Failed Latarjet procedure: a systematic review of surgery revision options

Journal of Orthopaedics and Traumatology - Tập 22 - Trang 1-16 - 2021
Matteo Buda1, Riccardo D’Ambrosi2, Enrico Bellato3, Davide Blonna4, Alessandro Cappellari5, Giacomo Delle Rose6, Giovanni Merolla7,8
1Division of Orthopaedics and Trauma, Madre Teresa Di Calcutta Hospital, Monselice, Italy
2IRCCS Orthopedic Institute Galeazzi, Milan, Italy
3Department of Surgical Sciences, San Luigi Gonzaga Hospital, University of Turin Medical School, Turin, Italy
4Orthopaedic and Traumatology Department, University of Turin Medical School, Turin, Italy
5Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy
6Shoulder and Elbow Unit, Humanitas Research Hospital, Rozzano, Italy
7Shoulder and Elbow Unit, Cervesi Hospital, Cattolica, AUSL Romagna, Cattolica, Italy
8Doctorate School in Clinical and Experimental Medicine, UNIMORE, Modena, Italy

Tóm tắt

Revision surgery after the Latarjet procedure is a rare and challenging surgical problem, and various bony or capsular procedures have been proposed. This systematic review examines clinical and radiographic outcomes of different procedures for treating persistent pain or recurrent instability after a Latarjet procedure. A systematic review of the literature was performed using the Medline, Cochrane, EMBASE, Google Scholar and Ovid databases with the combined keywords “failed”, “failure”, “revision”, “Latarjet”, “shoulder stabilization” and “shoulder instability” to identify articles published in English that deal with failed Latarjet procedures. A total of 11 studies (five retrospective and six case series investigations), all published between 2008 and 2020, fulfilled our inclusion criteria. For the study, 253 patients (254 shoulders, 79.8% male) with a mean age of 29.6 years (range: 16–54 years) were reviewed at an average follow-up of 51.5 months (range: 24–208 months). Eden–Hybinette and arthroscopic capsuloplasty are the most popular and safe procedures to treat recurrent instability after a failed Latarjet procedure, and yield reasonable clinical outcomes. A bone graft procedure and capsuloplasty were proposed but there was no clear consensus on their efficacy and indication. Level of evidence Level IV Trial registration PROSPERO 2020 CRD42020185090— www.crd.york.ac.uk/prospero/

Tài liệu tham khảo

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