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ARTHROSCOPIC LATARJET TECHNIQUE COMBINED WITH ENDOBUTTONS: FUNCTIONAL OUTCOMES IN 26 CASES
Alexandre Tadeu do Nascimento1, Gustavo Kogake Claudio1, Pedro Bellei Rocha1
1Orthoservice Hospital, Shoulder and Elbow group, Sao José dos Campos, SP, Brazil.
Acta Ortopedica Brasileira
|November 23, 2018
Summary
The arthroscopic Latarjet procedure with endobuttons is a safe and effective treatment for anterior shoulder instability, yielding good functional outcomes and pain relief in patients.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Anterior shoulder instability etiology is unclear, and surgical approaches are debated.
- The Latarjet procedure is an established treatment for shoulder instability.
Purpose of the Study:
- To evaluate the outcomes of patients treated with arthroscopic Latarjet procedure using endobutton fixation.
- To assess functional recovery and graft consolidation after surgery.
Main Methods:
- Retrospective analysis of 26 patients with anterior shoulder instability undergoing arthroscopic Latarjet.
- Inclusion criteria: prior instability, failed Bankart repair, or high Instability Severity Index Score (ISIS).
- Assessment using DASH, UCLA, Rowe, VAS pain, and SF-36 scores; graft positioning and consolidation evaluated.
Main Results:
- Mean follow-up was 14.3 months.
- Significant improvements in DASH, UCLA, Rowe, VAS, and SF-36 scores were observed.
- Graft positioning was successful in 96% of cases, with 88% consolidation; 7% experienced graft fracture or migration.
Conclusions:
- Arthroscopic Latarjet with endobuttons is a safe and effective surgical option for anterior shoulder instability.
- The procedure leads to good functional outcomes and pain reduction.
- High rates of graft consolidation and correct positioning suggest reliability.
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