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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

29-06-2023 | Iliac Crest Graft | SHOULDER

The arthroscopic treatment of anterior shoulder instability with glenoid bone loss shows similar clinical results after Latarjet procedure and iliac crest autograft transfer

Authors: Benjamin Bockmann, Wolfgang Nebelung, Falk Gröger, Jan Leuzinger, Jens Agneskirchner, Ulrich Brunner, Dominik Seybold, Jörg Streich, Stefan Bartsch, Katharina Schicktanz, Dirk Maier, Matthias Königshausen, Thilo Patzer, Arne Johannes Venjakob

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2023

Abstract

Purpose

Recurrent anterior shoulder instability caused by critical bone loss of the glenoid is a challenging condition for shoulder surgeons. The purpose of this prospective multicenter trial was to compare the arthroscopic transfer of the coracoid process (Latarjet procedure) with the arthroscopic reconstruction of the glenoid using iliac crest autografts.

Methods

A prospective multi-center trial was performed in nine orthopaedic centres in Austria, Germany and Switzerland between July 2015 and August 2021. Patients were prospectively enrolled and received either an arthroscopic Latarjet procedure or an arthroscopic iliac crest graft transfer. Standardized follow-up after 6 months and mimimum 24 months included range of motion, Western Ontario stability index (WOSI), Rowe score and subjective shoulder value (SSV). All complications were recorded.

Results

177 patients (group Latarjet procedure: n = 110, group iliac crest graft: n = 67) were included in the study. WOSI (n.s.), SSV (n.s.) and Rowe score (n.s.) showed no difference at final follow-up. 10 complications were seen in group Latarjet procedure and 5 in group iliac crest graft; the frequency of complications did not differ between the two groups (n.s.).

Conclusion

The arthrosopic Latarjet procedure and arthroscopic iliac crest graft transfer lead to comparable results regarding clinical scores, frequency of recurrent dislocations and complication rates.

Level of evidence

Level II.

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Title: The arthroscopic treatment of anterior shoulder instability with glenoid bone loss shows similar clinical results after Latarjet procedure and iliac crest autograft transfer
Authors: Benjamin Bockmann
Wolfgang Nebelung
Falk Gröger
Jan Leuzinger
Jens Agneskirchner
Ulrich Brunner
Dominik Seybold
Jörg Streich
Stefan Bartsch
Katharina Schicktanz
Dirk Maier
Matthias Königshausen
Thilo Patzer
Arne Johannes Venjakob
Publication date: 29-06-2023
Publisher: Springer Berlin Heidelberg
Keywords: Iliac Crest Graft
Shoulder Instability
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2023
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-023-07480-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The arthroscopic treatment of anterior shoulder instability with glenoid bone loss shows similar clinical results after Latarjet procedure and iliac crest autograft transfer

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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