Both open, arthroscopic Latarjet yielded positive outcomes for patients with instability
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TAMPA, Fla. — According to presented results, patients with anterior shoulder instability who undergo either open or arthroscopic Latarjet surgery have “excellent” patient -reported outcomes with low rates of recurrent instability.
“The arthroscopic Latarjet procedure gained popularity due to its minimally invasive approach, which potentially results in decreased stiffness, fewer complications and a quicker rehabilitation,” Laith M. Jazrawi, MD, said in his presentation at the American Shoulder and Elbow Surgeons Annual Meeting. “However, there is still scant evidence on this technique coming from North American, with the vast majority of evidence coming from Europe,” he said.
Jazrawi and colleagues performed a retrospective review of data for 50 patients who underwent open Latarjet (OL) and 30 patients who underwent arthroscopic Latarjet (AL) for anterior shoulder instability between 2011 and 2019. According to the abstract, outcome measures included recurrent instability, VAS pain score, subjective shoulder value (SSV), Western Ontario Shoulder Instability (WOSI) score, patient satisfaction, willingness to undergo surgery again and return to work or sport.
At final follow-up, Jazrawi and colleagues found no significant differences between the groups for multiple outcomes.
Three patients in the OL group and two patients in the AL group had recurrent instability. WOSI scores in patients who underwent OL and AL were 29.7% and 27.1%, respectively; VAS scores were 1.2 and 1.3, respectively; SSV was 70 and 75.7, respectively, and satisfaction was 89.4% and 85.6%, respectively. Additionally, 96% of patients who underwent OL and 93.7% of patients who underwent AL said they would undergo surgery again.
“In patients with anterior shoulder instability, the open and the arthroscopic Latarjet procedures were shown to be reliable treatment with a low rate of recurrent instability and excellent patient-reported outcomes,” Jazrawi said.
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Jazrawi LM, et al. Paper 13. Presented at: American Shoulder and Elbow Surgeons Annual Meeting; Dec. 15-17, 2021; Tampa, Fla.
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