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Published in: Current Reviews in Musculoskeletal Medicine 5/2024

Open Access 11-03-2024 | Shoulder Instability | REVIEW

Current Trends and Outcomes for Open vs. Arthroscopic Latarjet

Authors: Filip Vuletić, Berte Bøe

Published in: Current Reviews in Musculoskeletal Medicine | Issue 5/2024

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Abstract

Purpose of Review

This paper aims to analyze and compare the existing research on open and arthroscopic Latarjet procedures for treating anterior shoulder instability. The review will assess different factors such as graft positioning, functional outcomes, complications, and return-to-play rates for both approaches. The study’s primary goal is to establish which technique yields superior outcomes.

Recent Findings

Recent studies have suggested that arthroscopic Latarjet surgery can produce outcomes similar to open surgery regarding functional scores and patient satisfaction. Some research indicates that arthroscopy may even provide slightly better results. Both techniques have similar complication rates, but arthroscopy requires a longer learning curve and operating time. It is crucial to ensure the proper placement of the graft, and some studies suggest that arthroscopy may be better at achieving accurate positioning.

Summary

Both open and arthroscopic Latarjet procedures are equally effective in treating shoulder instability. While arthroscopy offers a faster recovery time and causes less soft tissue damage, it requires surgeons to undergo a steeper learning curve. The optimal graft position for both techniques is still debated. More long-term data is needed to establish superiority. Future research should compare approaches in larger cohorts and identify outcome-affecting factors to improve the treatment of shoulder instability. Both techniques are promising, but arthroscopy may be a better option as the procedure evolves into a less invasive reconstruction.
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Metadata
Title
Current Trends and Outcomes for Open vs. Arthroscopic Latarjet
Authors
Filip Vuletić
Berte Bøe
Publication date
11-03-2024
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 5/2024
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-024-09889-9