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Open Latarjet Procedure

David L Haeni, Thibault Lafosse, Charles Haggerty, Johannes Plath, Yoshikazu Kida, Matthieu Sanchez-Brass, Françine Wolf, Emilio Calvo, Andreas M Müller, Andrea Barbero, Laurent Lafosse
BACKGROUND: Anterior shoulder instability is a debilitating condition that can require stabilization via a Latarjet procedure. PURPOSE: The aim of this study was to characterize the histological composition of the articular-sided surface of the coracoid bone graft after Latarjet procedure. Specific features of cells isolated from the coracoid and graft tissues were assessed. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Tissue samples were harvested from 9 consecutive patients undergoing arthroscopic debridement and screw removal after arthroscopic or open Latarjet procedure...
February 4, 2019: American Journal of Sports Medicine
Eoghan T Hurley, M Shazil Jamal, Zakariya S Ali, Connor Montgomery, Leo Pauzenberger, Hannan Mullett
BACKGROUND: This study systematically reviewed the evidence in the literature to ascertain the functional outcomes, recurrences rates, and subsequent revision rates after the open Latarjet procedure at a minimum of 10 years of follow-up. METHODS: Two independent reviewers performed the literature search based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, using the Embase, MEDLINE, and The Cochrane Library Databases. Studies that reported a minimum of 10 years of clinical follow-up after the Latarjet procedure were included...
December 11, 2018: Journal of Shoulder and Elbow Surgery
Alexandra Vlajkovic, Dominik C Meyer, Marius Von Knoch, Samuel L Schmid, Tobias Götschi, Florian Grubhofer
BACKGROUND: The anterior deltopectoral approach is the standard approach for performing the open Latarjet procedure. Through the use of a more medial and vertical skin incision, the scar can be cosmetically covered by the bra strap in women. We call this incision the bra strap incision. The intention of this study was (1) to elaborate if the bra strap incision is considered beneficial by female patients, (2) to find reproducible landmarks to indicate how the bra strap incision has to be oriented, and (3) to evaluate preliminary clinical results of patients in whom the bra strap incision was used...
November 29, 2018: Journal of Orthopaedic Surgery and Research
Jarret M Woodmass, Kathryn M Welp, Michelle J Chang, Kyle A Borque, Eric R Wagner, Jon J P Warner
BACKGROUND: Neurologic dysfunction is a known complication after the open Latarjet procedure. Although the reported clinical incidence is variable, a prior neuromonitoring study demonstrated a significant incidence of nerve dysfunction during surgery, presumably from nerve stretch. We aimed to determine whether a nerve stretch-reduction protocol reduced the incidence of neurologic injury after the open Latarjet procedure. METHODS: In a nonrandomized study, 38 patients (group 1) who underwent surgery before our neuromonitoring study were compared with 48 patients (group 2) who underwent surgery after this study...
December 2018: Journal of Shoulder and Elbow Surgery
Angelo De Carli, Antonio Vadalà, Lorenzo Proietti, Antonio Ponzo, Davide Desideri, Andrea Ferretti
PURPOSE: To compare the results of two different open surgical techniques (open capsuloplasty and Bristow-Latarjet procedure) at a mid- to long-term follow-up (6 years) in patients with recurrent traumatic anterior shoulder dislocations. METHODS: Seventy-three patients (73 shoulders, 48 males; 25 females) fulfilled inclusion and exclusion criteria. Patients were classified as group A if operated on with a Bristow-Latarjet procedure (40 patients, 24 males; 16 females) or group B if operated on with an open capsuloplasty (33 patients, 24 males; 9 females)...
October 10, 2018: International Orthopaedics
Iustin Moga, George Konstantinidis, Ivan Ho-Bun Wong
Background: An arthroscopic technique for anatomic glenoid reconstruction has been proposed for the treatment of glenohumeral bone loss in patients with recurrent shoulder instability. This technique is proposed as an alternative to open techniques as well as to the technically challenging arthroscopic Latarjet procedure. In arthroscopic anatomic glenoid reconstruction, a distal tibial allograft is inserted through a novel far medial portal, superior to the subscapularis tendon and lateral to the conjoint tendon...
September 2018: Orthopaedic Journal of Sports Medicine
Laurent Willemot, Sara De Boey, Alexander Van Tongel, Geert Declercq, Lieven De Wilde, Olivier Verborgt
PURPOSE: Despite good clinical results and low recurrence rates, post-operative complications of coracoid process transfer procedures are not well understood. This study aims to evaluate the underlying failure mechanism in cases requiring major open revision surgery after prior Bristow or Latarjet stabilization. METHODS: Between January 2006 and January 2017, 26 patients underwent major open revision after primary Bristow or Latarjet procedure. Clinical notes and radiographic images were retrospectively reviewed for all cases to determine underlying pathology...
August 27, 2018: International Orthopaedics
Rachel M Frank, Bonnie Gregory, Michael O'Brien, Eamon Bernardoni, Nikhil N Verma, Brian J Cole, Gregory P Nicholson, Anthony A Romeo
BACKGROUND: The purpose of this study was to describe the rate and type of complications occurring within 90 days following the Latarjet procedure for anterior glenohumeral instability. METHODS: Consecutive patients undergoing the Latarjet procedure by fellowship-trained surgeons from a single institution between 2007 and 2016 were included for analysis. Indications for the Latarjet procedure included primary or recurrent anterior instability with clinically significant anterior glenoid bone loss and/or failed prior arthroscopic stabilization...
August 15, 2018: Journal of Shoulder and Elbow Surgery
Seper Ekhtiari, Nolan S Horner, Asheesh Bedi, Olufemi R Ayeni, Moin Khan
Background: Anterior shoulder instability, including recurrent instability, is a common problem, particularly in young, active patients and contact athletes. The Latarjet procedure is a common procedure to treat recurrent shoulder instability. Purpose: To identify the reported learning curves associated with the Latarjet procedure and to determine a point on the learning curve after which a surgeon can be considered to have achieved proficiency. Study Design: Systematic review; Level of evidence, 4...
July 2018: Orthopaedic Journal of Sports Medicine
Simone Cerciello, Katia Corona, Brent Joseph Morris, Domenico Alessandro Santagada, Giulio Maccauro
BACKGROUND: The arthroscopic Latarjet-Bristow procedure is emerging as a reliable alternative to the open procedure. The reduced soft tissue damage with potential advantages of early pain control and functional recovery is attractive. However, the operation is technically more demanding, and there are concerns regarding the potential for increased recurrence and complication rates. PURPOSE: To evaluate the available literature focusing on the reported functional outcomes and complications of the arthroscopic Latarjet procedure and compare them with the open procedure...
August 1, 2018: American Journal of Sports Medicine
Nolan S Horner, Paul A Moroz, Raman Bhullar, Anthony Habib, Nicole Simunovic, Ivan Wong, Asheesh Bedi, Olufemi R Ayeni
BACKGROUND: The arthroscopic and open Latarjet procedures are both known to successfully treat shoulder instability with high success rates. The objective of this study was to compare the clinical outcomes and positioning of the coracoid graft and screws between the arthroscopic and open Latarjet procedures. METHODS: The electronic databases MEDLINE, EMBASE, and PubMed were searched for relevant studies between database creation and 2018. Only studies directly comparing open and arthroscopic Latarjet procedures were included...
July 25, 2018: BMC Musculoskeletal Disorders
Lukas Ernstbrunner, Christian Gerber
The Latarjet operation is one of the most successful techniques for the treatment of recurrent anterior shoulder instability, which has recently been translated into the arthroscopic field. Several studies suggest that its arthroscopic variant is safe and reproducible and report promising short-term and mid-term results. Some authors claim that, in addition to less soft tissue damage, positioning of the coracoid graft is more accurate during arthroscopic control. There is currently no evidence of superiority of the arthroscopic or the open technique...
July 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
Raffaele Russo, Marco Maiotti, Ettore Taverna, Cecilia Rao
Glenoid bone loss and capsular deficiency represent critical points of arthroscopic Bankart repair failures. The purpose of this Technical Note is to present an all-arthroscopic bone block procedure associated with arthroscopic subscapularis augmentation for treating glenohumeral instability with glenoid bone loss and anterior capsulolabral deficiency. Two glenoid tunnels are set up from the posterior to the anterior side using a dedicated bone block guide, and 4 buttons are used to fix the graft to the glenoid...
June 2018: Arthroscopy Techniques
Hussein Abdul-Rassoul, Joseph W Galvin, Emily J Curry, Jason Simon, Xinning Li
BACKGROUND: For athletes, a return to preinjury activity levels with minimal time away is a metric indicative of successful recovery. The knowledge of this metric would be helpful for the sports medicine specialist to advise patients on appropriate expectations after surgery. PURPOSE: To evaluate the rate and amount of time needed for athletes to return to sport (RTS) after different surgical treatments for anterior shoulder instability. STUDY DESIGN: Systematic review and meta-analysis...
June 1, 2018: American Journal of Sports Medicine
B Farny, M Fontaine, J Latarjet, J C Poupelin, D Voulliaume, F Ravat
INTRODUCTION: Large burns excision and graft can produce major blood loss. The main objective of this study is to evaluate the blood loss in relation with the excision size in square centimeters (cm2 ) in adults. PATIENTS AND METHODS: We conducted a monocentric, observational, prospective and open study in a burn intensive care unit. Patients aged-over 18 with burn wounds excision and autografting covering at least 5% of total body surface area (TBS) were enrolled...
May 22, 2018: Burns: Journal of the International Society for Burn Injuries
Christopher M LaPrade, Andrew S Bernhardson, Zachary S Aman, Gilbert Moatshe, Jorge Chahla, Grant J Dornan, Robert F LaPrade, Matthew T Provencher
BACKGROUND: Although previous literature has described the relevant anatomy for an open anterior Bankart approach of the shoulder, there is little known regarding the anatomic relationship changes in the neurovascular structures after an open Latarjet procedure. PURPOSE: To define the neurovascular anatomy of the native shoulder in relation to the coracoid and to define the anatomy after the Latarjet procedure in relation to the glenoid to determine distances to these neurovascular structures with and without neurolysis of the musculocutaneous nerve (MCN) from the conjoint tendon...
July 2018: American Journal of Sports Medicine
Lionel Neyton, Johannes Barth, Geoffroy Nourissat, Pierre Métais, Pascal Boileau, Gilles Walch, Laurent Lafosse
PURPOSE: To analyze graft and fixation (screw and EndoButton) positioning after the arthroscopic Latarjet technique with 2-dimensional computed tomography (CT) and to compare it with the open technique. METHODS: We performed a retrospective multicenter study (March 2013 to June 2014). The inclusion criteria included patients with recurrent anterior instability treated with the Latarjet procedure. The exclusion criterion was the absence of a postoperative CT scan...
July 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
Guillaume Villatte, Sally Spurr, Cyrus Broden, Antoine Martins, Roger Emery, Peter Reilly
INTRODUCTION: One hundred years ago, before Bankart, Latarjet or Bristow, Eden and Hybbinette developed a procedure to treat anterior shoulder instability and currently, this eponymous term is known by every shoulder surgeon. The purpose of this review is to summarise the historical "Eden-Hybbinette" procedure and its evolutions during the last century and discuss results. METHOD: On the centenary of the first publication on the "Eden-Hybbinette procedure", a search was conducted on Medline, Google Scholar and in the grey literature, to find its initial concept and description, and the evolutions...
May 9, 2018: International Orthopaedics
Laurent Baverel, Pierre-Emmanuel Colle, Mo Saffarini, Guillaume Anthony Odri, Johannes Barth
BACKGROUND: In cases of shoulder stabilization for anterior instability, the main goals of the surgery are a rapid and efficient return to sports and excellent long-term outcomes without recurrence of dislocation, particularly in young and competitive athletes. PURPOSE: To determine whether outcomes of open Latarjet procedure (OLPs) depend on the level of sports practiced by patients and to report clinical scores and complication rates for OLP at a minimum follow-up of 2 years...
May 2018: American Journal of Sports Medicine
L Labattut, V Bertrand, P Y Reybet Degat, M Arcens, P Trouilloud, E Baulot, P Martz
The Trillat procedure performed as open surgery to treat anterior shoulder instability has been proven effective in preventing recurrences and restoring range of motion. An arthroscopically assisted variant of the Trillat procedure is described here, together with the preliminary clinical results in 18 patients treated between 2011 and 2014. After a mean follow-up of 24.7±9.8 months, the clinical outcomes were very satisfactory, with a Walch-Duplay score of 81.5±18.0, a Rowe score of 83.6±16.0, and 94% of satisfied or very satisfied patients...
October 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
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