Preoperative dislocations do not influence recurrence rates after Latarjet procedures
Click Here to Manage Email Alerts
The number of preoperative episodes of dislocation did not influence postoperative instability rates or recurrence rates after a Latarjet procedure, according to a retrospective study in the American Journal of Sports Medicine.
The investigators analyzed 308 patients aged at least 18 years at the time of surgery, with a minimum 2-year follow-up. All patients had undergone a primary Latarjet procedure for recurrent anterior glenohumeral joint instability between 2013 and 2015 in one of five institutions.
Researchers compared two cohorts of patients: a first-time dislocation group (n = 83) and a recurrent dislocation group (n = 225). Study data showed that patients were predominantly young (27.8 years) men (85.4%) who were involved in a sport activity either at the competitive level (33.1%) or recreational level (58.8%).
Three techniques were used for the surgeries, depending on the surgeon’s preferences: a mini-open technique using a drill guide (Arthrex), an arthroscopic technique using a specific guide (DePuy Mitek) and two cannulated cancellous screws, and an arthroscopic technique using two cortical buttons placed through a posterior drill guide. All patients had similar postoperative protocols.
Researchers assessed patients by a questionnaire on the number of episodes of preoperative dislocations, the time between the first dislocation and surgery, recurrence of dislocation, revision surgery, the Walch-Duplay score, the Simple Shoulder Test (SST) score, and the visual analog scale (VAS) score.
Study results revealed that, at the time of the last follow-up, rate of recurrence was not significantly different between the first-time dislocation group (4.8%) and the recurrent dislocation group (3.7%). Further, the rate of reoperation also was not significantly different:6.1% in the first-time dislocation group vs. 4% in the recurrent dislocation group.
Most reoperations (57.1%) were due hardware removal. — by Kaitlin McGee
Disclosures: The researchers report no relevant financial disclosures.
Read more about
Click Here to Manage Email Alerts