Incidence and Risk Factors of the Complications Related to the Latarjet Surgery

Overview

Journal Rev Bras Ortop (Sao Paulo)

Publisher Thieme

Specialty Orthopedics

Date 2021 Jul 9

PMID 34239194

Citations 6

Authors

Marcio Cohen

Raphael Fonseca

Bernardo Gribel

Marcus Vinicius Galvao

Martim Monteiro

Geraldo Motta Filho

Affiliations

Soon will be listed here.

Abstract

The Latarjet procedure is a well-accepted treatment of shoulder instability. This technique is associated with a unique set of complications with overall rates of up to 30%. The purpose of the present study was to investigate the incidence and risk factors associated with complications after open Latarjet procedure. We retrospectively reviewed 102 patients submitted to open Latarjet procedure. Complications were divided into three types: clinical; graft-related; and screw-related. All of the patients were submitted to radiography and computed tomography (CT). The risk factors analyzed were gender, age, previous surgery, epilepsy, experience of the surgeon. A total of 102 consecutive patients (108 cases) underwent the Latarjet procedure. The mean age was 33.7 years old (18 to 61 years old), with 88 males and 14 females. The overall complication rate was 21.2%, being 12% clinical-related, 7.4% graft-related, and 2.7% screw-related. The most frequent were anterior apprehension (eight cases) and lateral overhang of the graft in six patients. Computed tomography scan at a minimum of 6 months was performed in 79 cases (73%), and graft union occurred in 75 patients (94.9%). There were no cases of instability in the remaining four cases of nonunion. Ten patients (9.2%) required revision surgery. The risk factors associated with complications were epilepsy ( = 0.0325), experience of the surgeon ( = 0.0499) and patients ≥ 40 years old at the time of the surgery ( = 0.0151). There was no correlation with gender and previous surgery. The complication rate following the Latarjet procedure was 21.2%, with 9% requiring revision surgery. Epilepsy, age > 40 years old and experience of the surgeon were risk factors.

Citing Articles

Evaluation of Screws Positioning in Latarjet Surgery: Is There a Correlation between Parallelism to Glenoid and Radiographic Complications?.

Kawakami E, Godoy G, Cohen M, Yamada A, Motta Filho G, Ejnisman B Rev Bras Ortop (Sao Paulo). 2023; 58(6):e876-e884.

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Bristow-Latarjet Surgery: A Current Overview in Brazil.

Araujo B, Lara P, de Castro Pochini A, Ejnisman B, de Figueiredo E, Belangero P Rev Bras Ortop (Sao Paulo). 2023; 58(5):e734-e741.

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Safety-driven master's technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients.

Sahu D, Shah D JSES Int. 2023; 7(2):230-238.

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TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION USING THE LATARJET TECHNIQUE.

Malavolta E, Souza J, Assuncao J, Conforto Gracitelli M, Brandao de Andrade E Silva F, Ferreira A Acta Ortop Bras. 2023; 31(1):e261896.

PMID: 36844123 PMC: 9949290. DOI: 10.1590/1413-785220233101e261896.

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