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ARTHROSCOPIC LATARJET WITH CORTICAL BUTTONS: CLINICAL AND RADIOLOGICAL OUTCOMES.
Alexandre Tadeu do Nascimento1, Caio Santos Checchia2,3, Jorge Henrique Assunção2,4
1Hospital Orthoservice Sao Jose dos Campos, Grupo de Ombro e Cotovelo, Rede D'or, Sao Paulo, SP, Brazil.
The arthroscopic Latarjet procedure using cortical buttons effectively treats traumatic anterior shoulder instability, showing significant improvements in function and pain with a low recurrence rate. Graft healing and positioning were adequate, with minor complications and no need for reoperation.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Instability Research
Background:
- Traumatic anterior shoulder instability poses significant challenges to patient function and quality of life.
- The Latarjet procedure is a recognized surgical option for addressing this condition.
Purpose of the Study:
- To evaluate the clinical and radiological outcomes of the arthroscopic Latarjet procedure with cortical buttons for traumatic anterior shoulder instability.
Main Methods:
- A retrospective case series involving 46 patients operated between April 2016 and September 2019.
- Primary outcome: Rowe score at 24 months. Secondary outcomes: VAS, recurrence, complications, and graft healing/positioning via tomography.
Main Results:
- Significant improvement in mean Rowe score (34.4 to 90.1) and VAS (6.1 to 1.2) at 24 months (p<0.001).
- Over 90% graft positioning, ~85% graft healing, no redislocations, and only one subluxation.
- 13% minor complications, no reoperations required.
Conclusions:
- Arthroscopic Latarjet with cortical buttons yields good short-term clinical outcomes for anterior shoulder instability.
- The procedure demonstrates significant pain reduction, low recurrence rates, and adequate graft healing.
- Complications were minor, supporting the safety and efficacy of this technique.
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