ARTHROSCOPIC LATARJET STABILISATION PROCEDURE – CLINICAL AND RADIOLOGICAL SHORT TERM OUTCOMES IN THE FIRST 101 CASES

Abstract

Introduction and aim Latarjet remains one of the most efficient stabilisation procedures in anterior shoulder instability. The goal of this study was to evaluate the clinical outcomes and radiological parameters after arthroscopic Latarjet. Material and methods Between 2011–2016 an arthroscopic Latarjet stabilisation was performed in 104 patients, who were controlled with clinical examination, X-ray and CT-scans at a minimum follow up of 13 months. Results 101 shoulders (97.1%) were available for clinical evaluation. The mean follow-up was 23.8 months (13 to 50). 96 shoulders (95%) had CT scan evaluation. Patients satisfaction was evaluated as 92%, SSV 88%, Walch-Duplay and Rowe scores respecitvely 77 and 80 points. The mean external rotation loss was 17° with no further motion deficits. Recurrence was reported in 4 (4%) patients. 2 out of 4 cases of recurrence had intraoperative complications (correlation in M-L Chi2 test p = 0.0107). Revision surgery was performed in 10 patients (9.8%). CT evaluation showed 95.8% of graft fusion rate, 1 case (1%) of total graft osteolysis, 2 cases (2.1%) of graft pseudoarthrosis and 2 cases (2.1%) of graft fracture. Conclusions The arthroscopic Latarjet demonstrates satisfactory results in short term follow-up. Some factors influencing the outcome are: intraoperative graft related complications (correlated strongly with recurrence), subjective return to sport anxiety and loss of external rotation (correlated with worsened clinical outcome).