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Low rate of recurrent instability following the open Latarjet procedure as a revision procedure for failed prior stabilization surgery

  • SHOULDER
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The purpose of this study is to systematically review the literature to ascertain functional outcomes, recurrence rates and subsequent revision rates following the open Latarjet procedure when performed as a revision procedure.

Methods

Two independent reviewers performed the literature search based on PRISMA guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases. Studies where the Latarjet procedure was performed as a revision procedure were included. Clinical outcomes analyzed were: (1) functional outcomes, (2) recurrent instability, (3) revisions, and (4) complications.

Results

The review found 16 studies with 713 shoulders that met the inclusion criteria. 605 of the patients were male (84.9%), with an average age of 28.2 years (15–62) and follow-up of 47.7 months. The most commonly reported functional outcome measure was the Rowe score, with a weighted mean of 92.7. 86/95 patients had good–excellent outcomes (90.4%). 136/143 patients reported return to play (95.1%). 141/161 patients returned to the same level of competition (87.6%). 50 patients experienced recurrence (8.4%). Five patients experienced redislocation (0.9%) and 37 patients experienced subluxation (6.7%). There were 29 revisions (5.1%), with 12 revisions due to recurrence (2.1%). There were 68 total complications, not including recurrence (11%). The most common complications were 13 cases of nerve damage and infection respectively (2.1%). There was 17 cases of new instability arthropathy (6.5%), and 31 cases of residual pain (6.7%).

Conclusion

This review shows that the revision Latarjet provides excellent functional outcomes, low rates of recurrence and complications, and a high rate of return to sport among athletes. This results from study can be used to explain the expected outcomes associated with the Latarjet procedure performed as a revision.

Level of evidence

IV.

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References

  1. Aboulai JAK, Hatzatoni K, Holtby R, Veillette C, Theodoropoulous J (2013) Revision arthroscopic Bankart repair. Arthroscopy 29(9):1572–1578

    Article  Google Scholar 

  2. An VV, Sivakumar BS, Phan K, Trantalis J (2016) A systematic review and meta-analysis of clinical and patient-reported outcomes following two procesdures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair. J Shoulder Elb Surg 25(5):853–863

    Article  Google Scholar 

  3. Bessière C, Trojani C, Carles M, Mehta SS, Boileau P (2014) The open Latarjet procedure is more reliable in terms of shoulder stability than arthroscopic Bankart repair. Clin Orthop Relat Res 472(8):2345–2351

    Article  PubMed  PubMed Central  Google Scholar 

  4. Blonna D, Bellato E, Caranzano F, Assom M, Rossi R, Castoldi F (2016) Arthroscopic Bankart repair versus open Bristow–Latarjet for shoulder instability: a matched-pair multicenter study focused on return to sport. Am J Sports Med 44(12):3198–3205

    Article  PubMed  Google Scholar 

  5. Bonnevialle N, Ibnoulkhatib A, Mansat P, Rongieres M, Mansat M, Bonnevialle P (2013) Outcomes of two surgical revision techniques for recurrent anterior shoulder instability following selective capsular repair. Orthop Traumatol Surg Res 99:455–463

    Article  CAS  PubMed  Google Scholar 

  6. Burkhart SS, De Beer JF (2000) 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 16(7):677–694

    Article  CAS  PubMed  Google Scholar 

  7. Castagna A, Markopoulos N, Conti M, Delle Rose G, Papadakou E, Garofalo R (2010) Arthroscopic Bankart suture-anchor repair: radiological and clinical outcome at minimum 10 years of follow-up. Am J Sports Med 38(10):2012–2016

    Article  PubMed  Google Scholar 

  8. Chaudhary D, Goyal A, Joshi D, Jain V, Mohindra M, Mehta N (2016) Clinical and radiological outcome after mini-open Latarjet technique with fixation of coracoid with Arthrex wedge mini-plate. J Clin Orthop Trauma 7(1):23–29

    Article  PubMed  Google Scholar 

  9. Colegate-Stone TJ, van der Watt C, de Beer JF (2015) Evaluation of functional outcomes and complications following modified Latarjet reconstruction in athletes with anterior shoulder instability. Shoulder Elb 7(3):168–173

    Article  Google Scholar 

  10. Coleman BD, Khan KM, Maffulli N, Cook JL, Wark JD (2000) Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group. Scand J Med Sci Sports 10(1):2–11

    Article  CAS  PubMed  Google Scholar 

  11. DeFroda S, Bokshan S, Stern E, Sullivan K, Owens DO (2017) Arthroscopic Bankart repair for the management of anterior shoulder instability: indications and outcomes. Curr Rev Musculoskelet Med 10(4):442–451

    Article  PubMed  PubMed Central  Google Scholar 

  12. Delaney RA, Freehill MT, Janfaza DR, Vlassakov KV, Higgins LD, Warner JJ (2014) 2014 neer award paper: neuromonitoring the Latarjet procedure. J Shoulder Elb Surg 23(10):1473–1480

    Article  Google Scholar 

  13. Edwards TB, Boulahia A, Walch G (2003) Radiographic analysis of bone defects in chronic anterior shoulder instability. Arthroscopy 19(7):732–739

    Article  PubMed  Google Scholar 

  14. Flinkkilä T, Sirniö K (2015) Open Latarjet procedure for failed arthroscopic Bankart repair. Orthop Traumatol Surg Res 101(1):35–38

    Article  PubMed  Google Scholar 

  15. Flinkkilä T, Knape R, Nevalainen M, Sirniö K, Ohtonen P, Leppilahti J (2019) Previous arthroscopic Bankart repair is an independent risk factor for an inferior outcome after Latarjet procedure. Orthop Traumatol Surg Res 105(8):1481–1485

    Article  PubMed  Google Scholar 

  16. Frank RM, Romeo AA, Richardson C, Sumner S, Verma NN, Cole BJ et al (2018) Outcomes of Latarjet versus distal tibial allograft for anterior shoulder instability repair. Am J Sports Med 46(5):1030–1038

    Article  PubMed  Google Scholar 

  17. Frank RM, Gregory B, O’Brien M, Bernardoni E, Verma NN, Cole BJ, Nicholson GP, Romeo AA (2019) Ninety-day complications following the Latarjet procedure. J Shoulder Elb Surg 28(1):88–94

    Article  Google Scholar 

  18. Galvin JW, Ernat JJ, Waterman BR, Stadecker MJ, Parada SA (2017) The epidemiology and natural history of anterior shoulder instability. Curr Rev Musculoskelet Med 10(4):411–424

    Article  PubMed  PubMed Central  Google Scholar 

  19. Gartsman GM, Waggenspack WN Jr, O’Connor DP, Elkousy HA, Edwards B (2017) Immediate and early complications of the open Latarjet procedure: a retrospective review of a large consecutive case series. J Shoulder Elb Surg 26:68–72

    Article  Google Scholar 

  20. Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY, Miniaci A (2013) Complications and re-operations after Bristow–Latarjet shoulder stabilization: a systematic review. J Shoulder Elb Surg 22(2):286–289

    Article  Google Scholar 

  21. Gupta A, Delaney R, Petkin K, Lafosse L (2015) Complications of the Latarjet procedure. Curr Rev Musculoskelet Med 8(1):59–66

    Article  PubMed  PubMed Central  Google Scholar 

  22. Hovelius L, Sandstrom BC, 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 Elb Surg 21:647–660

    Article  Google Scholar 

  23. Hovelius L, Sandstrom BC, Rosmark DL, Saebo M, Sundgren KH, Malmqvist BG (2001) Long-term results with the Bankart and Bristow–Latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elb Surg 10(5):445–452

    Article  CAS  Google Scholar 

  24. Hovelius L, Vikerfors O, Olofsson A, Svensson O, Rahme H (2011) Bristow-Latarjet and Bankart: a comparative study of shoulder stabilization in 185 shoulders during a seventeen-year follow-up. J Shoulder Elb Surg 20(7):1095–1101

    Article  Google Scholar 

  25. Hurley ET, Jamal S, Ali ZS, Montgomery C, Pauzenberger L, Mullett H (2019) Long-term outcomes of the Latarjet procedure for anterior shoulder instability: a systematic review of studies at 10-year follow-up. J Shoulder Elb Surg 28(2):e33–e39

    Article  Google Scholar 

  26. Jeon YS, Jeong HY, Lee DK, Rhee YG (2018) Borderline glenoid bone defect in anterior shoulder instability: Latarjet procedure versus Bankart repair. Am J Sports Med 48(9):2170–2176

    Article  Google Scholar 

  27. Lafosse L, Boyle S, Gutierrez-Aramberri M, Shah A, Meller R (2010) Arthroscopic Latarjet procedure. Orthop Clin N Am 41(3):393–405

    Article  Google Scholar 

  28. 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(11):1242.e1–5

    Article  Google Scholar 

  29. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. BMJ 339:b2700

    Article  PubMed  PubMed Central  Google Scholar 

  30. Metais P, Clavert P, Barth J, Boileau P, Broszka R, Nourissat G et al (2016) Preliminary clinical outcomes of Latarjet–Patte coracoid transfer by arthroscopy vs. open surgery: prospective multicenter study of 390 cases. Orthop Traumatol Surg Res 102(8):S271–S276

    Article  CAS  PubMed  Google Scholar 

  31. Minkus M, Wolke J, Fischer P, Scheibel M (2019) Analysis of complication after open coracoid transfer as a revision surgery for failed soft tissue stabilization in recurrent anterior shoulder instability. Arch Orthop Trauma Surg 139(10):1435–1444

    Article  PubMed  Google Scholar 

  32. Mook WR, Petri M, Greenspoon JA, Horan MP, Doman GJ, Millett PJ (2016) Clinical and anatomic predictors of outcomes after the Latarjet procedure for the treatment of anterior glenohumeral instability with combined glenoid and humeral bone defects. Am J Sports Med 44(6):1407–1416

    Article  PubMed  Google Scholar 

  33. Neyton L, Young A, Dawidziak B, Visona E, Hager JP, Fournier Y, Walch G (2012) Surgical treatment of anterior instability in rugby union players: clinical and radiographic results of the Latarjet–Patte procedure with minimum 5-year follow-up. J Shoulder Elb Surg 21:1721–1727

    Article  Google Scholar 

  34. Nourissat G, Neyton L, Metais P, Clavert P, Villain B, Haeni D et al (2016) Functional outcomes after open versus arthroscopic Latarjet procedure: a prospective comparative study. Orthop Traumatol Surg Res 102(8S):S277–279

    Article  CAS  PubMed  Google Scholar 

  35. Owens BD, DeBerardino TM, Nelson BJ, Thurman J, Cameron KL, Taylor DC et al (2009) Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes. Am J Sports Med 37(4):669–673

    Article  PubMed  Google Scholar 

  36. Provencher MT, Bhatia S, Ghodadra NS, Grumet RC, Bach BR Jr, Dewing CB et al (2010) Recurrent shoulder instability: current concepts for evaluation and management of glenoid bone loss. J Bone Jt Surg Am 92(Suppl 2):133–151

    Article  Google Scholar 

  37. Ranalletta M, Rossi LA, Bertona A, Tanoira I, Maignon GD, Bongiovanni SL (2018) Modified Latarjet procedure without capsulolabral repair for the treatment of failed previous operative stabilizations in athletes. Arthroscopy 34(5):1421–1427

    Article  PubMed  Google Scholar 

  38. Rossi LA, Bertona A, Tanoira I, Maignon GD, Bongiovanni SL, Ranalletta M (2018) Comparison between modified Latarjet performed as a primary or revision procedure in competitive athletes. Orthop J Sports Med 8(12):2325967118817233

    Google Scholar 

  39. Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Jt Surg Am 65:456–460

    Article  CAS  Google Scholar 

  40. Schmid SL, Farshad M, Catanzaro S, Gerber C (2012) The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair: a retrospective case series of forty-nine consecutive patients. J Bone Jt Surg Am 94(11):e75

    Article  Google Scholar 

  41. Shah AA, Butler B, Romanowski J, Goel D, Karadagli D, Warner JJP (2012) Short-term complications of the Latarjet procedure. J Boint Jt Surg Am 94:495–501

    Article  Google Scholar 

  42. Warth RJ, Briggs KK, Dornan GJ, Horan MP, Millett PJ (2013) Patient expectations before arthroscopic shoulder surgery: correlation with patients’ reasons for seeking treatment. J Shoulder Elb Surg 22(12):1676–1681

    Article  Google Scholar 

  43. Werthel JD, Sabatier V, Schoch B, Amsallem L, Nourissat G, Valenti P, Kany J, Deranlot J, Solignac N, Hardy P, Vigan M, Hardy A (2019) Outcomes of the Latarjet procedure for the treatment of chronic anterior shoulder instability: patients with prior arthroscopic Bankart repair versus primary cases. Am J Sports Med 48(1):27–32

    Article  PubMed Central  Google Scholar 

  44. Yang JS, Mazzocca AD, Cote MP, Edgar CM, Arciero RA (2016) Recurrent anterior shoulder instability with combined bone loss. Am J Sports Med 44(4):922–932

    Article  PubMed  Google Scholar 

  45. Zimmermann S, Scheyerer M, Farshad M, Catanzaro S, Rahm S, Gerber C (2016) Long-term restoration of anterior shoulder stability: a retrospective analysis of arthroscopic Bankart Repair versus open latarjet procedure. J Bone Jt Surg Am 98(23):1954–1961

    Article  Google Scholar 

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Authors and Affiliations

  1. Sports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland

    Zakariya S. Ali, Eoghan T. Hurley, M. Shazil Jamal, Connor Montgomery, Leo Pauzenberger & Hannan Mullett

  2. Royal College of Surgeons in Ireland, Dublin, Ireland

    Zakariya S. Ali, Eoghan T. Hurley, M. Shazil Jamal & Hannan Mullett

  3. The Steadman Philippon Research Institute, Vail, CO, USA

    Marilee P. Horan & Peter. J. Millett

  4. National University of Ireland Galway, Galway, Ireland

    Eoghan T. Hurley

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  1. Zakariya S. Ali
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Correspondence to Eoghan T. Hurley.

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Ali, Z.S., Hurley, E.T., Jamal, M.S. et al. Low rate of recurrent instability following the open Latarjet procedure as a revision procedure for failed prior stabilization surgery. Knee Surg Sports Traumatol Arthrosc 29, 2110–2117 (2021). https://doi.org/10.1007/s00167-020-06155-6

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