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.
To evaluate the clinical outcome after open Latarjet procedure performed after failed arthroscopic stabilisation.
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.
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%).
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.