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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2019

Open Access 01-10-2019 | Computed Tomography | SHOULDER

Intraoperative graft-related complications are a risk factor for recurrence in arthroscopic Latarjet stabilisation

Authors: Bartłomiej Kordasiewicz, Konrad Małachowski, Maciej Kiciński, Sławomir Chaberek, Andrzej Boszczyk, Dariusz Marczak, Stanisław Pomianowski

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2019

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Abstract

Purpose

The goal of this study was to evaluate clinical and radiological outcomes after arthroscopic Latarjet stabilisation in anterior shoulder instability.

Methods

Ninety-three patients after primary arthroscopic Latarjet stabilisation were reviewed. Satisfaction, subjective shoulder value (SSV), Walch–Duplay and Rowe scores, and range of motion and stability were evaluated on clinical examination. Computed tomography (CT) was used to analyse graft position and fusion.

Results

Ninety patients (96.8%) were available for clinical and 85 for CT evaluation. The mean follow-up was 23.7 months (13–50, SD 7.1) and age at surgery was 26.2 years (16–44, SD 5.6). Intraoperative complications were reported in eight patients (8.9%) and recurrence in three (3.3%). Significantly, two out of three patients with recurrence had intraoperative graft complications (p = 0.0107). Forty-one patients (45.6%) reported the feeling of “subjective return to sport anxiety”. External rotation with arm at the side was 59° (10–90°, SD 20) with 15° (0–70°, SD 17) of loss of rotation. These two factors correlated with results the most. Patient satisfaction was evaluated as 92% (40–100, SD 14) and SSV 90% (30–100, SD12). Revision rate after primary surgery was 10%. CT showed graft healing in 81 (95.3%) patients. A graft position between 2 and 5 o’clock was found in 70 (83.4%) patients and flush to the anterior glenoid rim in 34 (40.5%). Osteolysis of the superior part of the graft was found in 55 (64.7%) patients. CT evaluation showed no correlation with clinical results.

Conclusion

Arthroscopic Latarjet stabilisation demonstrates satisfactory results in short-term follow-up; however, intraoperative graft-related complications are a risk factor for recurrence. “Subjective return to sport anxiety” and loss of external rotation with the arm at the side are factors worsening the results. Graft position imperfections and osteolysis of the superior part of the graft reported in CT evaluation do not influence the clinical results.
Literature
1.
Allain J, Goutallier D, Glorion C, Surgery J (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80(6):841–852CrossRefPubMed
2.
Bhatia S, Frank RM, Ghodadra NS, Hsu AR, Romeo AA, Bach BRJ, Boileau P, Provencher MT (2014) The outcomes and surgical techniques of the Latarjet procedure. Arthroscopy 30(2):227–235CrossRefPubMed
3.
Butt U, Charalambous CP (2012) Complications associated with open coracoid transfer procedures for shoulder instability. J Shoulder Elbow Surg 21(8):1110–1119CrossRefPubMed
4.
Edwards BT, Walch G (2012) The Latarjet Procedure for recurrent anterior shoulder instability: rationale and technique. Oper Tech Sports Med 20(1):57–64CrossRef
5.
Hovelius L, Sandström B, Sundgren K, Saebö M (2004) One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study I - Clinical results. J Shoulder Elbow Surg 13(5):509–516CrossRefPubMed
6.
Latarjet M (1954) [Treatment of recurrent dislocation of the shoulder]. Lyon Chir 49(8):994–997PubMed
7.
Boileau P, Gendre P, Baba M, Thélu C, Baring T, Gonzalez JF, Trojani C (2016) A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg 25(1):78–89CrossRefPubMed
8.
Castricini R, De Benedetto M, Orlando N, Rocchi M, Zini R, Pirani P (2013) Arthroscopic Latarjet procedure: analysis of the learning curve. Musculoskelet Surg 97(Suppl 1):93–98CrossRefPubMed
9.
Cunningham G, Benchouk S, Kherad O, Lädermann A (2016) Comparison of arthroscopic and open Latarjet with a learning curve analysis. Knee Surg Sports Traumatol Arthrosc 24(2):540–545CrossRefPubMed
10.
Dumont GD, Fogerty S, Rosso C, Lafosse L (2014) The arthroscopic Latarjet procedure for anterior shoulder instability: 5-year minimum follow-up. Am J Sports Med 42(11):2560–2566CrossRefPubMed
11.
Kany J, Flamand O, Grimberg J, Guinand R, Croutzet P, Amaravathi R, Sekaran P (2016) Arthroscopic Latarjet procedure: Is optimal positioning of the bone block and screws possible? A prospective computed tomography scan analysis. J Shoulder Elbow Surg 25(1):69–77CrossRefPubMed
12.
Lafosse L, Boyle S (2010) Arthroscopic Latarjet procedure. J Shoulder Elbow Surg 19(2 Suppl):2–12CrossRefPubMed
13.
Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T (2007) The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy 23(11):1242.e1–1242.e5CrossRef
14.
Marion B, Klouche S, Deranlot J, Bauer T, Nourissat G, Hardy P (2017) A prospective comparative study of arthroscopic versus mini-open Latarjet procedure with a minimum 2-year follow-up. Arthroscopy 33(2):269–277CrossRefPubMed
15.
Rosso C, Bongiorno V, Samitier G, Dumont GD, Szollosy G, Lafosse L (2016) Technical guide and tips on the all-arthroscopic Latarjet procedure. Knee Surg Sports Traumatol Arthrosc 24(2):564–572CrossRefPubMed
16.
Zhu Y-M, Jiang C, Song G, Lu Y, Li F (2017) arthroscopic Latarjet procedure with anterior capsular reconstruction: clinical outcome and radiologic evaluation with a minimum 2-year follow-up. Arthroscopy 33(12):2128–2135CrossRefPubMed
17.
Casabianca L, Gerometta A, Massein A, Khiami F, Rousseau R, Hardy A, Pascal-Moussellard H, Loriaut P (2016) Graft position and fusion rate following arthroscopic Latarjet. Knee Surg Sports Traumatol Arthrosc 24(2):507–512CrossRefPubMed
18.
Haeni DL, Opsomer G, Sood A, Munji J, Sanchez M, Villain B, Walch G, Lafosse L (2017) Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure. J Shoulder Elbow Surg 26(3):484–489CrossRefPubMed
19.
Kordasiewicz B, Kicinski M, Malachowski K, Wieczorek J, Chaberek S, Pomianowski S (2018) Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-computed tomography evaluation at a short term follow-up. Part II. Int Orthop 42(5):1119–1128CrossRefPubMed
20.
Kordasiewicz B, Malachowski K, Kicinski M, Chaberek S, Pomianowski S (2017) Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-clinical results at short term follow-up. Int Orthop 41(5):1023–1033CrossRefPubMed
21.
Metais P, Clavert P, Barth J, Boileau P, Broszka R, Nourissat G, Leuzinger J, Walch G, Lafosse L (2016) Preliminary clinical outcomes of Latarjet-Patte coracoid transfer by arthroscopy vs. open surgery: Prospective multicentre study of 390 cases. Orthop Traumatol Surg Res 102(8):S271–S276CrossRefPubMed
22.
Zhu Y, Jiang C, Song G (2017) Arthroscopic versus open Latarjet in the treatment of recurrent anterior shoulder dislocation with marked glenoid bone loss: a prospective comparative study. Am J Sports Med 45(7):1645–1653CrossRefPubMed
23.
Di Giacomo G, Itoi E, Burkhart SS (2014) Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from “engaging/non-engaging” lesion to “on-track/off-track” lesion. Arthroscopy 30(1):90–98CrossRefPubMed
24.
Yamamoto N, Itoi E, Abe H, Minagawa H, Seki N, Shimada Y, Okada K (2007) Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg 16(5):649–656CrossRefPubMed
25.
Gilbart MK, Gerber C (2007) Comparison of the subjective shoulder value and the Constant score. J Shoulder Elbow Surg 16(6):717–721CrossRefPubMed
26.
Rowe CR, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60(1):1–16CrossRefPubMed
27.
Walch G (1987) Directions for the use of the quotation of anterior instabilities of the shoulder. In: Abstracts of the First Open Congress of the European Society of Surgery of the Shoulder and Elbow. Paris p51–55
28.
Wewers ME, Lowe NK (1990) A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 13(4):227–236CrossRefPubMed
29.
Kraus TM, Martetschläger F, Graveleau N, Klouche S, Freude T, Stöckle U, Hardy P (2013) CT-based quantitative assessment of the surface size and en-face position of the coracoid block post-Latarjet procedure. Arch Orthop Trauma Surg 133(11):1543–1548CrossRefPubMed
30.
Di Giacomo G, Costantini A, De Gasperis N, De Vita A, Lin BKH, Francone M, Rojas Beccaglia MA, Mastantuono M (2011) Coracoid graft osteolysis after the Latarjet procedure for anteroinferior shoulder instability: a computed tomography scan study of twenty-six patients. J Shoulder Elbow Surg 20(6):989–995CrossRefPubMed
31.
Di Giacomo G, de Gasperis N, Costantini A, De Vita A, Beccaglia MAR, Pouliart N (2014) Does the presence of glenoid bone loss influence coracoid bone graft osteolysis after the Latarjet procedure? A computed tomography scan study in 2 groups of patients with and without glenoid bone loss. J Shoulder Elbow Surg 23(4):514–518CrossRefPubMed
32.
Boileau P, Mercier N, Roussanne Y, Thelu C-E, Old J (2010) Arthroscopic Bankart-Bristow-Latarjet procedure: the development and early results of a safe and reproducible technique. Arthroscopy 26(11):1434–1450CrossRefPubMed
33.
Zumstein V, Kraljevic M, Conzen A, Hoechel S, Muller-Gerbl M (2014) Thickness distribution of the glenohumeral joint cartilage: a quantitative study using computed tomography. Surg Radiol Anat 36(4):327–331CrossRefPubMed
34.
Ladermann A, Denard PJ, Burkhart SS (2012) Injury of the suprascapular nerve during Latarjet procedure: an anatomic study. Arthroscopy 28(3):316–321CrossRefPubMed
35.
Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1995) Fatty infiltration of disrupted rotator cuff muscles. Rev Rhum Engl Ed 62(6):415–422PubMed
36.
Bonnevialle N, Thelu CE, Bouju Y, Vogels J, Agout C, Duriez P, Azoulay V (2018) Arthroscopic Latarjet procedure with double-button fixation: short-term complications and learning curve analysis. J Shoulder Elbow Surg 27(6):e189–e195CrossRefPubMed
37.
Valenti P, Maroun C, Wagner E, Werthel J-D (2018) Arthroscopic Latarjet procedure combined with Bankart repair: a technique using 2 cortical buttons and specific glenoid and coracoid guides. Arthrosc Tech 7(4):e313–e320CrossRefPubMedPubMedCentral
38.
Ardern CL, Taylor NF, Feller JA, Webster KE (2013) A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med 47(17):1120–1126CrossRefPubMed
39.
Backenkohler U, Strasmann TJ, Halata Z (1997) Topography of mechanoreceptors in the shoulder joint region–a computer-aided 3D reconstruction in the laboratory mouse. Anat Rec 248(3):433–441CrossRefPubMed
40.
Collin P, Rochcongar P, Thomazeau H (2007) [Treatment of chronic anterior shoulder instability using a coracoid bone block (Latarjet procedure): 74 cases]. Rev Chir Orthop Reparatrice Appar Mot 93(2):126–132CrossRefPubMed
41.
Gerometta A, Klouche S, Herman S, Lefevre N, Bohu Y (2018) The Shoulder Instability-Return to Sport after Injury (SIRSI): a valid and reproducible scale to quantify psychological readiness to return to sport after traumatic shoulder instability. Knee Surg Sports Traumatol Arthrosc 26(1):203–211CrossRefPubMed
42.
Gohlke F, Janssen E, Leidel J, Heppelmann B, Eulert J (1998) [Histopathological findings in the proprioception of the shoulder joint]. Orthopade 27(8):510–517PubMed
43.
Ladermann A, Denard PJ, Arrigoni P, Narbona P, Burkhart SS, Barth J (2017) Level of the Subscapularis Split During Arthroscopic Latarjet. Arthroscopy 33(12):2120–2124CrossRefPubMed
44.
Kee YM, Kim JY, Kim HJ, Sinha S, Rhee Y-G (2018) Fate of coracoid grafts after the Latarjet procedure: will be analogous to the original glenoid by remodelling. Knee Surg Sports Traumatol Arthrosc 26(3):926–932CrossRefPubMed
45.
Neyton L, Barth J, Nourissat G, Metais P, Boileau P, Walch G, Lafosse L (2018) Arthroscopic Latarjet techniques: graft and fixation positioning assessed with 2-dimensional computed tomography is not equivalent with standard open technique. Arthroscopy 34(7):2032–2040CrossRefPubMed
46.
Athwal GS, Meislin R, Getz C, Weinstein D, Favorito P (2016) Short-term complications of the arthroscopic Latarjet procedure: a North American experience. Arthroscopy 32(10):1965–1970CrossRefPubMed
47.
Shah AA, Butler RB, Romanowski J, Goel D, Karadagli D, Warner JJP (2012) Short-term complications of the Latarjet procedure. J Bone Joint Surg Am 94(6):495–501CrossRefPubMed
48.
49.
Willemot LB, Wodicka R, Bosworth A, Castagna A, Burns J, Verborgt O (2018) Influence of screw type and length on fixation of anterior glenoid bone grafts. Shoulder Elb 10(1):32–39CrossRef
50.
Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY, Miniaci A (2013) Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg 22(2):286–292CrossRefPubMed
51.
Hardy A, Gerometta A, Granger B, Massein A, Casabianca L, Pascal-Moussellard H, Loriaut P (2016) Preoperative CT planning of screw length in arthroscopic Latarjet. Knee Surg Sports Traumatol Arthrosc 26(1):24–30CrossRefPubMed
Metadata
Title
Intraoperative graft-related complications are a risk factor for recurrence in arthroscopic Latarjet stabilisation
Authors
Bartłomiej Kordasiewicz
Konrad Małachowski
Maciej Kiciński
Sławomir Chaberek
Andrzej Boszczyk
Dariusz Marczak
Stanisław Pomianowski
Publication date
01-10-2019
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2019
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-019-05400-x

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