Intraoperative graft-related complications are a risk factor for recurrence in arthroscopic Latarjet stabilisation

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Bartłomiej KordasiewiczStanisław Pomianowski

Abstract

The goal of this study was to evaluate clinical and radiological outcomes after arthroscopic Latarjet stabilisation in anterior shoulder instability. Ninety-three patients after primary arthroscopic Latarjet stabilisation were reviewed. Satisfaction, subjective shoulder value (SSV), Walch-Duplay and Rowe scores, and range of motion and stability were evaluated on clinical examination. Computed tomography (CT) was used to analyse graft position and fusion. Ninety patients (96.8%) were available for clinical and 85 for CT evaluation. The mean follow-up was 23.7 months (13-50, SD 7.1) and age at surgery was 26.2 years (16-44, SD 5.6). Intraoperative complications were reported in eight patients (8.9%) and recurrence in three (3.3%). Significantly, two out of three patients with recurrence had intraoperative graft complications (p = 0.0107). Forty-one patients (45.6%) reported the feeling of "subjective return to sport anxiety". External rotation with arm at the side was 59° (10-90°, SD 20) with 15° (0-70°, SD 17) of loss of rotation. These two factors correlated with results the most. Patient satisfaction was evaluated as 92% (40-100, SD 14) and SSV 90% (30-100, SD12). Revision rate after primary surgery was 10%. CT showed graft h...Continue Reading

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Citations

Jan 3, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoann DalmasNicolas Bonnevialle
Apr 1, 2020·JBJS Reviews·Devin LemmexPascal Boileau
Jan 31, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Joseph D LamplotSamuel A Taylor
Nov 2, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J Brett GoodloeHarris S Slone
Mar 21, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoann BohuAlexandre Hardy
Nov 23, 2021·Journal of Shoulder and Elbow Surgery·Dipit Sahu

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