Latarjet procedure for recurrent anterior shoulder instability: 2-Year outcomes in patients with minimal glenoid bone loss

Background: Recurrent instability in the anterior region of the shoulder turns out to be a prevalent problem in orthopaedics that significantly impacts the living standard of a patient. The quality of life among the patients having recurrent instability is greatly affected by pain, lowered range of...

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Bibliographic Details
Main Authors: Naveen Sharma, Varun Singh, Abha Sharma
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Orthopaedic Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X24000365
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Summary:Background: Recurrent instability in the anterior region of the shoulder turns out to be a prevalent problem in orthopaedics that significantly impacts the living standard of a patient. The quality of life among the patients having recurrent instability is greatly affected by pain, lowered range of motion, and functional limitations. For shoulder instability, the Latarjet technique stands out as a reliable option, but its effectiveness and safety in patients without remarkable loss of the glenoid bone loss is the subject of debate. The main purpose of the present investigation merely relies on the clinical outcome of Latarjet technique for recurrent instability of anterior shoulder without remarkable glenoid bone loss. Methods: The Latarjet surgical process was performed on 164 patients in a single-centre. The study was conducted retrospectively and the clinical findings among patients were evaluated with the Rowe score at 3-month, 12-month, and 24-month follow-up. The incidence and severity of complications were also recorded. Results: The study showed a significant improvement in patient condition, with the mean Rowe score improving from 38.20 ± 9.18 pre-operatively to 93.66 ± 2.60 at the follow-up of 24-month. Mild and self-limiting complications were observed in the study, including 4.26 % of patients with neuropraxia, 9.15 % of patients with mild pain at rest, and 9.76 % with snapping noise. No revision surgery was required in any patient. Conclusion: For patients with recurrent instability in the anterior shoulder with minimal glenoid bone loss, the Latarjet procedure can be an effective and safe treatment option, with a low incidence of complications.
ISSN:2773-157X