Arthroscopic Latarjet may be revision option for failed Bankart repair
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Key takeaways:
- Arthroscopic Latarjet surgery may be an option for revision of failed arthroscopic Bankart repair.
- Patients who had arthroscopic Latarjet as a revision option showed improved function and low complication rates.
Arthroscopic Latarjet as a revision option for failed arthroscopic Bankart repair may yield satisfactory patient-reported outcomes with low rates of complications and recurrent instability, according to published results.
Emilio Calvo, MD, PhD, MBA, from the department of orthopedic surgery and traumatology at the Hospital Universitario Fundación Jiménez Diaz in Madrid, and colleagues retrospectively analyzed data from 77 patients (mean age, 31.2 years) who underwent arthroscopic Latarjet as a revision option for a failed arthroscopic Bankart repair between 2009 and 2020.
“Open Latarjet procedure is probably still considered the gold standard in recurrent cases and after failed repair,” Calvo and colleagues wrote in the study. “This can be explained because arthroscopic Latarjet is a challenging procedure and highly demanding.”
According to the study, Calvo and colleagues assessed outcomes at minimum 2-year follow-up. Outcomes included Rowe scores, Western Ontario Shoulder Instability (WOSI) scores, Constant scores and SANE scores, as well as dislocations, subluxations, complications, activity levels and progression of osteoarthritis.
Calvo and colleagues found mean Rowe score increased from 41.8 preoperatively to 90.7 postoperatively, mean Constant score increased from 50.5 preoperatively to 90.5 postoperatively and mean WOSI score decreased from 1,247 preoperatively to 548.9 postoperatively. They noted 83.1% of patients had good to excellent SANE scores.
At 39.6 months postoperatively, Calvo and colleagues found 23.4% of patients had grade 1 OA, 7.8% of patients had grade 2 OA and 3.9% of patients had grade 3 OA. They found 7.8% of patients had a subsequent dislocation. They also noted levels of athletic activity significantly decreased after surgery.
“According to our results and preexisting literature, we suggest that the arthroscopic Latarjet procedure could be considered the primary revision surgery after a failed Bankart repair,” Calvo and colleagues concluded.
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