762 results match your criteria latarjet procedure


Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion - A Case Report.

J Orthop Case Rep 2021 May;11(5):72-75

Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Introduction: Anterior shoulder dislocation is a common presentation in orthopedic emergency but a bilateral fracture dislocation is a rare entity. Only a few cases have been reported in the literature and their management is still not clear. We present a bilateral four part fracture dislocation with Bankart lesion on right side in a 48 years old. Read More

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Arthroscopic Bankart versus open Latarjet as a primary operative treatment for traumatic anteroinferior instability in young males: a randomised controlled trial with 2-year follow-up.

Br J Sports Med 2021 Sep 22. Epub 2021 Sep 22.

Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland.

Objectives: To compare the success rates of arthroscopic Bankart and open Latarjet procedure in the treatment of traumatic shoulder instability in young males.

Design: Multicentre randomised controlled trial.

Setting: Orthopaedic departments in eight public hospitals in Finland. Read More

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September 2021

Surgical Treatment of Anterior Shoulder Instability with Glenoid Bone Loss with the Latarjet Procedure in Active-Duty Military Service Members.

J Shoulder Elbow Surg 2021 Sep 16. Epub 2021 Sep 16.

Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA. Electronic address:

Introduction: The arthroscopic Bankart repair in the setting of glenoid bone loss has high rates of failure. In patients with anterior glenoid bone loss, the Latarjet provides glenohumeral stability through restoration of the glenoid bone, the conjoint tendon acting as a sling on the subscapularis, and anterior capsulolabral repair. Active-Duty military personnel are at high risk for glenohumeral instability and have been equated to the contact athlete; most are young, male and engage in contact sports. Read More

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September 2021

A lower Instability Severity Index score threshold may better predict recurrent anterior shoulder instability after arthroscopic Bankart repair: a systematic review.

J ISAKOS 2021 09 10;6(5):295-301. Epub 2021 Feb 10.

Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Importance: The Instability Severity Index (ISI) score was developed to evaluate a patient's risk of recurrent shoulder instability following arthroscopic Bankart repair. While patients with an ISI score of >6 were originally recommended to undergo an open procedure (ie, Latarjet) to minimise the risk of recurrence, recent literature has called into question the utility of the ISI score.

Objective: The purpose of this systematic review was to evaluate the efficacy of the ISI score as a tool to predict postoperative recurrence among patients undergoing arthroscopic Bankart procedures. Read More

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September 2021

Arthroscopic Bankart Repair Versus Open Latarjet for Recurrent Shoulder Instability in Athletes.

Orthop J Sports Med 2021 Sep 8;9(9):23259671211023801. Epub 2021 Sep 8.

Sports Surgery Clinic, Dublin, Ireland.

Background: In athletes with recurrent shoulder instability, arthroscopic Bankart repair (ABR) and the open Latarjet procedure (OL) are commonly indicated to restore stability and allow them to return to play (RTP).

Purpose: To compare the outcomes of ABR and OL in athletes with recurrent shoulder instability.

Study Design: Cohort study; Level of evidence, 3. Read More

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September 2021

Salvage Iliac Crest Bone Grafting for a Failed Latarjet Procedure: Analysis of Failed and Successful Procedures.

Am J Sports Med 2021 Sep 15:3635465211040468. Epub 2021 Sep 15.

Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Background: The Latarjet is a successful procedure but can be associated with significant complications, including failure. Iliac crest bone grafting (ICBG) is one of the salvage options for such failure.

Purpose: To analyze factors associated with failure or success to restore shoulder stability with ICBG after Latarjet failure. Read More

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September 2021

Current concepts in anterior glenohumeral instability: diagnosis and treatment.

SICOT J 2021 14;7:48. Epub 2021 Sep 14.

Department of Orthopaedics, University of Ulsan, College of Medicine, Asan Medical Center, 05505 Seoul, Korea.

The glenohumeral joint is the most dislocated articulation, accounting for more than 50% of all joint dislocations. The reason behind shoulder instability should be investigated in detail for successful management, and the treatment plan should be individualized for all patients. Several classification systems have been proposed for glenohumeral instability. Read More

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September 2021

Long-term prevalence and impact of glenohumeral osteoarthritis after Latarjet-Patte procedure for anterior instability.

Orthop Traumatol Surg Res 2021 Sep 7:103050. Epub 2021 Sep 7.

Université Lille 2, Hôpital Roger Salengro, Lille, France.

Introduction: The Latarjet procedure provides satisfactory functional results, with low rates of recurrence. It is, however, sometimes claimed to induce osteoarthritis due to the positioning of the bone-block and hardware. The aims of the present study were to assess the long-term prevalence of osteoarthritis following the procedure, to determine risk factors and assess clinical impact. Read More

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September 2021

Extra-articular Soft Arthroscopic Latarjet Technique: More Versatility and Closer Reproducibility of Classic Latarjet Procedure than Its Intra-articular Counterpart.

Arthrosc Tech 2021 Sep 2;10(9):e2061-e2072. Epub 2021 Aug 2.

Department of Orthopedics and Traumatology, Faculty of Medicine, Menoufia University, Shebien El-kom, Menoufia Governorate, Egypt.

The recent innovative concept of dynamic anterior stabilization of the shoulder by long head of biceps tendon for anterior gleno-humeral instability management has gained growing popularity among shoulder surgeons. Different techniques using this concept have been reported. Nevertheless, these techniques share common steps of tenotomy, re-routing, trans-subscapularis transfer and bony glenoid fixation of long head of biceps. Read More

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September 2021

Arthroscopic Bankart Repair Versus Open Latarjet for First-Time Dislocators in Athletes.

Orthop J Sports Med 2021 Aug 31;9(8):23259671211023803. Epub 2021 Aug 31.

Sports Surgery Clinic, Dublin, Ireland.

Background: In athletes with a first-time shoulder dislocation, arthroscopic Bankart repair (ABR) and the open Latarjet procedure (OL) are the most commonly utilized surgical procedures to restore stability and allow them to return to play (RTP).

Purpose: To compare the outcomes of ABR and OL in athletes with a first-time shoulder dislocation.

Study Design: Cohort study; Level of evidence, 3. Read More

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Complex Region Pain Syndrome Following Shoulder Surgery.

Arthrosc Sports Med Rehabil 2021 Aug 15;3(4):e1037-e1045. Epub 2021 May 15.

Divisions of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, New York, U.S.A.

Purpose: To describe the clinical features, treatment, and outcomes in patients with complex region pain syndrome (CRPS) following shoulder surgeries.

Methods: Three patients were diagnosed with CRPS according to the Budapest criteria. Patients were followed up prospectively at regular intervals for a minimum of 2 years. Read More

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Functional Outcome of Open Latarjet Procedure in Non-Athletic Middle-Aged Patients.

Malays Orthop J 2021 Jul;15(2):151-158

Department of Orthopaedics, Government Medical College Kota, Kota, India.

Introduction: The movement and steadiness of the shoulder joint is due to both the dynamic and static stabilisers. Recurrent anterior shoulder instability is common due to the Bankart lesion or the Hill Sachs lesion. The bone loss and soft tissue failure due to these lesions causing instability is well compensated by Latarjet procedure which acts by triple blocking effect of the bone graft, the sling effect of the conjoint tendon of subscapularis and the ligament of the coracoacromial ligament stump. Read More

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Return to Professional Australian Rules Football After Surgery for Traumatic Anterior Shoulder Instability.

Am J Sports Med 2021 09 16;49(11):3066-3075. Epub 2021 Aug 16.

Melbourne Orthopaedic Group, Melbourne, Victoria, Australia.

Background: The treatment of traumatic anterior shoulder instability in professional Australian Football League (AFL) players is challenging, with an emphasis on early return to play and avoidance of instability recurrence.

Purpose: To investigate return-to-sport (RTS) outcomes and complications after 2 different procedures for traumatic anterior shoulder instability in professional AFL players.

Study Design: Cohort study; Level of evidence, 3. Read More

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September 2021

Editorial Commentary: Remplissage Is Not Needed When Performing the Latarjet Procedure in the Setting of Off-Track Hill-Sachs Lesions: One of the Classics Continues to Get Better With Age (and Some Help From New Data).

Authors:
Andrew J Sheean

Arthroscopy 2021 08;37(8):2462-2464

The glenoid track paradigm has played a pivotal role in the development of a contemporary approach to shoulder stabilization surgery. A number of studies have validated the importance of bipolar bone loss in the pathogenesis of recurrent anterior shoulder instability and defined the limitations of soft tissue-based, arthroscopic surgical approaches. The glenoid track paradigm has also helped to clarify the indications for coracoid transfer procedures, although some question persists as to the necessity of addressing an "off-track" Hill-Sachs lesion with remplissage concurrently with the Latarjet procedure for large glenoid bone defects. Read More

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Editorial Commentary: Lower Return to Play After Failed Prior Instability Surgery: Should the Open Latarjet Be the Gold Standard for Anterior Shoulder Instability?

Arthroscopy 2021 08;37(8):2418-2419

The Ohio State University.

Anterior shoulder instability is common in contact athletes. Arthroscopic Bankart repair can result in good clinical outcomes, but high recurrence rates have been reported. The open Latarjet procedure can result in excellent functional outcomes with low rates of recurrent instability. Read More

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Editorial Commentary: A Functional Capsule, Not the Type of Bone Graft, Determines Outcome After Shoulder Stabilization in Cases of Anterior Glenoid Bone Deficiency.

Arthroscopy 2021 08;37(8):2409-2411

Paris, France.

Many clinical results of surgical treatment of recurrent anterior shoulder instability confirm the importance of anterior bone grafting of the glenoid defect. Some studies even propose to perform a graft, even when there is no bony defect. Short- and middle-term studies report comparable results between bone grafting and Latarjet procedure. Read More

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Dynamic and Static Stabilization of Anterior Shoulder Instability With the Subscapular Sling Procedure.

Arthrosc Tech 2021 Jul 20;10(7):e1773-e1781. Epub 2021 Jun 20.

Department of Orthopedic Surgery, Trondheim University Hospital and Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

There are numerous arthroscopic techniques available to address anterior shoulder instability. Complications are various, and in pursuit of new treatment options, an alternative arthroscopic technique with less potential for complications has been developed. The novel subscapular sling with a semitendinosus graft provides both dynamic and static stability. Read More

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Anterior Shoulder Instability Part II-Latarjet, Remplissage, and Glenoid Bone-Grafting-An International Consensus Statement.

Arthroscopy 2021 Jul 29. Epub 2021 Jul 29.

Sports Surgery Clinic, Northwood Avenue, Santry Demesne, Dublin 9, D09 C523, Dublin, Ireland.

Purpose: The purpose of this study was to establish consensus statements via a modified Delphi process on the Latarjet procedure, remplissage, and glenoid-bone grafting for anterior shoulder instability.

Methods: A consensus process on the treatment utilizing a modified Delphi technique was conducted, with 65 shoulder surgeons from 14 countries across 5 continents participating. Experts were assigned to one of 9 working groups defined by specific subtopics of interest within anterior shoulder instability. Read More

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Mid-term outcomes of arthroscopic Latarjet procedure in chronic anterior shoulder instability after failed Bankart surgery or with significant glenoid bone loss.

Bratisl Lek Listy 2021 ;122(8):559-566

Introduction: Arthroscopic Latarjet surgery is a technique developed to minimize invasive surgical treatment of anterior shoulder instability. However, compared to an open Latarjet operation, it is considered more technically demanding. The aim of our study was to assess its mid-term success rate in the hands of a surgeon with sufficient experience. Read More

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Influential and Highest Cited Shoulder Instability Articles: A Bibliometric Analysis.

Orthop J Sports Med 2021 Mar 26;9(3):2325967121992577. Epub 2021 Mar 26.

Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.

Background: In orthopaedic surgery and other fields, the effect of influential journal articles has been evaluated by their citation counts and their correlation with methodological quality.

Purpose: To identify and characterize the 50 most cited articles on shoulder instability, examine trends in publication characteristics, and evaluate the correlation of citations with quality of evidence.

Study Design: Cross-sectional study. Read More

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Soft Arthroscopic Latarjet Procedure: Technical Note on Biceps Tendon as a Modified Sling for Restoration of Glenohumeral Stability.

Arthrosc Tech 2021 Jun 17;10(6):e1531-e1537. Epub 2021 May 17.

Department of Orthopedics & Traumatology, Faculty of Medicine, Menoufia University, Egypt, Shebien El-kom, Menoufia Governorate, Egypt.

As an alternate to sling glenohumeral restabilization mechanism of Latarjet procedure, recent different arthroscopic soft-tissue reconstructive techniques have been described for the management of glenohumeral instability. One of these techniques is trans-subscapularis bony tenodesis of long head of biceps (instead of coracoid graft transfer) to the anteroinferior glenoid. For simplification of the latter technique, the current article reports an alternative arthroscopic technique for management of glenohumeral instability in patients with type V SLAP lesion or poor soft-tissue quality of the anterior capsulolabral complex. Read More

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High Rate of Return to Work by Three Months Following Latarjet for Anterior Shoulder Instability.

Arthroscopy 2021 Jul 9. Epub 2021 Jul 9.

Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address:

Purpose: To evaluate the rate and duration of return to work in patients undergoing Latarjet for failed soft-tissue stabilization or glenoid bone loss.

Methods: Consecutive patients undergoing Latarjet from 2005 to 2015 at our institution were retrospectively reviewed at a minimum of 2 years postoperatively. Patients completed a standardized and validated work questionnaire, Western Ontario Shoulder Instability Index Survey, and a satisfaction survey. Read More

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Glenoid Bone Loss Is a Risk Factor for Poor Clinical Results After Coracoid Transfer in Rugby Players With Shoulder Dislocations.

Orthop J Sports Med 2021 Mar 26;9(3):2325967121993233. Epub 2021 Mar 26.

Department of Orthopaedic Surgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.

Background: Although surgical shoulder stabilization via coracoid transfer in collision athletes is effective and has a low reinjury rate, the factors affecting poor clinical results and the superiority of the 2 stabilization procedures (Bristow and Latarjet) remain unclear.

Purpose: To explore the factor(s) affecting poor clinical results of coracoid transfer in a large cohort of rugby players and to compare postoperative function between the Bristow and Latarjet procedures.

Study Design: Cohort study; Level of evidence, 3. Read More

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

Rev Bras Ortop (Sao Paulo) 2021 Jun 30;56(3):307-312. Epub 2020 Sep 30.

Centro de Cirurgia do Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil.

 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. Read More

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The Relationship between Kinesiophobia and Return to Sport after Shoulder Surgery for Recurrent Anterior Instability.

Joints 2019 Dec 18;7(4):148-154. Epub 2021 Jun 18.

Department of Orthopaedic and Traumatology, Oderzo Hospital, Oderzo, Treviso, Italy.

 To evaluate the relationship between kinesiophobia and patient's return to sport after shoulder stabilization surgery. The hypothesis was that kinesiophobia represents an independent factor correlated to the difference between preinjury and postoperative level of sport.  This study retrospectively evaluated 66 patients (mean age: 35. Read More

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December 2019

Editorial Commentary: Surgical Treatment of Shoulder Instability With Subcritical Glenoid Bone Loss Requires Innovation: Bankart May Risk Significant Recurrence and Latarjet May Risk Significant Complications.

Authors:
Sarah B Shubert

Arthroscopy 2021 07;37(7):2075-2076

The patient with a history of shoulder dislocation and subcritical (10%-15%) glenoid bone loss presents a complicated scenario. The "safest" procedure (arthroscopic Bankart repair) may result in a high rate of failure and risk of further surgery. The most successful procedure for avoiding recurrence (Latarjet) comes with potentially high complication rates (of up to 20%), a steep learning curve, risk of permanent nerve injury (up to 15%), and substantial risk of subscapularis deficit. Read More

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Recurrence and return to sport after surgery for shoulder instability: arthroscopic Bankart versus Latarjet procedure.

JSES Int 2021 Jul 6;5(4):609-615. Epub 2021 May 6.

C.E.R.S., Groupe Ramsay Santé, Capbreton, France.

Background: Surgeons differ in their preferences concerning the best surgical technique for treating shoulder instability in sportspeople. The purpose was to evaluate the risk of recurrence and the likelihood of return to sport for the 2 principal shoulder stabilization techniques used to treat shoulder instability in sportspeople.

Methods: We screened sportspeople who had undergone shoulder stabilization for inclusion in this cohort study. Read More

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[Comparison of the efficacy between open and arthroscopic Latarjet procedure in the treatment of anterior shoulder instability:a Meta-analysis].

Zhongguo Gu Shang 2021 Jun;34(6):573-83

The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China.

Objective: To compare the clinical efficacy between open and arthroscopic Latarjet procedure in the treatment of anterior shoulder instability by using Meta-analysis.

Methods: Search PubMed, Medline, Embase, Cochrane, China National Knowledge Infrastructure(CNKI), Wanfang database, China Biological Literature system(CBM) and VIP database. Review all retrospective or prospective cohort studies and randomized controlled trials on open and arthroscopic Latarjet procedure for anterior shoulder instability. Read More

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Three-Dimensional Quantification of Glenoid Bone Loss in Anterior Shoulder Instability: The Anatomic Concave Surface Area Method.

Orthop J Sports Med 2021 Jun 3;9(6):23259671211011058. Epub 2021 Jun 3.

Shoulder Surgery QLD Research Institute, Brisbane, Australia.

Background: Recurrent shoulder instability may be associated with glenoid erosion and bone loss. Accurate quantification of bone loss significantly influences the contemplation of surgical procedure. In addition, assessment of bone loss is crucial for surgical planning and accurate graft placement during surgery. Read More

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Failed Latarjet procedure: a systematic review of surgery revision options.

J Orthop Traumatol 2021 Jun 21;22(1):24. Epub 2021 Jun 21.

Shoulder and Elbow Unit, Cervesi Hospital, Cattolica, AUSL Romagna, Cattolica, Italy.

Background: 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.

Methods: 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. Read More

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