Latarjet procedure may yield consistent, favorable outcomes for shoulder instability
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Key takeaways:
- The Latarjet procedure yielded positive short-term and long-term outcomes for patients with anterior glenohumeral instability.
- The study included a population of patients from North America.
SAN ANTONIO — Presented results showed the Latarjet procedure yielded positive short-term and long-term outcomes for North American patients with anterior glenohumeral instability.
“Many of our long-term studies and outcomes have been published out of Europe, and less so in North America,” Walter Smith, MD, from the Fondren Orthopedic Research Institute at Texas Orthopedic Hospital in Houston, said in his presentation at the American Shoulder and Elbow Surgeons Annual Meeting.
Smith and colleagues analyzed data for 413 patients from North America who underwent open Latarjet surgery for anterior glenohumeral instability between January 2003 and January 2023.
Patient-reported outcome measures included single assessment numeric evaluation (SANE) and Western Ontario Shoulder Instability Index (WOSI) scores. Overall, 48 patients had short-term follow-up (1 to 9 years) at an average 4.75 years, and 44 patients had long-term follow-up (10 years or more) at an average 13 years.
Among all patients, mean SANE score was 84.8 and mean WOSI score was 21. Smith and colleagues found 93.5% of patients did not require additional shoulder surgery, 95.6% of patients reported no dislocations and 80.4% of patients reported no slipping.
Smith and colleagues found long-term patients had a higher rate of additional postoperative shoulder surgeries compared with short-term patients (13.64% vs. 0%). However, Smith noted no other differences between long-term and short-term patients for postoperative dislocations (4.55% vs. 4.17%, respectively), instability (22.73% vs. 16.67%, respectively), prior surgery (40.91% vs. 47.92%, respectively), SANE scores (85.16 vs. 84.52, respectively) or composite WOSI scores (22.52 vs. 19.66, respectively).
“The open Latarjet procedure has proven to be a powerful treatment for anterior glenohumeral instability,” Smith concluded.
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Smith W, et al. Paper 1. Presented at: American Shoulder and Elbow Surgeons Annual Meeting; Oct. 16-19, 2024; San Antonio.
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