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. 2021 Aug;29(8):2606-2615.
doi: 10.1007/s00167-021-06475-1. Epub 2021 Mar 20.

Latarjet procedure enables 73% to return to play within 8 months depending on preoperative SIRSI and Rowe scores

Yoann Bohu  1 , Pierre Abadie  2 , Floris van Rooij  3 , Luca Nover  3 ; Société Française de Traumatologie du Sport; Julien Berhouet  4 , Alexandre Hardy  5   6
Collaborators, Affiliations

Latarjet procedure enables 73% to return to play within 8 months depending on preoperative SIRSI and Rowe scores

Yoann Bohu et al. Knee Surg Sports Traumatol Arthrosc. 2021 Aug.

Abstract

Purpose: Systematic reviews report return to play (RTP) within 5.8 months (range, 3-8) following the Latarjet procedure, but the factors that influence RTP remain unknown. The present study aimed to report the rate and time of return to play (RTP) during the first 8 months following the Latarjet procedure, and to determine the influence of sport type or patient characteristics.

Methods: The authors retrospectively collected the records of patients that underwent Latarjet procedures for anterior shoulder instability between 2015 and 2017. Patients were excluded if they had any concomitant rotator cuff tendon lesions, or previous ipsilateral shoulder surgery. The authors retrieved patient demographics, time from injury to surgery, type of sport practiced (overhead/non-overhead, contact/non-contact), as well as pre- and postoperative Western Ontario Shoulder Instability index (WOSI), Shoulder Instability-Return to Sport After Injury index (SIRSI), and Rowe score.

Results: A total of 217 patients (217 shoulders) were eligible for inclusion, comprising 184 males and 33 females, aged 26.8 ± 7.3 years at index surgery. The main sport practiced prior to surgery involved overhead (n = 173, 80%) and/or contact (n = 152, 70%) activities. By 8 month follow-up, 158 patients (73%) resumed their main sport, at a mean of 5.1 ± 1.5 months. Multivariable analysis revealed that RTP was more likely in patients with higher preoperative Rowe score (OR, 1.02; p = 0.024) and SIRSI score (OR, 1.02; p = 0.008).

Conclusions: By 8 months following the Latarjet procedure, 73% of patients had resumed their main sport. The likelihood of RTP was significantly associated with preoperative Rowe and SIRSI scores, but not with sport type.

Level of evidence: IV.

Keywords: Anterior shoulder instability; Latarjet; Return to play.

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Conflict of interest statement

All authors declare that they have no competing interests in relation to this study.

Figures

Fig. 1
Fig. 1
Following the Latarjet procedure, patients started resuming their main sport during the third postoperative month, and by the eight postoperative month, 73% of patients had resumed their main sport
Fig. 2
Fig. 2
Pre- and postoperative WOSI score by type of sport
Fig. 3
Fig. 3
Pre- and postoperative SIRSI score by type of sport
Fig. 4
Fig. 4
Pre- and postoperative Rowe score by type of sport
See this image and copyright information in PMC

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