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Arthroscopic Latarjet procedure: analysis of the learning curve

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Abstract

Background

The arthroscopic Latarjet procedure is an innovative technique that aims to combine the optimal results of the original open approach with those of arthroscopic stabilization.

Methods

We evaluated the learning curve and the preliminary results of the first 30 patients (29 males, 1 female; mean age 32 years, range 21–52) subjected to an arthroscopic Latarjet procedure at a mean follow-up of 13 months (range 6–22).

Results

Operative time fell significantly from 132 to 99 min (p < 0.001, t test) in the last 15 patients compared with the first 15 without significant differences in terms of Rowe score, patient satisfaction, complications, or graft placement. There were 21 (70 %) excellent and 9 (30 %) good outcomes according to the Rowe score. All complications (10 %) correlated with age >40 years (p = 0.002, Fisher’s exact test).

Conclusions

The arthroscopic Latarjet procedure is a standardized, hence reproducible technique whose complexity makes it suitable only for surgeons with solid experience in arthroscopy and shoulder surgery.

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Acknowledgments

The authors are grateful to Dr. S. Modena for language revision (www.silviamodena.com).

Conflict of interest

None.

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Authors and Affiliations

  1. Department of Orthopedic and Trauma Surgery, Maria Cecilia Hospital, GVM Care and Research, Cotignola, Ravenna, Italy

    R. Castricini, M. De Benedetto, N. Orlando, R. Zini & P. Pirani

  2. Department of Biomolecular Sciences, Service of Biostatistics and Medical Statistics, Urbino University, Urbino, Italy

    M. Rocchi

Authors
  1. R. Castricini
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  2. M. De Benedetto
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  3. N. Orlando
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  4. M. Rocchi
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  5. R. Zini
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  6. P. Pirani
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Correspondence to R. Castricini.

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Castricini, R., De Benedetto, M., Orlando, N. et al. Arthroscopic Latarjet procedure: analysis of the learning curve. Musculoskelet Surg 97 (Suppl 1), 93–98 (2013). https://doi.org/10.1007/s12306-013-0262-3

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  • DOI: https://doi.org/10.1007/s12306-013-0262-3

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