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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
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.
Objective:
To evaluate clinical and radiological outcomes of the arthroscopic Latarjet procedure with cortical buttons for traumatic anterior shoulder instability.
Methods:
Retrospective case series of medical reports and imaging studies of patients operated between April 2016 and September 2019 at a single hospital. Primary outcome was the Rowe score 24 months after surgery (MCID of 9.7 points). Secondary outcomes were the VAS, Rowe scores at other follow-up points, recurrence of instability, complications and tomographic evaluation of arthritis and graft healing, resorption and positioning.
Results:
46 shoulders were evaluated. At 24 months, mean Rowe score increased from 34.4 ± 11.4 to 90.1 ± 12.2 (p<0.001) and VAS from 6.1 ± 2.0 to 1.2 ± 1.9 (p<0.001). Every patient achieved MCID. Over 90% of grafts were well positioned and approximately 85% of them healed. There was no redislocation and only one (2.2%) subluxation. There were complications in six patients (13%), and no reoperation was needed.
Conclusion:
At short-term, arthroscopic Latarjet procedure with cortical buttons provides good clinical outcomes, significant pain reduction and low recurrence rate. Graft healing and positioning were adequate. Complications were minor, with no reoperation needed. Level of Evidence IV; Case Series.
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