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The Learning Curve for the Latarjet Procedure: A Systematic Review
Seper Ekhtiari1, Nolan S Horner1, Asheesh Bedi2
1Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Orthopaedic Journal of Sports Medicine
|August 10, 2018
Summary
Surgeons achieve proficiency in the Latarjet procedure with experience, indicated by reduced operative times and complication rates. This systematic review analyzed learning curves for both open and arthroscopic Latarjet procedures.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Surgical Education
Background:
- Anterior shoulder instability is prevalent in young athletes, often necessitating surgical intervention.
- The Latarjet procedure is a widely adopted surgical technique for recurrent shoulder instability.
Purpose of the Study:
- To systematically review and define the learning curves associated with the Latarjet procedure.
- To establish proficiency benchmarks for surgeons performing the Latarjet procedure.
Main Methods:
- A systematic review of three databases (Embase, MEDLINE, PubMed) was conducted.
- Data from 5 studies (2 level 3, 3 level 4) involving 349 patients were analyzed.
- Learning curve metrics, including operative time and complication rates, were extracted and assessed.
Main Results:
- Proficiency in the Latarjet procedure was achieved after approximately 20-40 arthroscopic or 22 open procedures.
- Decreased operative time was a consistent indicator of surgeon proficiency across studies.
- Complication rates and hospital stay significantly reduced with surgical experience in open Latarjet procedures.
Conclusions:
- Surgical experience leads to improved proficiency in performing the Latarjet procedure, evidenced by reduced operative times and complication rates.
- The Latarjet procedure demonstrates overall safety with low complication rates.
- Further research is needed to fully elucidate the learning curve for this procedure.
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