Acta of Shoulder and Elbow Surgery | Volume 2 | Issue 2 | July-Dec 2017 | Page 9-11 | Domingo Beltramelli, Mauricio Oehler, Bruno Pintos, Emerson Kucharski, Viviana Teske
Authors: Domingo Beltramelli , Mauricio Oehler , Bruno Pintos , Emerson Kucharski , Viviana Teske 
 Jef of Shoulder Group Montevideo Uruguay and CASMU Hospital
 Shoulder Group and CASMU Hospital Montevideo Uruguay
Address of Correspondence
Dr. Alexandre de Almeida:
Rua Vitório Buzelatto, 222/601. Caxias do Sul, RS, Brazil.
Background: The purpose of this study is to make a retrospective evaluation of the long-term evolution of patients who were operated using the Latarjet in order to evaluate the results regarding the rate of recurrence and arthrosis in the series taken.
Materials and Methods: We considered 58 patients who were operated more than 10 years ago using Latarjet procedure, average follow-up of 13,8 years. The average age at the time of the surgery was 27 years old, 46 of them were males and 12 females and 39 of the total had their dominant side affected. 33 practiced sports, 18 professionally and 15 as a spare time activity. In 22 cases the technique was performed using one screw, and in 36 cases were used two screws.
Results: Using the Carter Rowe scale for the functional evaluation, from a preoperative average of 38,5 we reached 88,2 at the end of follow-up. The recurrence was 5,7%. All the cases show glenoid bone injury that were reviewed using preoperative x-ray which were considered to compare with current evolving x-ray analyzing arthrosis with the Samilson-Prieto criteria. Only 2 patients showed arthrosis in stage 1 in the preoperative. At the time of the evaluation 18% show arthrosis, 2 cases in stage 3, 4 in stage 2 and 4 cases in stage 1. From the ones that practiced sports professionally, 15 resume their activity, and from the ones practicing sports recreationally, 10 resume it.
Conclusions: The Latarjet procedure shows excellent results to treat anterior instability of the shoulder in the long-term. The levels of recurrence and arthrosis are low.
Level of evidence: Level 4. Case Series. Treatment Study.
Keywords: Latarjet procedure, anterior instability of the shoulder, arthrosis.
1. Allain J; Goutallier D; Glorion C. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 1998;80:841-52.
2. Bernageau J, Patte D, Debeyre J, Ferrane J. Interet du profile glenoidien dans le luxations recidivantes de l’ epaule. Rev Chir Orthop 1976;62:142-7.
3. Burkhart SS; De Beer JF; Barth JR; Cresswell T; Roberts C; Richards DP. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy. 2007 Oct; 23(10);1033-41.
4. Hovelius L, Sandstrom B, Sundgren K, Saebo M. One hundred eighteen Bristow-Latarjet repairs, for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study I- clinical results. J. Shoulder Elbow Surg 2004;13:509-16. http.//dx.doi.org/10.1016/j.jse.2004.02.013.
5. Lafosse L; Lejeune E; Bouchard A; Kakuda C; Gobezie R; Kochhar T. The arthroscopic Latarjet procedure for the treatmentof anterior shoulder instability and significant bone loss.arthroscopy. 2007. Nov;23(11);e1-5.Epub 2007 Oct 03.
6. Latarjet M. Treatment of recurrent dislocation of the shoulder. Lyon, Chir 1954;49; 994-7.
7. Latarjet M. Technique de la butée coracoidienne pré-glénoïdienne dans le traitement des luxations recidivantes de l’ épaule. Lyon Chir 1958;54:604-7.
8. Mizuno N; Denard PJ; Raiss P; Melis B; Walch G. Long-term results of the Latarjet procedure for anterior instability of the shoulder. J. Shoulder Elbow Surg 2014: 7, 1691-99.
9. Patte D; Bancel P; Bernageau J. The vulnerable point of the glenoid rim. In: Bateman JE; Welsh RP; editors. Surgery of the shoulder: New York: Marcel Dekker; 1985.p.94-9.
10. Rowe CR, Zarins B, Ciullo JV. Recurrent anterior dislocation of the shoulder after surgical repair. Apparent causes of failure and treatment. J Bone Joint Surg. Am. 1984 Feb: 66(2):159-68.
11. Samilson RL, Prieto V. Dislocation arthropaty of 322 the shoulder. J Bone Joint Surg Am 1983;65:456-60.
12. Walch G. Chronic anterior glenohumeral instability. J Bone Joint Surg Br. 1996 Jul;78(4);670-7.
13. Walch G, Boileau P. Latarjet-Bristow procedure for recurrent anterior instability, Tech Shoulder Elbow Surg. 2000; 1(4): 256-61.
14. Yamamoto N; Muraki T; An KN; Sperling JW; Cofield RH; Itoi E; Walch G; Steinmann SP. The stabilizing mechanism of the Latarjet procedure. A cadaveric study. J Bone Joint Surg Am 2013;95:1390-7. http://dx.doi.org/10.2106/JBJS.L.00777.
15. Yamamoto N; Itoi E; Abe H; Minagawa H; Seki N; Shimada Y; Okada K; Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg, 2007 Sep Oct;16(5):649-56.Epub 2007 Jul 23.
16. Young AA; Maia R; Berhouet J; Walch G. Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Shoulder Elbow Surg 2011;20:S61-9. http://dx.doi.org/10,1016/j.jse.2010.07.022.
|How to Cite this article: Beltramelli B, Oehler M, Pintos B, Kucharski E, Teske V. Anterior instability of the shoulder with more than 10 years evolution, treated with Latarjet Procedure, long-term results. Acta of Shoulder and Elbow Surger July – Dec 2017;2(2):9-11.|