Orthopaedics & traumatology, surgery & research : OTSR · 2026
Results and return to sports at 5 years after Latarjet for anterior instability with or without pre-operative glenoid bone loss.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Billaud Anselme, Lajoinie Louis, Collotte Philippe, Moscato Lara, Tiercelin Joris, Sos Clara, Peduzzi Lisa, Loisel François, Berhouet Julien, Limam Kenza, Neyton Lionel, Ohl Xavier
Аннотация
INTRODUCTION: The Latarjet procedure provides reliable functional outcomes and a high rate of return to sport in the treatment of anterior shoulder instability. While traditionally indicated in cases of significant glenoid bone loss (GBL) or engaging Hill-Sachs lesions, its use has progressively expanded to a broader range of clinical situations. However, few studies have specifically evaluated outcomes of the Latarjet procedure according to the degree of preoperative GBL.
HYPOTHESIS: We hypothesized that preoperative glenoid bone loss does not significantly influence clinical outcomes or return to sport following the open Latarjet procedure.
METHOD: This multicenter retrospective study included patients who underwent open Latarjet as a primary procedure before June 2017, with a minimum follow-up of 5 years. Preoperative CT or CTA was required for inclusion. Patients were divided into three groups according to preoperative GBL (<5%, 5-15%, and >15%), based on commonly used but arbitrary thresholds in the literature. Clinical outcomes were assessed using Rowe, Walch-Duplay, Simple Shoulder Value (SSV), and Shoulder Instability-Return to Sport after Injury (SIRSI) scores. Return to sport, complications, and radiographic outcomes were also analyzed.
RESULTS: Return to sport was 80% at 1 year and 85% at final follow-up, with 48% returning to the same level. The recurrence rate was 6%, and subjective apprehension persisted in 17% of patients. The overall complication rate was 8%, including hardware-related complications, with a screw removal rate of 2%. Preoperative GBL did not significantly influence clinical outcomes or return to sport. Osteoarthritis was observed in 25% of cases (13% for GBL <5%, 29% for GBL 5-15%, and 34% for GBL >15%). Radiographic osteoarthritis increased with preoperative GBL (13%, 29%, and 34% respectively; p = 0.03).
DISCUSSION: At medium-term follow-up, the Latarjet procedure provides reliable clinical outcomes, a low recurrence rate, and a high rate of return to sport, regardless of preoperative GBL. These findings support the use of the Latarjet procedure across a wide spectrum of anterior shoulder instability, although a proportion of patients continue to experience apprehension and do not return to their previous level of sport.
LEVEL OF EVIDENCE: IV.
HYPOTHESIS: We hypothesized that preoperative glenoid bone loss does not significantly influence clinical outcomes or return to sport following the open Latarjet procedure.
METHOD: This multicenter retrospective study included patients who underwent open Latarjet as a primary procedure before June 2017, with a minimum follow-up of 5 years. Preoperative CT or CTA was required for inclusion. Patients were divided into three groups according to preoperative GBL (<5%, 5-15%, and >15%), based on commonly used but arbitrary thresholds in the literature. Clinical outcomes were assessed using Rowe, Walch-Duplay, Simple Shoulder Value (SSV), and Shoulder Instability-Return to Sport after Injury (SIRSI) scores. Return to sport, complications, and radiographic outcomes were also analyzed.
RESULTS: Return to sport was 80% at 1 year and 85% at final follow-up, with 48% returning to the same level. The recurrence rate was 6%, and subjective apprehension persisted in 17% of patients. The overall complication rate was 8%, including hardware-related complications, with a screw removal rate of 2%. Preoperative GBL did not significantly influence clinical outcomes or return to sport. Osteoarthritis was observed in 25% of cases (13% for GBL <5%, 29% for GBL 5-15%, and 34% for GBL >15%). Radiographic osteoarthritis increased with preoperative GBL (13%, 29%, and 34% respectively; p = 0.03).
DISCUSSION: At medium-term follow-up, the Latarjet procedure provides reliable clinical outcomes, a low recurrence rate, and a high rate of return to sport, regardless of preoperative GBL. These findings support the use of the Latarjet procedure across a wide spectrum of anterior shoulder instability, although a proportion of patients continue to experience apprehension and do not return to their previous level of sport.
LEVEL OF EVIDENCE: IV.