L, Wartmann L, Zimmermann SM, Schenk P, Gerber C, Wieser K. Long-term Results of the Open Latarjet Procedure for Recurrent Anterior Shoulder Instability in Patients Older Than 40 Years. Am J Sports Med 2019 ;47(13):3057-3064.
Dupley L, Funk L. The Latarjet Procedure: Effective and Safe. The Open Orthopaedics Journal 2019;13:272-275.
Hurley ET, Jamal MS, Ali ZS, Montgomery C, Pauzenberger L, Mullett H. Long-term outcomes of the Latarjet procedure for anterior shoulder instability: a systematic review of studies at 10-year follow-up. J Shoulder Elbow Surg 2019;28(2):33-39.
Randelli P, Fossati C, Stoppani C, Evola FR, De Girolamo L. Open Latarjet versus arthroscopic Latarjet: clinical results and cost analysis. Knee Surg Sports Traumatol Arthrosc 2016; 24:526-532.
Cunningham G, Benchouk S, Kherad O, Ladermann A.Comparison of arthroscopic and open Latarjet with a learning curve analysis. Knee Surg Sports Traumatol Arthrosc 2016;24:540–545.
Bessiere C, Trojani C, Carles M, Mehta SS, Boileau P. The Open Latarjet Procedure Is More Reliable in Terms of Shoulder Stability Than Arthroscopic Bankart Repair. Clin Orthop Relat Res 2014; 472:2345-2350.
Domos P, Lunini E, Walch G. Contraindications and complications of the Latarjet procedure. Shoulder Elbow 2018;10(1):15-24.
Woodmass JM, Wagner ER, Solberg M, Hunt TJ, Higgins LD. Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability. JBJS Essent Surg Techn2019;9(3):e31.doi: 10.2106/JBJS.ST.18.00025.
Gartsman GM, Waggenspack Jr WN, O'Connor DP, Elkousy HA, Edwards TB. Immediate and early complications of the open Latarjet procedure: A retrospective review of a large consecutive case series. J Shoulder Elbow Surg 2017;26(1): 68-72.
Frank RM, Gregory B, O'Brien M, Bernardoni E, verma NN, Cole BJ, et al. Ninety-day complications following the Latarjet procedure. J Shoulder Elbow Surg 2019;28(1): 88-94.