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90-Day Complication Rate After the Latarjet Procedure in a High-Volume Center.

John P Scanlon1, Eoghan T Hurley1,2,3,4, Martin S Davey1,2

  • 1Sports Surgery Clinic, Dublin, Ireland.

The American Journal of Sports Medicine
|October 30, 2020
PubMed
Summary

The open Latarjet procedure shows a low 90-day complication rate in high-volume centers. Hematomas were the most frequent issue, but recurrent instability and neurological complications were absent in this study.

Keywords:
Latarjetcomplicationshematomareadmissionsrevision

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability Management

Background:

  • The Latarjet procedure is a surgical option for recurrent anterior shoulder instability, particularly with glenoid bone loss or failed prior procedures.
  • Concerns exist regarding complication rates associated with the Latarjet procedure.

Purpose of the Study:

  • To assess the 90-day complication rate following the open Latarjet procedure.
  • Evaluate outcomes in a high-volume surgical center setting.

Main Methods:

  • Retrospective review of patients undergoing open Latarjet procedure from January 2015 to December 2019.
  • Analysis of intraoperative and postoperative complications, readmissions, and reoperations within 90 days.
  • Inclusion of 441 patients with a mean age of 23 years, predominantly male (97.5%).

Main Results:

  • Low intraoperative complication rate (0.5%), including 1 coracoid fracture and 1 anaphylactic reaction.
  • Overall postoperative complication rate of 4.3% (19 patients), with 0.9% readmissions for revision surgery.
  • Hematomas were the most common complication (2.7%), requiring evacuation in 2.0% of cases. No recurrent instability, graft, or neurovascular complications were reported.

Conclusions:

  • The open Latarjet procedure demonstrates a low 90-day complication and revision rate when performed in a high-volume center.
  • Hematomas represent the primary complication, while significant adverse events like recurrent instability or neurovascular issues were not observed.