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Graft position and fusion rate following arthroscopic Latarjet

  • Shoulder
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The arthroscopic Latarjet procedure is recently becoming an increasingly popular technique. Nevertheless, position and fusion of the autograft had not been well studied yet. The purpose of this study was to assess the positioning of the coracoid graft and the fusion rate on CT scan in the arthroscopic Latarjet procedure.

Methods

The study design was a prospective series of 19 consecutive patients who received arthroscopic Latarjet procedure. Radiological assessment on CT scan performed 3 months post-operatively included an analysis of the fusion and the position of the coracoid bone graft using a validated method. 02:30–04:20 was considered an ideal positioning in the sagittal view. In the axial view, the positioning was considered as flush, congruent, medial, too medial, or lateral.

Results

The median age of patients was 27.6 (±6.9). Mean operative time was of 161 min ±34.8. The fusion rate was of 78 %. Coracoid grafts were positioned 01:52 h (56° ± 14°) to 4:04 h (122° ± 12.5°). In the axial view, 32 % of the grafts positioning were considered as flush, 38 % as congruent, 30 % as medial, and 6 % too medial. No lateral position was noted. Two complications occurred, one graft fracture during screwing requiring opening conversion and an early case of osteolysis in a medial-positioned graft.

Conclusion

The arthroscopic Latarjet procedure is a technically challenging technique that provides satisfactory fusion rate and graft positioning with a low complication rate. The clinical importance of this study lies in the observation that it is the first study to evaluate the position of the coracoid bone graft in arthroscopic Latarjet according to a detailed and validated method.

Level of evidence

IV.

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References

  1. Allain J, Goutallier D, Glorion C (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80:841–852

    Article  CAS  PubMed  Google Scholar 

  2. Boileau P, Mercier N, Roussanne Y, Thélu C-É, Old J (2010) Arthroscopic Bankart-Bristow-Latarjet procedure: the development and early results of a safe and reproducible technique. Arthroscopy 26:1434–1450

    Article  PubMed  Google Scholar 

  3. Boileau P, Thélu C-É, Mercier N, Ohl X, Houghton-Clemmey R, Carles M, Trojani C (2014) Arthroscopic Bristow-Latarjet combined with bankart repair restores shoulder stability in patients with glenoid bone loss. Clin Orthop Relat Res 472:2413–2424

    Article  PubMed Central  PubMed  Google Scholar 

  4. Cassagnaud X, Maynou C, Mestdagh H (2003) Clinical and computed tomography results of 106 Latarjet-Patte procedures at mean 7.5 year follow-up (article in French). Rev Chir Orthop Reparatrice Appar Mot 89:683–692

    CAS  PubMed  Google Scholar 

  5. Collin P, Rochcongar P, Thomazeau H (2007) Treatment of chronic anterior shoulder instability using a coracoid bone block (Latarjet procedure): 74 cases (article in French). Rev Chir Orthop Reparatrice Appar Mot 93:126–132

    Article  CAS  PubMed  Google Scholar 

  6. Hovelius L, Körner L, Lundberg B, Akermark C, Herberts P, Wredmark T, Berg E (1983) The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow-Latarjet procedure. J Bone Joint Surg Am 65:926–934

    CAS  PubMed  Google Scholar 

  7. Hovelius LK, Sandström BC, Rösmark DL, Saebö M, Sundgren KH, Malmqvist BG (2001) Long-term results with the Bankart and Bristow-Latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elbow Surg 10:445–452

    Article  CAS  PubMed  Google Scholar 

  8. Hovelius L, Sandström B, Olofsson A, Svensson O, Rahme H (2012) The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): long-term follow-up in 319 shoulders. J Shoulder Elbow Surg 21:647–660

    Article  PubMed  Google Scholar 

  9. Hovelius L, Sandström B, Saebö M (2006) One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study II—the evolution of dislocation arthropathy. J Shoulder Elbow Surg 15:279–289

    Article  PubMed  Google Scholar 

  10. Huguet D, Pietu G, Bresson C, Potaux F, Letenneur J (1996) Anterior instability of the shoulder in athletes: apropos of 51 cases of stabilization using the Latarjet-Patte intervention (article in French). Acta Orthop Belg 62:200–206

    CAS  PubMed  Google Scholar 

  11. Kraus TM, Graveleau N, Bohu Y, Pansard E, Klouche S, Hardy P (2013) Coracoid graft positioning in the Latarjet procedure. Knee Surg Sports Traumatol Arthrosc

  12. Kraus TM, Martetschläger F, Graveleau N, Klouche S, Freude T, Stöckle U, Hardy P (2013) CT-based quantitative assessment of the surface size and en-face position of the coracoid block post-Latarjet procedure. Arch Orthop Trauma Surg 133:1543–1548

    Article  PubMed  Google Scholar 

  13. Lafosse L, Boyle S, Gutierrez-Aramberri M, Shah A, Meller R (2010) Arthroscopic latarjet procedure. Orthop Clin North Am 41:393–405

    Article  PubMed  Google Scholar 

  14. Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T (2007) The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy 23(1242):e1–e5

    PubMed  Google Scholar 

  15. Latarjet M (1954) Treatment of recurrent dislocation of the shoulder. Lyon Chir 49:994–997

    CAS  PubMed  Google Scholar 

  16. Longo UG, Loppini M, Rizzello G, Ciuffreda M, Maffulli N, Denaro V (2014) Latarjet, Bristow, and Eden-Hybinette procedures for anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy 30(9):1184–1211

    Article  PubMed  Google Scholar 

  17. Lunn JV, Castellano-Rosa J, Walch G (2008) Recurrent anterior dislocation after the Latarjet procedure: outcome after revision using a modified Eden-Hybinette operation. J Shoulder Elbow Surg 17:744–750

    Article  PubMed  Google Scholar 

  18. Nourissat G, Delaroche C, Bouillet B, Doursounian L, Aim F (2014) Optimization of bone-block positioning in the Bristow-Latarjet procedure: a biomechanical study. Orthop Traumatol Surg Res 100:509–513

    Article  CAS  PubMed  Google Scholar 

  19. Patte D, Bernageau J, Rodineau J, Gardes JC (1980) Unstable painful shoulders (article in French). Rev Chir Orthop Reparatrice Appar Mot 66:157–165

    CAS  PubMed  Google Scholar 

  20. Rosso C, Bongiorno V, Samitier G, Dumont GD, Szöllösy G, Lafosse L (2014) Technical guide and tips on the all-arthroscopic Latarjet procedure. Knee Surg Sports Traumatol Arthrosc [Epub ahead of print]

  21. Saito H, Itoi E, Sugaya H, Minagawa H, Yamamoto N, Tuoheti Y (2005) Location of the glenoid defect in shoulders with recurrent anterior dislocation. Am J Sports Med 33:889–893

    Article  PubMed  Google Scholar 

  22. Thomazeau H, Courage O, Barth J, Pélégri C, Charousset C, Lespagnol F, Nourissat G, Audebert S, Guillo S, Toussaint B, Lafosse L, Bradel J, Veillard D, Boileau P (2010) Can we improve the indication for Bankart arthroscopic repair? A preliminary clinical study using the ISIS score. Orthop Traumatol Surg Res 96:S77–S83

    Article  CAS  PubMed  Google Scholar 

  23. Wellmann M, Petersen W, Zantop T, Herbort M, Kobbe P, Raschke MJ, Hurschler C (2009) Open shoulder repair of osseous glenoid defects: biomechanical effectiveness of the Latarjet procedure versus a contoured structural bone graft. Am J Sports Med 37:87–94

    Article  PubMed  Google Scholar 

  24. Young AA, Maia R, Berhouet J, Walch G (2011) Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Shoulder Elbow Surg Al 20:S61–S69

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery and Sports Traumatology, Pitié Salpêtrière Hospital, Pierre and Marie Curie University, 47 Boulevard de l’Hôpital, 75013, Paris, France

    Laurent Casabianca, Antoine Gerometta, Frederic Khiami, Romain Rousseau, Alexandre Hardy, Hugues Pascal-Moussellard & Philippe Loriaut

  2. Department of Radiology, Pitié Salpêtrière Hospital, Pierre and Marie Curie University, 47 Boulevard de l’Hôpital, 75013, Paris, France

    Audrey Massein

Authors
  1. Laurent Casabianca
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  2. Antoine Gerometta
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  3. Audrey Massein
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  4. Frederic Khiami
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  5. Romain Rousseau
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  6. Alexandre Hardy
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  7. Hugues Pascal-Moussellard
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  8. Philippe Loriaut
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Correspondence to Philippe Loriaut.

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Casabianca, L., Gerometta, A., Massein, A. et al. Graft position and fusion rate following arthroscopic Latarjet. Knee Surg Sports Traumatol Arthrosc 24, 507–512 (2016). https://doi.org/10.1007/s00167-015-3551-6

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  • DOI: https://doi.org/10.1007/s00167-015-3551-6

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