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Treatment of shoulder instability with Latarjet procedure led to greater risk of reoperation
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DENVER — Patients with an unstable shoulder who underwent Latarjet treatment had a greater risk of requiring a reoperation or developing postoperative complications compared with patients who underwent arthroscopic Bankart repair, according to results presented at the Arthroscopy Association of North America Annual Meeting.
“As we can see, the odds of requiring a reoperation or developing any postoperative complications were greater following Latarjet but, in contrast to historical and published data, the odds of postoperative infection or nerve injury were not different in the Latarjet patients,” Rachel M. Frank, MD, said in her presentation.
Frank and colleagues identified 5,331 patients who underwent shoulder stabilization procedures between 2007 and 2014. Of these patients, 4,764 had arthroscopic Bankart repair; 428 underwent open Bankart repair; and 139 patients had a Latarjet procedure. Researchers recorded complications and reoperations following the procedures.
Frank noted patients who underwent Latarjet experienced significantly greater odds of sustaining a deep vein thrombosis or pulmonary embolism vs. patients who underwent arthroscopic Bankart repair. At 90-days, 6-months and 1-year postoperatively, patients who underwent a Latarjet procedure also had significantly greater odds of undergoing a reoperation.
“But the odds of other complications, including infection, nerve injury and/or stiffness, were not significantly different following the Latarjet procedure vs. the arthroscopic Bankart procedure,” Frank said. – by Casey Tingle
Reference:
Frank R, et al. Paper #SS-04. Presented at: Arthroscopy Association of North America Annual Meeting; May 18-20, 2017; Denver.
Disclosure: Frank reports no relevant financial disclosures.