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No difference in 90-day complication rate following open versus arthroscopic Latarjet procedure

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The purpose of this study was to compare the 90-day complication rate between the open and arthroscopic Latarjet procedure. A retrospective review of patients who underwent an open or arthroscopic Latarjet procedure at NYU Langone Health between 2012 and 2019 was performed. The complications, readmissions, and reoperations within 90 days were assessed. Outcomes were compared between the two approaches, and a p value of < 0.05 was considered to be statistically significant. The study included 150 patients (open: 110; arthroscopic: 40), with no patients lost to follow-up within the first 90 days. Both cohorts were similar in terms of patient demographics. No intra-operative complications were observed in either group. Overall, there were 4 post-operative complications with the open approach and 2 with the arthroscopic approach (3.6% and 5.0%, respectively; n.s.) during the study period. Three patients required a readmission within the 90-day period; one patient in both groups required a revision Latarjet for graft fracture, and one patient in the open Latarjet required irrigation and debridement for deep infection (n.s.). With the open approach, there were 2 (2.3%) wound complications, 1 graft complication, and 1 (1.1%) nerve injury. With the arthroscopic approach, there was 1 (2.8%) wound complication and 1 (2.8%) hardware complication. The safety, and 90-day complication and readmission profile of arthroscopic Latarjet is similar to open Latarjet procedure.

Level of evidence

Level III.

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References

  1. Ali ZS, Hurley ET, Jamal MS, Horan MP, Montgomery C, Pauzenberger L et al (2020) Low rate of recurrent instability following the open Latarjet procedure as a revision procedure for failed prior stabilization surgery. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-020-06155-6

    Article  PubMed  Google Scholar 

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

    Article  CAS  Google Scholar 

  3. Bhatia S, Frank RM, Ghodadra NS, Hsu AR, Romeo AA, Bach BR Jr et al (2014) The outcomes and surgical techniques of the Latarjet procedure. Arthroscopy 30:227–235

    Article  Google Scholar 

  4. Cunningham G, Benchouk S, Kherad O, Ladermann A (2016) Comparison of arthroscopic and open Latarjet with a learning curve analysis. Knee Surg Sports Traumatol Arthrosc 24:540–545

    Article  CAS  Google Scholar 

  5. Dalmas Y, Thelu CE, Laumonerie P, Girard M, Faruch M, Bonnevialle N (2020) Arthroscopic double-button Latarjet: two-thirds of bone block healed at 90 days. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-019-05830-7

    Article  PubMed  Google Scholar 

  6. Di Giacomo G, Peebles LA, Pugliese M, Dekker TJ, Golijanin P, Sanchez A et al (2020) Glenoid track instability management score: radiographic modification of the instability severity index score. Arthroscopy 36:56–67

    Article  Google Scholar 

  7. Ernstbrunner L, Wartmann L, Zimmermann SM, Schenk P, Gerber C, Wieser K (2019) Long-term results of the open Latarjet procedure for recurrent anterior shoulder instability in patients older than 40 years. Am J Sports Med 47:3057–3064

    Article  Google Scholar 

  8. Frank RM, Gregory B, O'Brien M, Bernardoni E, Verma NN, Cole BJ et al (2019) Ninety-day complications following the Latarjet procedure. J Shoulder Elbow Surg 28:88–94

    Article  Google Scholar 

  9. Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY et al (2013) Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg 22:286–292

    Article  Google Scholar 

  10. Hardy A, Sabatier V, Schoch B, Vigan M, Werthel JD, Study I (2020) Latarjet with cortical button fixation is associated with an increase of the risk of recurrent dislocation compared to screw fixation. Knee Surg Sports Traumatol Arthrosc 28:2354–2360

    Article  Google Scholar 

  11. Hurley ET, Jamal MS, Ali ZS, Montgomery C, Pauzenberger L, Mullett H (2019) Long-term outcomes of the Latarjet procedure for anterior shoulder instability: a systematic review of studies at 10-year follow-up. J Shoulder Elbow Surg 28:e33–e39

    Article  Google Scholar 

  12. Hurley ET, Lim Fat D, Farrington SK, Mullett H (2019) Open versus arthroscopic Latarjet procedure for anterior shoulder instability: a systematic review and meta-analysis. Am J Sports Med 47:1248–1253

    Article  Google Scholar 

  13. Hurley ET, Lim Fat D, Pauzenberger L, Mullett H (2020) Tranexamic acid for the Latarjet procedure: a randomized controlled trial. J Shoulder Elbow Surg 29:882–885

    Article  Google Scholar 

  14. Hurley ET, Montgomery C, Jamal MS, Shimozono Y, Ali Z, Pauzenberger L et al (2019) Return to play after the Latarjet procedure for anterior shoulder instability: a systematic review. Am J Sports Med 47:3002–3008

    Article  Google Scholar 

  15. Kumar K, Gulotta LV, Dines JS, Allen AA, Cheng J, Fields KG et al (2017) Unused opioid pills after outpatient shoulder surgeries given current perioperative prescribing habits. Am J Sports Med 45:636–641

    Article  Google Scholar 

  16. Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T (2007) The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy 23(1242):e1241–1245

    Google Scholar 

  17. Lemme NJ, Kuczmarski AS, Goodman AD, Ready LV, Dickens JF, Owens BD (2019) Management and outcomes of in-season anterior shoulder instability in athletes. JBJS Rev 7:e2

    Article  Google Scholar 

  18. Leuzinger J, Brzoska R, Metais P, Clavert P, Nourissat G, Walch G et al (2019) Learning curves in the arthroscopic Latarjet procedure: a multicenter analysis of the first 25 cases of 5 international surgeons. Arthroscopy 35:2304–2311

    Article  Google Scholar 

  19. Mizuno N, Denard PJ, Raiss P, Melis B, Walch G (2014) Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg 23:1691–1699

    Article  Google Scholar 

  20. Murphy AI, Hurley ET, Hurley DJ, Pauzenberger L, Mullett H (2019) Long-term outcomes of the arthroscopic Bankart repair: a systematic review of studies at 10-year follow-up. J Shoulder Elbow Surg 28:2084–2089

    Article  Google Scholar 

  21. Neyton L, Young A, Dawidziak B, Visona E, Hager JP, Fournier Y et al (2012) Surgical treatment of anterior instability in rugby union players: clinical and radiographic results of the Latarjet-Patte procedure with minimum 5-year follow-up. J Shoulder Elbow Surg 21:1721–1727

    Article  Google Scholar 

  22. Pauzenberger L, Heller V, Ostermann RC, Laky B, Heuberer PR, Anderl W (2019) Cutibacterium acnes (formerly propionibacterium acnes) contamination of the surgical field during shoulder arthroscopy. Arthroscopy 35:1750–1757

    Article  Google Scholar 

  23. Provencher MT, Aman ZS, LaPrade CM, Bernhardson AS, Moatshe G, Storaci HW et al (2018) Biomechanical comparison of screw fixation versus a cortical button and self-tensioning suture for the Latarjet procedure. Orthop J Sports Med 6:2325967118777842

    Article  Google Scholar 

  24. Schmiddem U, Hawi N, Liodakis E, Dratzidis A, Kraemer M, Hurschler C et al (2019) Monocortical fixation of the coracoid in the Latarjet procedure is significantly weaker than bicortical fixation. Knee Surg Sports Traumatol Arthrosc 27:239–244

    Article  Google Scholar 

  25. Shimozono Y, Hurley ET, Myerson CL, Murawski CD, Kennedy JG (2019) Suture button versus syndesmotic screw for syndesmosis injuries: a meta-analysis of randomized controlled trials. Am J Sports Med 47:2764–2771

    Article  Google Scholar 

  26. Valsamis EM, Kany J, Bonnevialle N, Castricini R, Ladermann A, Cunningham G et al (2020) The arthroscopic Latarjet: a multisurgeon learning curve analysis. J Shoulder Elbow Surg. https://doi.org/10.1016/j.jse.2019.10.022

    Article  PubMed  Google Scholar 

  27. Wang C, Meng JH, Zhang YW, Shi MM (2019) Suture button versus hook plate for acute unstable acromioclavicular joint dislocation: a meta-analysis. Am J Sports Med 48:1023–1030

    Article  Google Scholar 

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Authors and Affiliations

  1. New York University Langone Health, New York, NY, USA

    Eoghan T. Hurley, Amit K. Manjunath, Bogdan A. Matache, Nathan W. Jia, Mandeep Virk, Laith M. Jazrawi & Robert J. Meislin

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  1. Eoghan T. Hurley
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  2. Amit K. Manjunath
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  3. Bogdan A. Matache
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  4. Nathan W. Jia
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  7. Robert J. Meislin
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Correspondence to Eoghan T. Hurley.

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Conflict of interest

Laith Jazrawi reports research support from Arthrex, Mitek and Smith & Nephew, unrelated to this study. Mandeep Virk reports personal fees from Acumed and Exactech, unrelated to this study. Robert Meislin reports personal fees from Arthrex, CONMED, Mitek and Stryker, unrelated to this study. None of the other authors report any conflict of interest.

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No funding was received for this study.

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This study received ethical approval from our institutional IRB.

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Hurley, E.T., Manjunath, A.K., Matache, B.A. et al. No difference in 90-day complication rate following open versus arthroscopic Latarjet procedure. Knee Surg Sports Traumatol Arthrosc 29, 2333–2337 (2021). https://doi.org/10.1007/s00167-020-06301-0

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  • DOI: https://doi.org/10.1007/s00167-020-06301-0

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