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Arthroscopic Latarjet for Shoulder Instability.

Charles L Getz1, Christopher D Joyce2

  • 1Shoulder & Elbow Division, Rothman Orthopaedic Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.

The Orthopedic Clinics of North America
|June 6, 2020
PubMed
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Arthroscopic Latarjet surgery offers a viable treatment for anterior shoulder instability, providing faster recovery and comparable outcomes to open procedures. While there is a learning curve, proficiency leads to equivalent results and surgical efficiency.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • Anterior shoulder instability is a common condition requiring surgical intervention.
  • The Latarjet procedure is a well-established treatment for recurrent anterior instability.
  • Minimally invasive techniques are increasingly explored for shoulder pathologies.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the arthroscopic Latarjet procedure.
  • To compare arthroscopic Latarjet with the traditional open Latarjet approach.
  • To identify the advantages and challenges associated with the arthroscopic technique.

Main Methods:

  • Review of clinical studies and radiographic parameters comparing arthroscopic and open Latarjet.
  • Analysis of patient recovery, stiffness, cosmesis, and overall outcomes.
Keywords:
ArthroscopyCoracoid transferLatarjetShoulder instability

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  • Assessment of the learning curve associated with the arthroscopic Latarjet procedure.

    • Main Results:

    • Arthroscopic Latarjet demonstrates faster recovery, reduced stiffness, and improved cosmesis compared to open Latarjet.
    • Clinical and radiographic outcomes are largely equivalent between arthroscopic and open Latarjet procedures.
    • A learning curve of approximately 25 cases exists, after which outcomes and surgical times become comparable.

    Conclusions:

    • Arthroscopic Latarjet is a viable and effective alternative for treating anterior shoulder instability.
    • The minimally invasive approach offers significant advantages in recovery and patient experience.
    • Surgeons should be aware of the initial learning curve for optimal results.