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Similar Results After Latarjet Procedure Between Primary Cases And Revision Cases After Prior Arthroscopic Bankart Procedure

Similar Results After Latarjet Procedure Between Primary Cases And Revision Cases After Prior Arthroscopic Bankart Procedure

Efstathios Konstantinou, MD, MSc, UNITED STATES Theodoros Mylonas, MD, GREECE Alexandros Koskiniotis, MD, MSc, GREECE Nikolaos Stefanou, MD, GREECE Georgios Komnos, MD, PhD, GREECE Socratis Varitimidis, MD, PhD, GREECE Michael E. Hantes, MD, PhD, Prof., GREECE

Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessally, Larisa, GREECE


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Summary: Similar results in functional outcomes, postoperative pain and recurrence rate after Latarjet procedure between primary cases and revision cases after prior arthroscopic Bankart procedure


Introduction

Anterior shoulder dislocation is frequently perplexed by recurrent instability with rates up to 70% in young patients. Recurrent instability has been correlated with bony lesions, young age and contact sports. The optimal surgical modality remains debatable, with the majority of surgeons preferring the Bankart procedure as the primary repair for recurrent instability.

Aim

The aim of this study was to compare the outcomes of mini-open Latarjet procedure as primary procedure versus revision repair after failed arthroscopic Bankart repair, in a tertiary Orthopaedic department in Greece.

Material And Methods

We performed a retrospective comparative study of all patients with traumatic anterior shoulder instability undergoing either an open Latarjet procedure either as primary (group 1) or as revision surgery (group 2) from 2012 to 2020. Clinical and functional outcomes were assessed using the Rowe, Oxford Shoulder Instability, VAS scores and recurrent instability as well. All patients had a minimum follow-up of 2 years.

Results

43 and 17 patients were included in group 1 and 2 respectively. Mean follow-up was 5,7 years for group 1 and 5,9 years for group 2. Post-operatively all clinical scores (Rowe, Oxford Shoulder Instability, VAS scores) highlighted a worse status for the revision Latarjet group, but this was not statistically significant. Return to daily activities, including sport activities, was also comparable among the two groups. One patient from each group had recurrent instability (p=.34). No major complication was recorded during the follow-up in both groups.

Conclusion

The Latarjet procedure successfully prevents chronic anterior shoulder instability and is associated with high levels of patient satisfaction. Functional outcome scores, postoperative pain and recurrence rate suggest no difference between primary and revision Latarjet procedures.


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