Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Oct 23;50(6):652-9.
doi: 10.1016/j.rboe.2015.09.009. eCollection 2015 Nov-Dec.

Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder

Luciana Andrade da Silva  1 , Álvaro Gonçalves da Costa Lima  2 , Raul Meyer Kautsky  2 , Pedro Doneux Santos  1 , Guilherme do Val Sella  1 , Sergio Luiz Checchia  3
Affiliations

Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder

Luciana Andrade da Silva et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

Objective: Evaluate the results and complications of Latarjet procedure in patients with anterior recurrent dislocation of the shoulder.

Methods: Fifty-one patients (52 shoulders) with anterior recurrent dislocation, surgically treated by Latarjet procedure, were analyzed retrospectively. The average follow-up time was 22 months, range 12-66 months; The age range was 15-59 years with a mean of 31; regarding sex, 42 (82.4%) patients were male and nine (17.6%) were female. The dominant side was affected in 29 (55.8%) shoulders. Regarding the etiology, 48 (92.3%) reported trauma and four (7.6%) had the first episode after a convulsion.

Results: The average elevation, lateral rotation and medial rotation of the operated shoulder were, respectively, 146° (60-80°), 59° (0-85°) and T8 (T5 gluteus), with statistical significance for decreased range of motion in all planes, compared with the other side. The scores of Rowe and UCLA were 90.6 and 31.4, respectively, in the postoperative period. Eleven shoulders (21.2%) had poor results: signs of instability (13.4%), non-union (11.5%) and early loosening of the synthesis material (1.9%). There was a correlation between poor results and convulsive patients (p = 0.026).

Conclusion: We conclude that the Latarjet procedure for correction of anterior recurrent dislocation leads to good and excellent results in 82.7% of cases. Complications are related to errors in technique.

Objetivo: Avaliar os resultados e as complicações da cirurgia de Latarjet em pacientes acometidos pela instabilidade recorrente anterior de ombro.

Métodos: Foram analisados, retrospectivamente, 51 pacientes (52 ombros) com diagnóstico de luxação recidivante anterior, operados pela técnica de Latarjet. O tempo médio de seguimento foi de 22 meses, variação de 12 a 66 meses; a faixa etária variou de 15 a 59 anos, com média de 31; em relação ao sexo, 42 (82,4%) pacientes eram do masculino e nove (17,6%) do feminino. O lado dominante foi acometido em 29 (55,8%) ombros. Quanto à etiologia, 48 (92,3%) referiram trauma e quatro (7,6%) tiveram o primeiro episódio após um quadro de convulsão.

Resultados: As médias de elevação, rotação lateral e rotação medial ativas do membro operado foram, respectivamente, de 146° (60° a 180°), 59° (0° a 85°) e T8 (T5 a glúteo), houve significância estatística quanto à diminuição da amplitude de movimento em todos os planos, quando comparado com o lado contralateral (não operado). As médias de pontuação de Rowe e UCLA foram de 90,6 e 31,4, respectivamente, no período pós-operatório. Onze ombros (21,2%) apresentaram maus resultados: sinais de instabilidade (13,4%), pseudoartrose (11,5%) e soltura precoce do material de síntese (1,9%). Houve correlação entre maus resultados e pacientes convulsivos (p = 0,026).

Conclusão: O procedimento de Latarjet para correção da luxação anterior recidivante leva a bons e excelentes resultados em 82,7% dos casos.

Keywords: Joint instability; Shoulder; Shoulder dislocation.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Radiograph of a shoulder in lateral scapular view showing breakage of synthesis material (arrow).
Fig. 2
Fig. 2
Anteroposterior radiograph of a right shoulder showing medialized graft (arrow).
Fig. 3
Fig. 3
Radiograph of a shoulder in axillary view during the immediate postoperative period, showing screws that did not reach the second cortical layer (arrow).
Fig. 4
Fig. 4
Radiograph of a shoulder in axillary view showing pseudarthrosis of the graft (arrow).
Fig. 5
Fig. 5
Sagittal slice from computed tomography on a shoulder showing (a) bone erosion at the anteroinferior border of the glenoid (arrow) and (b) correction of the lesion using a coracoid graft, fixed in the ideal position (arrow).
Fig. 6
Fig. 6
Radiographs of a left shoulder in (a) anteroposterior view and (b) axillary view, showing good positioning of the graft (arrows).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Emami M.J., Solooki S., Meshksari Z., Vosoughi A.R. The effect of open Bristow–Latarjet procedure for anterior shoulder instability: a 10-year study. Musculoskelet Surg. 2011;95(3):231–235. - PubMed
    1. Bankart A.S. The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg. 1938;26:23–29.
    1. Rowe C.R., Patel D., Southmayd W.W. The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am. 1978;60(1):1–16. - PubMed
    1. Neer C.S., Foster C.R. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder: a preliminary report. J Bone Joint Surg Am. 1980;62(6):897–908. - PubMed
    1. Bigliani L.U. Anterior and posterior capsular shift for multidirectional instability. Tech Orthop. 1989;3:36–45.

LinkOut - more resources