Lower Education Level Is Associated With Failure to Return to Sport Whereas Bony Bankart Lesions Predict Successful...

To identify prognostic factors of patients that are associated with failure to return to sport (RTS) and return to preinjury level of sport (RTPS) after open Latarjet procedure.

A multicenter retrospective case-control study was conducted across 5 hospitals in the Netherlands. Consecutive patients who underwent surgical treatment with the open Latarjet procedure between 2014 and 2019, with a minimum follow-up of 24 months, were invited to participate. Participants received a questionnaire after providing informed consent before inclusion. Failure to RTS was defined as no return to any type of sport, including noncollision/nonoverhead shoulder sport, high-impact/collision sport, and overhead shoulder sport. Failure to RTPS was defined as no return to the same or higher level of sport. Risk factors associated with failure to RTS or RTPS were identified using logistic regression analysis. Covariates were selected on the basis of univariate analyses.

One-hundred forty patients with a mean follow-up of 61 ± 30 months (range: 24-106 months) and a mean percentage glenoid bone loss of 19 ± 11% (range: 0-47%) were included. Twelve (9%) did not RTS and 48 (34%) did not RTPS. A lower level of education was associated with no RTS (odds ratio: 4.39; 95% confidence interval: 1.13-16.97; P = .03) and bony Bankart with successful RTPS (odds ratio: 0.36; 95% confidence interval: 1.17-6.55; P = .02). Patients who RTS had greater Oxford Shoulder Instability Score (42 ± 7 vs. 35 ± 10, P = .01) and patients who RTPS had greater OSIS (43 ± 6 vs 38 ± 8, P < .001) and satisfaction scores (8 ± 1 vs 7 ± 2, P < .001).

This study concluded that lower level of education is associated with failure to RTS and that bony Bankart is a prognostic factor of successful RTPS after an open Latarjet procedure.

Level IV, retrospective case series.