Abstract
Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 ± 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist.
Highlights
The management of traumatic anterior shoulder instability represents a challenge, especially in young and active patients [1]
Arthroscopic Bankart repair provides good early results, but approximately 50% of failures occur more than 2 years after the initial surgery [2], and the procedure is not as successful as open capsulolabral repair [1,3,4,5]
In patients with the marked bone loss associated with a capsular deficiency from chronic instability [6,7,8], Bankart repair alone does not prevent recurrent instability, and different bone-block techniques have been developed in the last few years [3]
Summary
The management of traumatic anterior shoulder instability represents a challenge, especially in young and active patients [1]. The coracoid graft is positioned subequatorially in the vertical plane, and flush to the glenoid surface in the horizontal plane, and it is fixed to the glenoid rim with two bicortical screws [9,10] This procedure can produce excellent results, with a low rate of recurrent instability and high rate of return to sports at pre-injury level [11,12,13]. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. The external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist
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