Purpose
To assess recurrent instability of the shoulder following open Latarjet performed
as the primary stabilization procedure or as a salvage procedure.
Methods
A retrospective, comparative cohort study was performed for a consecutive series of
patients in the Military Health System who underwent open Latarjet from January 1,
2010, to December 31, 2018. All patients were diagnosed with recurrent anterior shoulder
instability and had a minimum of 2 years of postoperative follow-up. Patients were
categorized as either having a primary Latarjet (PL; no prior shoulder stabilization
procedure) or salvage Latarjet (SL; ≥1 previous arthroscopic surgical stabilization
procedures).
Results
A total of 234 Latarjet procedures were performed in 234 patients. The overall recurrent
instability rate was 15.8% (37/234), the overall reoperation rate was 16.7% (36/234),
and the overall complication rate was 14.2% (33/234) over a mean 5.0 years of follow-up.
There were 99 PL procedures and 135 SL procedures. The SL group had significantly
more recurrent instability than the PL group (SL 28/135, 20.7%; PL 9/99, 9.1%; P = .0158). There was no difference in overall reoperation rates (SL 26/135, 19.3%;
PL 13/99, 13.1%; P = .2140) or complication rates (SL 20/135, 14.8%; PL 13/99, 13.3%; P = .9101).
Conclusion
The rate of recurrent instability following the Latarjet procedure in an active, high-risk
population is 15.8%. Primary Latarjet was found to have lower rates of recurrence
compared with salvage Latarjet procedures (9.1% versus 20.7%).
Level of Evidence
III.
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Article info
Publication history
Published online: May 04, 2021
Accepted:
April 24,
2021
Received:
December 17,
2020
Footnotes
See commentary on page 3253
The authors report that they have no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
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© 2021 by the Arthroscopy Association of North America
