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International Orthopaedics

Published in:

01-06-2013 | Original Paper

Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study

Authors: Alexandre Lädermann, Anne Lubbeke, Richard Stern, Grégory Cunningham, Vittorio Bellotti, Dominique F. Gazielly

Published in: International Orthopaedics | Issue 6/2013

Abstract

Purpose

The purpose of this study was to analyse the long-term incidence of dislocation arthropathy after a modified Latarjet procedure for glenohumeral instability.

Methods

Long-term follow-up information was obtained from a consecutive series of patients who had undergone a modified Latarjet procedure by one surgeon between 1986 and 1999. Multivariable regression analysis was performed to examine the relation between the development of a dislocation arthropathy and patients and surgery-related factors.

Results

There were 117 patients (117 shoulders) for evaluation, (35 women and 82 men) with a mean age 28.4 ± 8.5 (range, 16–55). The mean follow-up was 16.2 years (range, ten to 22.2 years). Signs of dislocation arthropathy were found in 36 % of patients, graded as Samilson 1 in 30 %, Samilson 2 in 3 %, and 3 % Samilson 3 in 3 % of patients. Risk factors for dislocation arthropathy included surgery in patients older than 40 years of age (64.3 vs. 34.4 %; adjusted RR 2.2, 95 % CI 1.7–2.9) and lateral positioning of the transferred coracoid process in relation to the glenoid rim (82.4 vs. 30.4 %; adjusted RR 2.3, 95 % CI 1.7–3.2). Patients with hyperlaxity developed less dislocation arthropathy (15 vs. 42.5 %; adjusted RR 0.4, 95 % CI 0.1–0.95).

Conclusion

The development of dislocation arthropathy after the Latarjet procedure remains a source of concern in the long term. It correlates with surgery after the age of 40 and lateral coracoid transfer in relation to the glenoid rim. On the other hand, hyperlaxity seems to have a protective effect on the development of dislocation arthropathy.

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Title: Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study
Authors: Alexandre Lädermann
Anne Lubbeke
Richard Stern
Grégory Cunningham
Vittorio Bellotti
Dominique F. Gazielly
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 6/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-1848-y

At a glance: The STEP trials

Springer Medicine

Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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