Comparative analysis of the open and the arthroscopic Latarjet procedure
DOI:
https://doi.org/10.14739/2310-1210.2020.6.218449Keywords:
shoulder joint, instability, surgical procedures, operativeAbstract
Latarjet procedure is one of the relevant surgical techniques for the anterior and antero-inferior type of recurrent instability in the shoulder joint with a defect in the articular surface of the glenoid.
The existence of an arthroscopic modification of Latarjet surgery requires more in-depth study on the level of its clinical effectiveness and comparison with the results of open interventions with the aim of introducing practically significant decisions on improving the quality of these types of shoulder joint pathology treatment.
The purpose of the work is to conduct a comparative analysis of the open and the arthroscopic Latarjet procedure, to evaluate intraoperative and postoperative complications as well as side effects of these surgical techniques.
Materials and methods. A prospective randomized study was carried out, and included 30 people: after open Latarjet surgery – 16 (53.3 %) people and after arthroscopic Latarget surgery – 14 (46.7 %) people. A result was evaluated at 3 and 6 weeks, 3–4 and 6–9 months after surgical procedure using X-ray examination, computed tomography, the Walch–Duplay and Rowe scales, and analysing the intraoperative and postoperative complications.
Results. Applying both the arthroscopic and open methods of Latarjet procedure operation, there is a decrease in both active anterior elevation and internal rotation with a slightly greater restriction when performing the open procedure. At the same time, providing the arthroscopic technique, an increase in the range of motion in shoulder adduction and abduction is observed.
Conclusions. Applying the arthroscopic and open Latarjet procedures, there are statistically significant equally improved outcomes in recurring instability of the shoulder joint. The results indicate the clinically significant advantages of restoring the shoulder function, especially external rotation when using the arthroscopic procedure of Latarjet surgery in comparison with the open technique.
References
Allain, J., Goutallier, D., & Glorion, C. (1998). Long-Term Results of the Latarjet Procedure for the Treatment of Anterior Instability of the Shoulder*. The Journal of Bone and Joint Surgery, 80(6), 841-852. https://doi.org/10.2106/00004623-199806000-00008
Barth, J., Neyton, L., Métais, P., Panisset, J. C., Baverel, L., Walch, G., Lafosse, L., & French Society of Arthroscopy. (2017). Is the two-dimensional computed tomography scan analysis reliable for coracoid graft positioning in Latarjet procedures? Journal of Shoulder and Elbow Surgery, 26(8), e237-e242. https://doi.org/10.1016/j.jse.2016.12.067
Haeni, D. L., Lafosse, T., Haggerty, C., Plath, J., Kida, Y., Sanchez-Brass, M., Wolf, F., Calvo, E., Müller, A. M., Barbero, A., & Lafosse, L. (2019). Tissue on the Transferred Coracoid Graft After Latarjet Procedure: Histological and Morphological Findings. The American Journal of Sports Medicine, 47(3), 704-712. https://doi.org/10.1177/0363546518819825
Jagiasi, J., Yeotiwad, G., Bhoir, M., & Sahu, D. (2017). Anatomic measurements of the coracoid and its implication in the Latarjet procedure. International Journal of Orthopaedics Sciences, 3(4), 533-535. https://doi.org/10.22271/ortho.2017.v3.i4h.71
Barth, J., Boutsiadis, A., Neyton, L., Lafosse, L., & Walch, G. (2017). Can a Drill Guide Improve the Coracoid Graft Placement During the Latarjet Procedure? A Prospective Comparative Study With the Freehand Technique. Orthopaedic Journal of Sports Medicine, 5(10), Article 2325967117734218. https://doi.org/10.1177/2325967117734218
Giles, J. W., Boons, H. W., Elkinson, I., Faber, K. J., Ferreira, L. M., Johnson, J. A., & Athwal, G. S. (2013). Does the dynamic sling effect of the Latarjet procedure improve shoulder stability? A biomechanical evaluation. Journal of Shoulder and Elbow Surgery, 22(6), 821-827. https://doi.org/10.1016/j.jse.2012.08.002
Beranger, J. S., Klouche, S., Bauer, T., Demoures, T., & Hardy, P. (2016). Anterior shoulder stabilization by Bristow-Latarjet procedure in athletes: return-to-sport and functional outcomes at minimum 2-year follow-up. European Journal of Orthopaedic Surgery & Traumatology, 26(3), 277-282. https://doi.org/10.1007/s00590-016-1751-5
Bouju, Y., Gadéa, F., Stanovici, J., Moubarak, H., & Favard, L. (2014). Shoulder stabilization by modified Latarjet-Patte procedure: results at a minimum 10 years' follow-up, and role in the prevention of osteoarthritis. Orthopaedics & Traumatology: Surgery & Research, 100(4S), S213-S218. https://doi.org/10.1016/j.otsr.2014.03.010
Frank, R. M., Gregory, B., O'Brien, M., Bernardoni, E., Verma, N. N., Cole, B. J., Nicholson, G. P., & Romeo, A. A. (2019). Ninety-day complications following the Latarjet procedure. Journal of Shoulder and Elbow Surgery, 28(1), 88-94. https://doi.org/10.1016/j.jse.2018.06.022
Caubère, A., Lami, D., Boileau, P., Parratte, S., Ollivier, M., & Argenson, J. N. (2017). Is the subscapularis normal after the open Latarjet procedure? An isokinetic and magnetic resonance imaging evaluation. Journal of Shoulder and Elbow Surgery, 26(10), 1775-1781. https://doi.org/10.1016/j.jse.2017.03.034
Haeni, D. L., Opsomer, G., Sood, A., Munji, J., Sanchez, M., Villain, B., Walch, G., Lafosse, L., & Société Française d'Arthroscopie. (2017). Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure. Journal of Shoulder and Elbow Surgery, 26(3), 484-489. https://doi.org/10.1016/j.jse.2016.08.007
Horner, N. S., Moroz, P. A., Bhullar, R., Habib, A., Simunovic, N., Wong, I., Bedi, A., & Ayeni, O. R. (2018). Open versus arthroscopic Latarjet procedures for the treatment of shoulder instability: a systematic review of comparative studies. BMC Musculoskeletal Disorders, 19(1), Article 255. https://doi.org/10.1186/s12891-018-2188-2
Agneskirchner, J., & Lafosse, L. (2014). Transfer des Processus coracoideus bei rezidivierender vorderer Instabilität am Schultergelenk. Die arthroskopische Latarjet-Technik. Operative Orthopädie und Traumatologie, 26(3), 296-306. https://doi.org/10.1007/s00064-011-0052-8
Boileau, P., Mercier, N., & Old, J. (2010). Arthroscopic Bankart-Bristow-Latarjet (2B3) Procedure: How to Do It and Tricks To Make it Easier and Safe. The Orthopedic Clinics of North America, 41(3), 381-392. https://doi.org/10.1016/j.ocl.2010.03.005
Burkhart, S. S., De Beer, J. F., Barth, J. R., Cresswell, T., Roberts, C., & Richards, D. P. (2007). Results of Modified Latarjet Reconstruction in Patients With Anteroinferior Instability and Significant Bone Loss. Arthroscopy, 23(10), 1033-1041. https://doi.org/10.1016/j.arthro.2007.08.009
Lädermann, A. (2017). Editorial Commentary: Arthroscopic Latarjet Shoulder Stabilization: Where Are We? Where Are We Going? Arthroscopy, 33(12), 2136-2138. https://doi.org/10.1016/j.arthro.2017.08.277
Cunningham, G., Benchouk, S., Kherad, O., & Lädermann, A. (2016). Comparison of arthroscopic and open Latarjet with a learning curve analysis. Knee Surgery, Sports Traumatology, Arthroscopy, 24(2), 540-545. https://doi.org/10.1007/s00167-015-3910-3
Kordasiewicz, B., Kicinski, M., Małachowski, K., Wieczorek, J., Chaberek, S., & Pomianowski, S. (2018). Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-computed tomography evaluation at a short term follow-up. Part II. International Orthopaedics, 42(5), 1119-1128. https://doi.org/10.1007/s00264-017-3739-0
Metais, P., Clavert, P., Barth, J., Boileau, P., Brzoska, R., Nourissat, G., Leuzinger, J., Walch, G., Lafosse, L., & French Arthroscopic Society. (2016). Preliminary clinical outcomes of Latarjet-Patte coracoid transfer by arthroscopy vs. open surgery: Prospective multicentre study of 390 cases. Orthopaedics & Traumatology: Surgery & Research, 102(8S), S271-S276. https://doi.org/10.1016/j.otsr.2016.08.003
Balg, F., & Boileau, P. (2007). The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. The Journal of Bone and Joint Surgery. British volume, 89-B(11), 1470-1477. https://doi.org/10.1302/0301-620X.89B11.18962
Harvie, P., Pollard, T. C., Chennagiri, R. J., & Carr, A. J. (2005). The use of outcome scores in surgery of the shoulder. The Journal of Bone and Joint Surgery. British volume, 87-B(2), 151-154. https://doi.org/10.1302/0301-620x.87b2.15305
Rowe, C. R. (1988). The Shoulder. Churchill Livingstone.
Rowe, C. R. (1956). Prognosis in Dislocations of the Shoulder. The Journal of Bone & Joint Surgery, 38(5), 957-977. https://doi.org/10.2106/00004623-195638050-00001
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
