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Clinical Outcomes Following the Latarjet Procedure in Contact and Collision Athletes

      Introduction

      To evaluate the clinical and functional results of contact or collision athletes who underwent a Latarjet for symptomatic instability with glenoid bone loss or failed stabilization surgery, using modern instability outcome measures. Study Design: Case series, Level of evidence, 4

      Methods

      61 consecutive contact and/or collision athletes (64 shoulders) treated with an open Latarjet procedure for recurrent anterior glenohumeral instability with significant glenoid bony deficiency and/or failed prior stabilization were retrospectively identified from two surgeons’ practices. 42 shoulders (66%) were evaluated at a mean follow-up of 46 months (range: 24-95), with an average age at surgery of 25.9 years (range: 16-47). Primary outcome measures were the Western Ontario Shoulder Instability Index (WOSI), American Shoulder and Elbow Society Questionnaire (ASES), Visual Analogue Scale, and return to sporting activity. IRB approval was granted for this study.

      Results

      37/42 shoulders (88%) were perceived as stable to these athletes. Two patients experienced subluxation events at 18 and 24 months after their Latarjet procedures. These 2 patients underwent further surgery including an arthroscopic debridement with biceps tenodesis and the other a revision stabilization Eden-Hybinette procedure, performed at 22 and 29 months after their Latarjets, respectively. Average VAS score was 1.1 and the Average WOSI and ASES scores for 42 shoulders were 76.5% (range: 6.4-100%, +/- 24.4) and 89.9 (range: 21.7-100, +/- 17.3), respectively. 54% (21/39) of athletes returned to preoperative sports level, 18% (7/39) decreased their activity level in the same sport, 13% (5/39) changed sports and 15% (6/39) decreased level and changed sport, or stopped sports altogether.

      Conclusion

      At a minimum of 2 year follow-up, 72 % of athletes returned to their original sport, whereas 28% had to change sport type or stop sporting activities altogether. In this challenging group of patients, the Latarjet procedure successfully restores stability in 88% of cases; 72% return to pre-operative sport type.