Latarjet may be the preferred treatment for patients with subcritical glenoid bone loss
Click Here to Manage Email Alerts
TAMPA, Fla. — Compared with patients who undergo arthroscopic Bankart repair, patients who undergo open Latarjet surgery for subcritical glenoid bone loss have better outcomes and less physical restrictions, presented results showed.
“To date, there have been no published studies looking at treatment of subcritical [glenoid] bone loss with a follow-up of 2 years,” Kyong S. Min, MD, said at the American Shoulder and Elbow Surgeons Annual Meeting.
Min and colleagues in the department of orthopedic surgery at Tripler Army Medical Center in Honolulu, Hawaii, performed a retrospective review of data on patients with anterior glenohumeral instability and a glenoid bone loss of 13.5% to 24% who were treated with arthroscopic Bankart repair (n = 25) or open Latarjet surgery (n = 23) with a mean follow-up of 48.3 months and 37.5 months, respectively. Average glenoid bone loss was 17.8% in the arthroscopic Bankart cohort and 19.3% in the open Latarjet cohort.
Outcome measures included failure of surgery – defined as recurrent dislocation or subluxation – permanent physical restriction, Western Ontario Shoulder Instability Index (WOSI) score and single assessment numeric evaluation (SANE) score, according to the abstract.
Overall, six patients in the arthroscopic Bankart cohort and two patients in the open Latarjet cohort failed surgery. Average postoperative SANE score for the arthroscopic Bankart cohort was 48, while average SANE score for the Latarjet group was 84. Additionally, 16 patients who underwent arthroscopic Bankart repair were placed on permanent physical restrictions, while three patients who underwent open Latarjet were placed on permanent physical restrictions.
“In conclusion, in cases of subcritical bone loss – which we defined as 13.5% to 24% bone loss – those treated with the open Latarjet had a significantly higher SANE score and WOSI score,” Min said.
He said, “This is an active military population, so the data that we present may not be applied to all populations.”
Collapse
Min KS, et al. Paper 18. Presented at: American Shoulder and Elbow Surgeons Annual Meeting; Dec. 15-17, 2021; Tampa, Fla.
Read more about
Click Here to Manage Email Alerts