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

Overview

Journal Rev Bras Ortop (Sao Paulo)

Publisher Thieme

Specialty Orthopedics

Date 2023 Dec 11

PMID 38077761

Authors

Eduardo Felipe Kin Ito Kawakami

Gabriel Paris de Godoy

Marcio T Cohen

Andre Fukunishi Yamada

Geraldo R Motta Filho

Benno Ejnisman

Paulo Santoro Belangero

Affiliations

Soon will be listed here.

Abstract

To evaluate whether the parallelism of screws with glenoid in Latarjet surgery interferes in the positioning of the graft and to verify the reproducibility of a method of measuring screws positioning. Retrospective, multicenter study, of patients with anterior shoulder instability submitted to modified Latarjet surgery and at least one year of postoperative follow-up. Two radiologists analyzed the postoperative tomographic images, acquired in a database, to evaluate the positioning of screws and radiographic complications. We evaluated 34 patients, aged between 21 and 60 years, one of them with bilateral shoulder involvement, totaling 35 shoulders evaluated. The tomographic evaluation of the inclination angles of the screws showed no difference between the observers. There was intra- and interobserver agreement to evaluate the following surgical parameters: graft position, presence or not of radiographic complications. The technique described for measuring the parallelism of screws in Latarjet surgery presented a very good and excellent intra-observer agreement, respectively. Screw parallelism with glenoid is recommended; however, it is not a mandatory and unique condition to avoid radiographic complications.

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