Failed Latarjet procedure: a systematic review of surgery revision options.

Complication Coracoid transfer Eden–Hybinette Failed Latarjet Recurrent shoulder instability Shoulder stabilization

Journal

Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology
ISSN: 1590-9999
Titre abrégé: J Orthop Traumatol
Pays: Italy
ID NLM: 101090931

Informations de publication

Date de publication:
21 Jun 2021
Historique:
received: 22 12 2020
accepted: 03 06 2021
entrez: 22 6 2021
pubmed: 23 6 2021
medline: 21 7 2021
Statut: epublish

Résumé

Revision surgery after the Latarjet procedure is a rare and challenging surgical problem, and various bony or capsular procedures have been proposed. This systematic review examines clinical and radiographic outcomes of different procedures for treating persistent pain or recurrent instability after a Latarjet procedure. A systematic review of the literature was performed using the Medline, Cochrane, EMBASE, Google Scholar and Ovid databases with the combined keywords "failed", "failure", "revision", "Latarjet", "shoulder stabilization" and "shoulder instability" to identify articles published in English that deal with failed Latarjet procedures. A total of 11 studies (five retrospective and six case series investigations), all published between 2008 and 2020, fulfilled our inclusion criteria. For the study, 253 patients (254 shoulders, 79.8% male) with a mean age of 29.6 years (range: 16-54 years) were reviewed at an average follow-up of 51.5 months (range: 24-208 months). Eden-Hybinette and arthroscopic capsuloplasty are the most popular and safe procedures to treat recurrent instability after a failed Latarjet procedure, and yield reasonable clinical outcomes. A bone graft procedure and capsuloplasty were proposed but there was no clear consensus on their efficacy and indication. Level of evidence Level IV Trial registration PROSPERO 2020 CRD42020185090- www.crd.york.ac.uk/prospero/.

Sections du résumé

BACKGROUND BACKGROUND
Revision surgery after the Latarjet procedure is a rare and challenging surgical problem, and various bony or capsular procedures have been proposed. This systematic review examines clinical and radiographic outcomes of different procedures for treating persistent pain or recurrent instability after a Latarjet procedure.
METHODS METHODS
A systematic review of the literature was performed using the Medline, Cochrane, EMBASE, Google Scholar and Ovid databases with the combined keywords "failed", "failure", "revision", "Latarjet", "shoulder stabilization" and "shoulder instability" to identify articles published in English that deal with failed Latarjet procedures.
RESULTS RESULTS
A total of 11 studies (five retrospective and six case series investigations), all published between 2008 and 2020, fulfilled our inclusion criteria. For the study, 253 patients (254 shoulders, 79.8% male) with a mean age of 29.6 years (range: 16-54 years) were reviewed at an average follow-up of 51.5 months (range: 24-208 months).
CONCLUSIONS CONCLUSIONS
Eden-Hybinette and arthroscopic capsuloplasty are the most popular and safe procedures to treat recurrent instability after a failed Latarjet procedure, and yield reasonable clinical outcomes. A bone graft procedure and capsuloplasty were proposed but there was no clear consensus on their efficacy and indication. Level of evidence Level IV Trial registration PROSPERO 2020 CRD42020185090- www.crd.york.ac.uk/prospero/.

Identifiants

pubmed: 34155563
doi: 10.1186/s10195-021-00587-7
pii: 10.1186/s10195-021-00587-7
pmc: PMC8217356
doi:

Types de publication

Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

24

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Auteurs

Matteo Buda (M)

Division of Orthopaedics and Trauma, Madre Teresa Di Calcutta Hospital, Monselice, Padova, Italy.

Riccardo D'Ambrosi (R)

IRCCS Orthopedic Institute Galeazzi, Milan, Italy. riccardo.dambrosi@hotmail.it.

Enrico Bellato (E)

Department of Surgical Sciences, San Luigi Gonzaga Hospital, University of Turin Medical School, Turin, Italy.

Davide Blonna (D)

Orthopaedic and Traumatology Department, University of Turin Medical School, Turin, Italy.

Alessandro Cappellari (A)

Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy.

Giacomo Delle Rose (G)

Shoulder and Elbow Unit, Humanitas Research Hospital, Rozzano, Milan, Italy.

Giovanni Merolla (G)

Shoulder and Elbow Unit, Cervesi Hospital, Cattolica, AUSL Romagna, Cattolica, Italy.
Doctorate School in Clinical and Experimental Medicine, UNIMORE, Modena, Italy.

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Classifications MeSH