Recurrent Shoulder Instability After Primary Bankart Repair.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 13. Medicina (Kaunas). 2019 Sep 11;55(9):582. doi: 10.3390/medicina55090582. Arthroscopic Latarjet for Recurrent Shoulder Instability. Castricini R(1), Longo UG(2), Petrillo S(3), Candela V(4), De Benedetto M(5), Maffulli N(6), Denaro V(7). Author information: (1)Department of Orthopaedic and Trauma Surgery, Villa Maria Cecilia Hospital, 48033 Cotignola, Ravenna, Italy. r.castricinicbm@gmail.com. (2)Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy. g.longo@unicampus.it. (3)Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy. petrillocbm@gmail.com. (4)Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy. v.candela@unicampus.it. (5)Department of Orthopaedic and Trauma Surgery, Villa Maria Cecilia Hospital, 48033 Cotignola, Ravenna, Italy. debenedetto@campusmail.com. (6)Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, UK. maffulliucbm@gmail.com. (7)Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy. denaroucbm@gmail.com. Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 ± 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist. DOI: 10.3390/medicina55090582 PMCID: PMC6781242