Skip to main content

Advertisement

SpringerLink
Log in

Latarjet procedure: evolution of the bone block and correspondent clinical relevance—a clinical and radiological study

  • Original Article
  • Published:
MUSCULOSKELETAL SURGERY Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study was to correlate the bone block graft position, its dimension, its reabsorption and its integration with clinical outcome in patients operated on for recurrent anterior shoulder instability.

Methods

Twenty-four patients affected by recurrent anterior shoulder dislocation and operated on using the Latarjet procedure were enrolled in this study. At 6 and 24 months, patients were evaluated with the following scales: ROWE, WOSI, Oxford instability score, UCLA, DASH and Constant score. Patients underwent two postoperative CT scans: immediately after surgery (T0) and at 24 months post-op (T1).

Results

At 24 months, none of the 24 patients reported further episodes of dislocation. Clinically at the final follow-up, we found excellent results in all the evaluation scales. Mean reduction in bone graft from T0 to T1 was 42% of the overall volume; similarly reduction in the overall surface was 29.3%; decrease in length, width and depth was, respectively, 3.4, 2.2 and 1.0 mm; all these parameters decreased significantly (p < 0.05). No correlations were found between radiological parameters and clinical and functional outcomes.

Conclusions

The results confirm that a lack of integration or a significant reabsorption of the graft is present in the Latarjet procedure, but they do not significantly affect the clinical and functional results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Kazar B, Relovszky E (1969) Prognosis of primary dislocation of the shoulder. Acta Orthop Scand 40(2):216–224

    Article  CAS  PubMed  Google Scholar 

  2. 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

    Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  5. 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):1283–1289

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  7. 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)

    CAS  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  9. Godin J, Sekiya JK (2011) Systematic review of arthroscopic versus open repair for recurrent anterior shoulder dislocations. Sports Health 3(4):396–404

    Article  PubMed  PubMed Central  Google Scholar 

  10. Harris JD, Gupta AK, Mall NA, Abrams GD, McCormick FM, Cole BJ, Bach BR Jr, Romeo AA, Verma NN (2013) Long-term outcomes after Bankart shoulder stabilization. Arthroscopy 29(5):920–933

    Article  PubMed  Google Scholar 

  11. Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L (2006) Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 88:1755–1763

    PubMed  Google Scholar 

  12. Boone JL, Arciero RA (2010) Management of failed instability surgery: how to get it right the next time. Orthop Clin North Am 41(3):367–379

    Article  PubMed  Google Scholar 

  13. Provencher MT, Ghodadra N, Romeo AA (2010) Arthroscopic management of anterior instability: pearls, pitfalls, and lessons learned. Orthop Clin North Am 41:325–337

    Article  PubMed  Google Scholar 

  14. Sekiya JK, Jolly J, Debski RE (2012) The effect of a Hill–Sachs defect on glenohumeral translations, in situ capsular forces, and bony contact forces. Am J Sports Med 40(2):388–394

    Article  PubMed  Google Scholar 

  15. Sekiya JK, Wickwire AC, Stehle JH, Debski RE (2009) Hill–Sachs defects and repair using osteoarticular allograft transplantation: biomechanical analysis using a joint compression model. Am J Sports Med 37(12):2459–2466

    Article  PubMed  Google Scholar 

  16. Itoi E, Lee SB, Berglund LJ, Berge LL, An KN (2000) The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am 82:35–46

    Article  CAS  PubMed  Google Scholar 

  17. Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill–Sachs lesion. Arthroscopy 16:677–694

    Article  CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  19. Patte D, Debeyre J (1980) Luxations recidivantes de l’epaule. Encycl Med. Chir. Paris-Technique Chirurgicale Orthopedie 44265:4.4–02

  20. Young AA, Maia R, Berhouet J, Walch G (2011) Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Shoulder Elbow Surg 20(2 Suppl):S61–S69

    Article  PubMed  Google Scholar 

  21. Wellmann M, Petersen W, Zantop T, Herbort M, Kobbe P, Raschke MJ, Hurschler C (2009) Open shoulder repair of osseous glenoid defects. Biomechanical effectiveness of the Latarjet procedure versus a contoured structural bone graft. Am J Sports Med 37:87–94

    Article  PubMed  Google Scholar 

  22. Yamamoto N, Muraki T, Sperling JW, Steinmann SP, Cofield RH, Itoi E, An KN (2010) Stabilizing mechanism in bone-grafting of a large glenoid defect. J Bone Joint Surg Am 92:2059–2066

    Article  PubMed  Google Scholar 

  23. Balg F, Boileau P (2007) The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilization. J Bone Joint Surg Br 89:1470–1477

    Article  CAS  PubMed  Google Scholar 

  24. Sugaya H, Moriishi J, Dohi M, Kon Y, Tsuchiya A (2003) Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg Am 85-A(5):878–884

    Article  PubMed  Google Scholar 

  25. Di Giacomo G, Costantini A, de Gasperis N, De Vita A, Lin BK, 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):989–995

    Article  PubMed  Google Scholar 

  26. Hovelius L, Korner L, Lundberg B, Akermark C, Herberts P, Wredmark T, Berg E (1983) The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow–Latarjet procedure. J Bone Joint Surg Am 65(7):926–934

    Article  CAS  PubMed  Google Scholar 

  27. Weaver JK, Derkash RS (1994) Don’t forget the Bristow–Latarjet procedure. Clin Orthop 308:102–110

    Google Scholar 

  28. Huguet D, Pietu G, Bresson C, Potaux F, Letenneur J (1996) Anterior instability of the shoulder in athletes: apropos of 51 cases of stabilization using the Latarjet–Patte intervention. Acta Orthop Belg 62(4):200–206

    CAS  PubMed  Google Scholar 

  29. Guity MR, Roques B, Mansat P, Bellumore Y, Mansat M (2002) Painful or unstable shoulder after coracoid transfer: result of surgical treatment. Rev Chir Orthop Reparatrice Appar Mot 88(4):349–358

    CAS  PubMed  Google Scholar 

  30. 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):509–516

    Article  PubMed  Google Scholar 

  31. Hamel A, Hamel O, Ploteau S, Robert R, Rogez JM, Malinge M (2012) The arterial supply of the coracoid process. Surg Radiol Anat 34(7):599–607

    Article  PubMed  Google Scholar 

  32. Auffarth A, Schauer J, Matis N, Kofler B, Hitzl W, Resch H (2008) The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation. Am J Sports Med 36(4):638–647

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Unit and “Kirk Kilgour” Sports Injury Centre, S. Andrea Hospital, University of Rome “La Sapienza”, Via grotta rossa 1053, 00100, Rome, Italy

    A. Vadalà, R. M. Lanzetti, A. De Carli, D. Lupariello, M. Guzzini, D. Desideri & A. Ferretti

Authors
  1. A. Vadalà
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. M. Lanzetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. De Carli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. Lupariello
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Guzzini
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. D. Desideri
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Ferretti
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. Lupariello.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Human and animal rights

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all patients.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vadalà, A., Lanzetti, R.M., De Carli, A. et al. Latarjet procedure: evolution of the bone block and correspondent clinical relevance—a clinical and radiological study. Musculoskelet Surg 101 (Suppl 2), 113–120 (2017). https://doi.org/10.1007/s12306-017-0482-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12306-017-0482-z

Keywords

Search

Navigation