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Complications Related to Latarjet Shoulder Stabilization: A Systematic Review

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Author(s)
Chul-Hyun ChoSang Soo NaByung-Chan ChoiDu-Han Kim
Keimyung Author(s)
Cho, Chul HyunKim, Du Han
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Am J Sports Med
Issued Date
2023
Volume
51
Issue
1
Keyword
Latarjetcomplicationinstabilitydislocationstabilizationshoulder
Abstract
Background:
In cases of recurrent anterior shoulder instability with a glenoid defect, Latarjet procedures are widely used for stabilization. Although complications with this procedure have been reported, few studies have comprehensively analyzed issues related to the Latarjet procedure.

Purpose:
To identify the overall complication rate of the Latarjet procedure used for anterior shoulder instability and to compare the rate of complications between arthroscopic and open approaches.

Study Design:
Systematic review; Level of evidence, 4.

Methods:
PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed by using the PubMed, EMBASE, Scopus, and Cochrane Library databases. Data on complications were extracted and classified as intraoperative, postoperative, or instability-related for further analysis. Quality assessments were performed with criteria from the Methodological Index for Nonrandomized Studies (MINORS). A quantitative synthesis of data was conducted to compare the complication rates between arthroscopic and open approaches.

Results:
A total of 35 articles were included in this analysis. The MINORS score was 11.89. A total 2560 Latarjet procedures (2532 patients) were included. The overall complication rate was 16.1% (n = 412). The intraoperative complication rate was 3.4% (n = 87) and included a 1.9% (n = 48) incidence of nerve injuries and a 1.0% (n = 25) incidence of iatrogenic fractures. Screw problems, vascular injuries, and conversion arthroscopic to open surgery each occurred at a rate of <1%. The postoperative complication rate was 6.5% (n = 166), and the most common complication was nonunion (1.3%; n = 33). The instability-related complication rate was 6.2% (n = 159) and included a 1.5% (n = 38) rate of redislocation, a 2.9% (n = 75) rate of positive apprehension test, and a 1.0% (n = 26) rate of instability. Overall, 2.6% (n = 66) of patients required an unplanned secondary operation after the initial surgery. The arthroscopic approach was associated with a higher rate of intraoperative complications compared with the open approach (5.0% vs 2.9%; P =.020) and a lower rate of instability-related complications (3.1% vs 7.2%; P < .001).

Conclusion:
The Latarjet procedure for anterior shoulder instability results in an overall complication rate of 16.1% and a reoperation rate of 2.6%. However, serious complications at short-term follow-up appear rare. When the arthroscopic approach was used, the rate of intraoperative complications was higher, although instability-related complications were lower when compared with the open approach.
Keimyung Author(s)(Kor)
조철현
김두한
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
1552-3365
Source
https://journals.sagepub.com/doi/10.1177/03635465211042314
DOI
10.1177/03635465211042314
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44680
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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