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International Orthopaedics

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01-01-2019 | Original Paper

Latarjet procedure versus open capsuloplasty in traumatic anterior shoulder dislocation: long-term clinical and functional results

Authors: Angelo De Carli, Antonio Vadalà, Lorenzo Proietti, Antonio Ponzo, Davide Desideri, Andrea Ferretti

Published in: International Orthopaedics | Issue 1/2019

Abstract

Purpose

To compare the results of two different open surgical techniques (open capsuloplasty and Bristow-Latarjet procedure) at a mid- to long-term follow-up (6 years) in patients with recurrent traumatic anterior shoulder dislocations. Methods: Seventy-three patients (73 shoulders, 48 males; 25 females) fulfilled inclusion and exclusion criteria. Patients were classified as group A if operated on with a Bristow-Latarjet procedure (40 patients, 24 males; 16 females) or group B if operated on with an open capsuloplasty (33 patients, 24 males; 9 females). All patients were followed up with physical examination and functional evaluation scores (UCLA, ROWE and WOSI).

Results

In group A, no further episodes of dislocation or subluxation were reported; in group B, one patient (3.3%) reported a new episode of anterior dislocation as a result of a new trauma. No statistical difference in regard of new episodes of shoulder dislocation was found between the two groups (p > 0.05). At physical examination, two patients (5%) of group A and four patients of group B (13.3%) showed a positive apprehension test (p > 0.05); anterior drawer test was positive in six patients (15%) of group A and in nine patients (30%) of group B (p > 0.05). Statistical analysis showed better external rotation in group A (Latarjet group) than in group B. (p = 0.0176). No statistical differences were detected in regard to the scale scores (UCLA, WOSI, Rowe) (p > 0.05). Regarding the return to sport, 29 patients (72.5%) of group A and 18 patients (60%) of group B reported they resumed the same sports activity at the same pre-operative level (p > 0.05).

Conclusion

Open capsuloplasty and Bristow-Latarjet procedure are both validated surgical techniques for the treatment of recurrent shoulder anterior instability. We found no statistical difference in terms of recurrent dislocation rates, clinical shoulder stability tests, and scoring scales. The rate of patients returning to sport was similar after both techniques. However, patients with open capsuloplasty reported a significantly lower recovery of external rotation than patients operated via the Latarjet procedure.

Zacchilli MA, Owens BD (2010) Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 92:542CrossRefPubMed

Simon RR, Sherman SC, Koenigsknecht SJ (2006) Emergency orthopedics: the extremities, 5th. McGraw-Hill, New York

Schaider J, Simon RR (2005) Shoulder injuries. In: Wolfson AB, Hendey GW, Hendry PL et al (eds) Clinical practice of emergency medicine. Lippincott Williams & Wilkins, Philadelphia, p 1033

Sineff SS, Reichman EF (2004) Shoulder joint dislocation reduction. In: Reichman EF, Simon RR (eds) Emergency medicine procedures. McGraw-Hill, New York, p 593

Simonet WT, Melton LJ 3rd, Cofield RH, Ilstrup DM (1984) Incidence of anterior shoulder dislocation in Olmsted County, Minnesota. Clin Orthop Relat Res 186:186–191

Rokito AS, Namkoong S, Zuckerman JD, Gallagher MA (1998) Open surgical treatment of anterior glenohumeral instability: an historical perspective and review of the literature. Part I. Am J Orthop (Belle Mead NJ) 27(11):723–725 Review

Rokito AS, Namkoong S, Zuckerman JD, Gallagher MA (1998) Open surgical treatment of anterior glenohumeral instability: an historical perspective and review of the literature. Part II. Am J Orthop (Belle Mead NJ) 27(12):784–790 Review

Boselli KJ, Cody EA, Bigliani LU (2010) Open capsular shift: there still is a role! Orthop Clin North Am 41(3):427–436CrossRefPubMed

Gill TJ, Zarins B (2003) Open repairs for the treatment of anterior shoulder instability. Am J Sports Med 31(1):142–153CrossRefPubMed

10.

Ticker JB, Warner JJ (2000) Selective capsular shift technique for anterior and anterior-inferior glenohumeral instability. Clin Sports Med 19(1):1–17CrossRefPubMed

11.

Larrain MV, Montenegro HJ, Mauas DM, Collazo CC, Pavón F (2006) Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique. Arthroscopy 22(12):1283–1289CrossRefPubMed

12.

Miniaci A, Codsi MJ (2006) Thermal capsulorrhaphy for the treatment of shoulder instability. Am J Sports Med 34(8):1356–1363CrossRef

13.

Boileau P, Fourati E, Bicknell R (2012) Neer modiation of open Bankart procedure: what are the rates of recurrent instability, functional outcome, and arthritis? Clin Orthop Relat Res 470:2554–2560CrossRefPubMedPubMedCentral

14.

Tjoumakaris FP, Abboud JA, Hasan SA, Ramsey ML, Williams GR (2006) Arthroscopic and open Bankart repairs provide similar outcomes. Clin Orthop Relat Res 446:227–232CrossRefPubMed

15.

Zimmermann SM, Scheyerer MJ, Farshad M, Catanzaro S, Rahm S, Gerber C (2016) Long-term restoration of anterior shoulder stability: a retrospective analysis of arthroscopic Bankart repair versus open Latarjet procedure. J Bone Joint Surg Am 98(23):1954–1961CrossRef

16.

Hobby J, Griffin D, Dunbar M, Boileau P (2007) Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg Br 89(9):1188–1196CrossRefPubMed

17.

Matthes G, Horvath V, Seifert J et al (2007) Oldie but goldie: Bristow-latarjet procedure for anterior shoulder instability. J Orthop Surg (Hong Kong) 15(1):4–8CrossRef

18.

Latarjet M (1954) Treatment of recurrent dislocation of the shoulder. Lyon Chir 49:994–997

19.

ElAttrache NS (2007) Surgical techniques in sports medicine. Lippincott Williams & Wilkins:177–187

20.

Murena L, Guindani N, Turino S, Grassi FA, Cherubino P (2016) Long-term outcome of Rockwood capsular shift for recurrent shoulder dislocation. J Orthop Surg 24(3):392–397CrossRef

21.

Cheung EV, Sperling JW, Hattrup SJ et al (2008) Long-term outcome of anterior stabilization of the shoulder. J Shoulder Elb Surg 17:265CrossRef

22.

Meller R, Krettek C, Gosling T et al (2007) Recurrent shoulder instability among athletes: changes in quality of life, sports activity, and muscle function following open repair. Knee Surg Sports Traumatol Arthrosc 15:295CrossRefPubMed

23.

Bigliani LU, Kurzweil PR, Schwartzbach CC et al (1994) Inferior capsular shift procedure for anterior-inferior shoulder instability in athletes. Am J Sports Med 22:578CrossRefPubMed

24.

Joshi MA, Young AA, Balestro JC, Walch G (2015) The Latarjet-Patte procedure for recurrent anterior shoulder instability in contact athletes. Orthop Clin North Am 46(1):105–111. https://doi.org/10.1016/j.ocl.2014.09.005 CrossRefPubMed

25.

Kordasiewicz B, Małachowski K, Kicinski M, Chaberek S, Pomianowski S (2017 May) Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-clinical results at short term follow-up. Int Orthop 41(5):1023–1033. https://doi.org/10.1007/s00264-016-3372-3 CrossRef

26.

Kordasiewicz B, Kicinski M, Małachowski 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):1119–1128. https://doi.org/10.1007/s00264-017-3739-0 CrossRefPubMed

27.

Lateur G, Pailhe R, Refaie R, Chedal Bornu BJ, Boudissa M, Saragaglia D (2018) Results of the Latarjet coracoid bone block procedure performed by mini invasive approach. Int Orthop 42(10):2397–2402. https://doi.org/10.1007/s00264-018-3914-y CrossRefPubMed

28.

Ferretti A, De Carli A, Calderaro M, Conteduca F (1998) Open capsulorrhaphy with suture anchors for recurrent anterior dislocation of the shoulder. Am J Sports Med 26(5):625–629CrossRefPubMed

29.

Lenters TR, Franta AK, Wolf FM, Leopold SS, Matsen FA 3rd. (2007) Arthroscopic compared with open repairs for recurrent anterior shoulder instability. A systematic review and meta-analysis of the literature. J Bone Joint Surg Am 89:244–254CrossRefPubMed

30.

Millett PJ, Clavert P, Warner JJ (2005) Open operative treatment for anterior shoulder instability: when and why? J Bone Joint Surg Am 87:419–432PubMed

31.

Mohtadi NG, Bitar IJ, Sasyniuk TM, Hollinshead RM, Harper WP (2005) Arthroscopic versus open repair for traumatic anterior shoulder instability: a meta-analysis. Arthroscopy 21:652–658CrossRefPubMed

32.

Mohtadi NG, Chan DS, Hollinshead RM et al (2014) A randomized clinical trial comparing open and arthroscopic stabilization for recurrent traumatic anterior shoulder instability: two-year follow-up with disease-specific quality-of-life outcomes. J Bone Joint Surg Am 96:353–360CrossRefPubMed

33.

Willemot L, De Boey S, Van Tongel A, Declercq G, De Wilde L, Verborgt O (2018) Analysis of failures after the Bristow-Latarjet procedure for recurrent shoulder instability. Int Orthop. https://doi.org/10.1007/s00264-018-4105-6

34.

Villatte G, Spurr S, Broden C, Martins A, Emery R, Reilly P (2018) The Eden-Hybbinette procedure is one hundred years old! A historical view of the concept and its evolutions. Int Orthop. https://doi.org/10.1007/s00264-018-3970-3

Title: Latarjet procedure versus open capsuloplasty in traumatic anterior shoulder dislocation: long-term clinical and functional results
Authors: Angelo De Carli
Antonio Vadalà
Lorenzo Proietti
Antonio Ponzo
Davide Desideri
Andrea Ferretti
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 1/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4195-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Latarjet procedure versus open capsuloplasty in traumatic anterior shoulder dislocation: long-term clinical and functional results

Abstract

Purpose

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Results

Conclusion

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