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.
Results
Of 89 eligible patients who had Latarjet, 67 patients (75.3%) responded to the questionnaire,
of whom 51 patients (76.1%) were employed within 3 years before surgery (mean age:
29.9 ± 11.8 years; mean follow-up: 54.6 ± 11.9 months) and had an average glenoid
bone loss of 14.5 ± 6.1%. Fifty patients (98.0%) returned to work by 2.7 ± 3.0 months
postoperatively; 45 patients (88.2%) patients returned to the same level of occupational
intensity. Those who held sedentary, light, moderate, or heavy intensity occupations
returned to their previous occupation at a rate of 100.0%, 93.3%, 90.0%, and 66.7%
(P = .2) at a duration of 1.2 ± 1.6 months, 1.8 ± 1.9 months, 3.1 ± 3.5 months, and
6.5 ± 4.1 months (P = .001), respectively. The average postoperative Western Ontario Shoulder Instability
Index score was 70.9 ± 34.2. Fifty patients (98.0%) noted at least “a little improvement”
in their quality of life following surgery, with 35 patients (68.6%) noting great
improvement. Furthermore, 49 patients (96.1%) reported being satisfied with their
procedure, with 25 patients (49.0%) reporting being very satisfied. Four patients
(7.8%) returned to the operating room, with 1 patient (2.0%) requiring arthroscopic
shoulder stabilization.
Conclusions
Approximately 98% of patients who underwent Latarjet returned to work by 2.7 ± 3.0
months postoperatively. Patients with greater-intensity occupations had a longer duration
of absence before returning to their preoperative level of occupational intensity.
Information regarding return to work is imperative in preoperative patient consultation
to manage expectations.
Level of Evidence
IV, case series.
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Article Info
Publication History
Published online: July 09, 2021
Footnotes
The authors report the following potential conflicts of interest or sources of funding: A.A.R. reports grants from the Arthroscopy Association of North America and Aesculap/B. Braun ; other from Arthrex and Atreon Orthopaedics ; grants from Histogenics and Medipost ; other from MLB ; grants from NuTech ; other from Orthopaedics and Orthopaedics Today ; grants from OrthoSpace ; other from SAGE and Saunders-Mosby/Elsevier, SLACK Inc ; grants from Smith & Nephew ; other from Wolters Kluwer Health-Lippincott Williams & Wilkins ; and grants from Zimmer , outside the submitted work. B.J.C. reports grants from Aesculap/B. Braun ; other from the American Journal of Orthopaedics and American Journal of Sports Medicine; personal fees from Aqua Boom and Arthrex ; other from Arthroscopy, Arthroscopy Association of North America , and Athletico ; personal fees from Biometrix ; other from Cartilage; personal fees from DJ Orthopaedics , Elsevier Publishing , and Flexion ; grants from Geistlich ; personal fees from Gitelscope ; other from International Cartilage Repair Society ; Journal of Bone and Joint Surgery—American, Journal of Shoulder and Elbow Surgery, and Journal of the American Academy of Orthopaedic Surgeons; personal fees from JRF Ortho ; grants from the National Institutes of Health ; personal fees from Operative Techniques in Sports Medicine, Ossio, and Regentis ; grants from Sanofi-Aventis ; personal fees from Smith & Nephew and Tournier ; and grants from Zimmer , outside the submitted work. N.N.V. reports other from the American Orthopaedic Society for Sports Medicine and American Shoulder and Elbow Surgeons ; grants and personal fees from Arthrex ; personal fees and other from Arthroscopy; other from Arthroscopy Association of North America ; grants from Arthrosurface ; personal fees from Cymedica ; grants from DJ Orthopaedics and Journal of Knee Surgery; personal fees from Minivasive , Omeros , and Orthospace ; grants from Ossur ; other from SLACK Inc ; grants and personal fees from Smith & Nephew ; grants from Athletico , CONMED Linvatec , Miomed , and Mitek ; and personal fees from Vindico Medical-Orthopedics Hyperguide , outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material .
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