Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-up
Background: The Bristow–Latarjet surgery is the procedure most performed for recurrent anterior shoulder dislocation. There are few studies with a follow-up of more than 20 years. Because it is a nonanatomical technique, there is interest in knowing the clinical and radiological results and the rate...
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Elsevier
2025-01-01
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| author | Arnaldo Amado Ferreira Neto, MD, PhD Mauro Emilio Conforto Gracitelli, MD, PhD Jorge Henrique Assunção, MD, PhD Fernando Brandão de Andrade e Silva, MD, PhD Verônica Yulin Prieto Chang, MD Eduardo Angeli Malavolta, MD, PhD |
| author_facet | Arnaldo Amado Ferreira Neto, MD, PhD Mauro Emilio Conforto Gracitelli, MD, PhD Jorge Henrique Assunção, MD, PhD Fernando Brandão de Andrade e Silva, MD, PhD Verônica Yulin Prieto Chang, MD Eduardo Angeli Malavolta, MD, PhD |
| author_sort | Arnaldo Amado Ferreira Neto, MD, PhD |
| collection | DOAJ |
| description | Background: The Bristow–Latarjet surgery is the procedure most performed for recurrent anterior shoulder dislocation. There are few studies with a follow-up of more than 20 years. Because it is a nonanatomical technique, there is interest in knowing the clinical and radiological results and the rates of complications in the long term. Methods: We performed a retrospective case series study. Patients with recurrent anterior dislocation of the shoulder who underwent the Bristow–Latarjet procedure were included and followed-up clinically for at least 30 years. We evaluated clinical scores—the Rowe, Western Ontario Shoulder Instability, Single Assessment Numeric Evaluation, and visual analog scale—as well as clinical outcomes: the recurrency (dislocation or subluxation) and seizure. Screw and graft positioning were assessed by computed tomography, the degree of arthropathy by radiography, and subscapularis fatty degeneration as rotator cuff tears by magnetic resonance imaging. Both clinical scores and imaging were obtained at 30 years of surgery. Results: Twenty-seven patients (30 shoulders) were evaluated, with a mean follow-up of 35 ± 4.5 years. The scores obtained were 88.28 ± 15.9 by Rowe, 208 ± 244.2 by the Western Ontario Shoulder Instability examination, 92.5% ± 10.4% by the Single Assessment Numeric Evaluation, and 0.45 ± 1.3 by the visual analog scale. The recurrence rate was 13.3%, with all patients presenting subluxations and no new dislocations. All grafts were positioned below the glenoid equator. In 82.4% of the cases, the grafts were aligned with the articular surface, 5.9% were medially deviated, and 11.8% were laterally deviated. Consolidation occurred in 76.5% of the cases. The screws presented bicortical fixation in 76.5% of the shoulders and inclination in the axial plane of less than 15° in 64.7%. A total of 58.8% of the cases presented with glenohumeral arthropathy, and 75% of the magnetic resonance imagings showed the absence of fatty degeneration. Conclusion: Bristow–Latarjet surgery demonstrates excellent clinical results in most patients after 30 years of follow-up. The recurrence rate is low, as is the complication rate. Glenohumeral arthropathy occurs in most patients without significant clinical repercussions. |
| format | Article |
| id | doaj-art-7cdbefc34a334071b43772072a7d4b36 |
| institution | Kabale University |
| issn | 2666-6383 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-7cdbefc34a334071b43772072a7d4b362025-01-12T05:25:59ZengElsevierJSES International2666-63832025-01-01911824Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-upArnaldo Amado Ferreira Neto, MD, PhD0Mauro Emilio Conforto Gracitelli, MD, PhD1Jorge Henrique Assunção, MD, PhD2Fernando Brandão de Andrade e Silva, MD, PhD3Verônica Yulin Prieto Chang, MD4Eduardo Angeli Malavolta, MD, PhD5Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil; Corresponding author: Arnaldo Amado Ferreira Neto, MD, PhD, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Rua Dr. Ovídio Pires de Campos 333 3rd floor Cerqueira Cesar, São Paulo, SP 05403-010, Brazil.Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil; DASA/Hospital Nove de Julho, São Paulo, SP, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil; Hcor - Hospital do Coração, São Paulo, SP, BrazilBackground: The Bristow–Latarjet surgery is the procedure most performed for recurrent anterior shoulder dislocation. There are few studies with a follow-up of more than 20 years. Because it is a nonanatomical technique, there is interest in knowing the clinical and radiological results and the rates of complications in the long term. Methods: We performed a retrospective case series study. Patients with recurrent anterior dislocation of the shoulder who underwent the Bristow–Latarjet procedure were included and followed-up clinically for at least 30 years. We evaluated clinical scores—the Rowe, Western Ontario Shoulder Instability, Single Assessment Numeric Evaluation, and visual analog scale—as well as clinical outcomes: the recurrency (dislocation or subluxation) and seizure. Screw and graft positioning were assessed by computed tomography, the degree of arthropathy by radiography, and subscapularis fatty degeneration as rotator cuff tears by magnetic resonance imaging. Both clinical scores and imaging were obtained at 30 years of surgery. Results: Twenty-seven patients (30 shoulders) were evaluated, with a mean follow-up of 35 ± 4.5 years. The scores obtained were 88.28 ± 15.9 by Rowe, 208 ± 244.2 by the Western Ontario Shoulder Instability examination, 92.5% ± 10.4% by the Single Assessment Numeric Evaluation, and 0.45 ± 1.3 by the visual analog scale. The recurrence rate was 13.3%, with all patients presenting subluxations and no new dislocations. All grafts were positioned below the glenoid equator. In 82.4% of the cases, the grafts were aligned with the articular surface, 5.9% were medially deviated, and 11.8% were laterally deviated. Consolidation occurred in 76.5% of the cases. The screws presented bicortical fixation in 76.5% of the shoulders and inclination in the axial plane of less than 15° in 64.7%. A total of 58.8% of the cases presented with glenohumeral arthropathy, and 75% of the magnetic resonance imagings showed the absence of fatty degeneration. Conclusion: Bristow–Latarjet surgery demonstrates excellent clinical results in most patients after 30 years of follow-up. The recurrence rate is low, as is the complication rate. Glenohumeral arthropathy occurs in most patients without significant clinical repercussions.http://www.sciencedirect.com/science/article/pii/S2666638324003840Shoulder jointJoint instabilityBristow–Latarjet surgeryEvaluation of the outcome of therapeutic interventionsRetrospective studyAnterior shoulder instability |
| spellingShingle | Arnaldo Amado Ferreira Neto, MD, PhD Mauro Emilio Conforto Gracitelli, MD, PhD Jorge Henrique Assunção, MD, PhD Fernando Brandão de Andrade e Silva, MD, PhD Verônica Yulin Prieto Chang, MD Eduardo Angeli Malavolta, MD, PhD Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-up JSES International Shoulder joint Joint instability Bristow–Latarjet surgery Evaluation of the outcome of therapeutic interventions Retrospective study Anterior shoulder instability |
| title | Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-up |
| title_full | Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-up |
| title_fullStr | Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-up |
| title_full_unstemmed | Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-up |
| title_short | Clinical and radiological evaluation of the Bristow–Latarjet procedure in patients with 30 or more years of follow-up |
| title_sort | clinical and radiological evaluation of the bristow latarjet procedure in patients with 30 or more years of follow up |
| topic | Shoulder joint Joint instability Bristow–Latarjet surgery Evaluation of the outcome of therapeutic interventions Retrospective study Anterior shoulder instability |
| url | http://www.sciencedirect.com/science/article/pii/S2666638324003840 |
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