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Latarjet procedure for anterior shoulder instability: a 24-year follow-up study

  • Orthopaedic Surgery
  • Published:
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Abstract

Introduction

Different surgical techniques (open and arthroscopic) have been described for the treatment of post-traumatic recurrent anterior instability. The aim of the surgery is to restore when possible, normal shoulder anatomy by repairing the underlying pathology responsible for the instability. Sometimes other surgical techniques are indicated. The purpose of this retrospective study was to investigate the long-term clinical and radiographic results and complications of the open Latarjet procedure after a minimum follow-up of 24 years.

Materials and methods

A retrospective study was performed for 67 patients treated with an open Latarjet procedure in a single center. Forty of these 67 patients returned for follow-up evaluation and clinical/radiological examination during the year 2018, having had a minimum of 24-year follow-up. Clinical outcomes were analyzed using two functional scores, in addition to the ROM and strength assessment. Radiographic evaluation included several views (AP views in neutral, internal and external rotation and a comparative Bernageau view)

Results

A total of 40 patients underwent an open Latarjet procedure. All the patients were avaible for follow-up at an average of 25.6 years. Clinically, no patient reported any episode of dislocation at the time of follow-up. The mean Rowe score and the Walch–Duplay score were 84.5 (range 45–100) and 83.5 (range 55–100), respectively. Non-union/fibrous union was reported in 12.5% of cases, partial resorption of the graft was found in 7.5% of cases, while total resorption was found in 5% of cases. Osteoarthritis was identified in 52.5% (21) of the patients.

Conclusions

This long-term follow-up study demonstrated that the open Latarjet procedure is a safe and reliable technique for recurrent anterior shoulder instability. The Latarjet procedure provides good long-term stability although associated with a slight limitation in external rotation.

Level of evidence

Level III; retrospective cohort comparison; treatment study

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Acknowledgements

The authors wish to thank Miss Benedetta Zimbalatti (Dublin, Ireland) for reviewing the English.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Istituto Chirurgico Ortopedico Traumatologico (ICOT), Latina, Italy

    Claudio Chillemi

  2. Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Istituto Chirurgico Ortopedico Traumatologico (ICOT), Latina, Italy

    Mario Guerrisi & Carlo Paglialunga

  3. Value Lab Spa, Rome, Italy

    Francesco Salate Santone

  4. SRG Medical Center, Rome, Italy

    Marcello Osimani

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Contributions

All authors contributed to the study conception and design. Materials preparation, data collection and analysis were performed by CC. The first draft of the manuscript was written by CC and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Claudio Chillemi.

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Claudio Chillemi, Mario Guerrisi, Carlo Paglialunga, Francesco Salate Santone and Marcello Osimani declare that they have no conflict of interest.

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All procedure performed in this study were in accordance with the ethical standards of the institutional committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study

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Chillemi, C., Guerrisi, M., Paglialunga, C. et al. Latarjet procedure for anterior shoulder instability: a 24-year follow-up study. Arch Orthop Trauma Surg 141, 189–196 (2021). https://doi.org/10.1007/s00402-020-03426-2

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