Summary

Clinical outcome after open Latarjet procedure performed after failed arthroscopic stabilisation, a retrospective case series of 32 consecutive patients

Abstract

Introduction

The Latarjet procedure involves a transfer of a section of the coracoid process with the attached conjoined tendon in case of a substantial glenoid bone loss. In the current literature, there are only a few studies describing clinical outcome of open Latarjet procedures performed after failed arthroscopic stabilisation.
Objectives:
To evaluate the clinical outcome after open Latarjet procedure performed after failed arthroscopic stabilisation.

Methods

The study includes a cohort of 32 patients (27 males, 5 females) with a median age of 28.9 (19-46) years when treated in our institution between January 2006 and January 2019. The median follow-up time was 10.1 (3-14) years. We performed modified open (Congruent-Arc) Latarjet technique. The indication for surgery was repetitive anterior glenohumeral instability. All shoulders had dislocation after previous arthroscopic surgery.

Results

The results of all 32 shoulders were reviewed. 24 (75.0 %) patients returned to pre-injury level. The mean ASES score was 89.0 (11.68-100). The mean ROWE score for instability was 88.2 (15-100). 26 (81.25 %) patients were graded as excellent, 5 (15.6 %) patients as poor based on ROWE score for instability. Dissatisfaction was associated with persistent subluxations in 1 (3.1%) patient, persistent pain in 6 (18.8%) patients, redislocation was observed in 1 shoulder (3.1%) after repeated trauma, inability to compete in sports at the pre-injury level 8 (25.0%) and some glenohumeral motion deficit, specifically external rotation 3 (9.4%).

Conclusions

Open Latarjet procedure after failed arthroscopic stabilisation is generally a safe and effective method of treatment of anterior glenohumeral instability. 3 out of 4 (75.0%) treated patients returned back to pre-injury level.