Ninety-day complication rate based on 532 Latarjet procedures in six high volume and seven low volume Dutch hospitals.

Abstract

In this study, we provide insight into the 90-day complication rates following the Latarjet procedure. The data are collected from 2015 from multiple hospitals in the Netherlands, with different volumes of Latarjet procedures. Our second aim is to examine which of the patients' and surgical factors are associated with a complication. A retrospective chart review has been conducted in 13 hospitals between 2015 and 2022. Data regarding complications within 90 days of Latarjet procedures were extracted. The effect of sex, age, BMI, smoking, previous shoulder operations, fixation material, hospital volume, screw size, and operation time on the complication rate was assessed by multivariable logistic regression analysis. From the 532 included patients 58 (10.9%) had a complication. Most common complications were material failure (n=19; 3.6%) and nerve injuries (n=13; 2.4%). The risk of complications was lower for males than for females (Odds ratio 0.40, CI: 0.21:0.77, p=0.006). Age, BMI, smoking, previous shoulder operations, type of fixation material, hospital volume, screw size, and operation time were not associated with a complication. The 90-day complication rate after a Latarjet procedure is 10.9% and is higher in females than in males. Age, BMI, smoking, previous shoulder operations, type of fixation material, hospital volume, screw size, and operation time did not affect complication rate. We advise setting up a national registry to prevent underreporting of complications.