The arthroscopic treatment of anterior shoulder instability with glenoid bone loss shows similar clinical results after Latarjet procedure and iliac crest autograft transfer.

Autor: Bockmann B; Department of Orthopaedics and Trauma Surgery, St. Josef Hospital, Ruhr University, Gudrunstraße 56, 44791, Bochum, Germany. benjamin_bockmann@hotmail.com.; Department of Shoulder and Elbow Surgery, St. Josef Krankenhaus Essen-Kupferdreh, Essen, Germany. benjamin_bockmann@hotmail.com., Nebelung W; OPND Praxisklinik, Düsseldorf, Germany., Gröger F; Shouldercare, Engeriedspital, Bern, Switzerland., Leuzinger J; Center for Minimally Invasive Surgery, Etzelclinic, Pfäffikon, Switzerland., Agneskirchner J; Go:h Hannover, Hannover, Germany., Brunner U; Trauma and Orthopaedic Surgery, Krankenhaus Agatharied, Hausham, Germany., Seybold D; OPND Praxisklinik, Düsseldorf, Germany., Streich J; Department of Shoulder and Elbow Surgery, St. Josef Krankenhaus Essen-Kupferdreh, Essen, Germany., Bartsch S; Schaumburg Centre of Joint Surgery, Praxis am Wall Rinteln, Rinteln, Germany., Schicktanz K; Department of Sports Orthopaedics, St. Vinzenz Hospital, Düsseldorf, Germany., Maier D; Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland., Königshausen M; Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany., Patzer T; Centre for Shoulder, Elbow, Knee and Sports Orthopedics, Schön-Klinik, Düsseldorf, Germany., Venjakob AJ; Department of Sports Orthopaedics, St. Vinzenz Hospital, Düsseldorf, Germany.
Jazyk: angličtina
Zdroj: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2023 Oct; Vol. 31 (10), pp. 4566-4574. Date of Electronic Publication: 2023 Jun 29.
DOI: 10.1007/s00167-023-07480-2
Abstrakt: Purpose: Recurrent anterior shoulder instability caused by critical bone loss of the glenoid is a challenging condition for shoulder surgeons. The purpose of this prospective multicenter trial was to compare the arthroscopic transfer of the coracoid process (Latarjet procedure) with the arthroscopic reconstruction of the glenoid using iliac crest autografts.
Methods: A prospective multi-center trial was performed in nine orthopaedic centres in Austria, Germany and Switzerland between July 2015 and August 2021. Patients were prospectively enrolled and received either an arthroscopic Latarjet procedure or an arthroscopic iliac crest graft transfer. Standardized follow-up after 6 months and mimimum 24 months included range of motion, Western Ontario stability index (WOSI), Rowe score and subjective shoulder value (SSV). All complications were recorded.
Results: 177 patients (group Latarjet procedure: n = 110, group iliac crest graft: n = 67) were included in the study. WOSI (n.s.), SSV (n.s.) and Rowe score (n.s.) showed no difference at final follow-up. 10 complications were seen in group Latarjet procedure and 5 in group iliac crest graft; the frequency of complications did not differ between the two groups (n.s.).
Conclusion: The arthrosopic Latarjet procedure and arthroscopic iliac crest graft transfer lead to comparable results regarding clinical scores, frequency of recurrent dislocations and complication rates.
Level of Evidence: Level II.
(© 2023. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).)
Databáze: MEDLINE
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