Related Experiment Video
Updated: Apr 1, 2026
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Female Patients Have Higher Complication Rates but Similar Functional Outcomes at Minimum 24 Months After the Open
Jeffrey S Mun1, Rachel L Poutre1, Srish S Chenna1
1Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, U.S.A.
Purpose:
To systematically review sex-specific differences in (1) patient-reported outcome measures (PROMs) at a minimum 24-month follow-up, (2) postoperative complication risk, and (3) return-to-sport (RTS) rates after the open Latarjet procedure.
Methods:
Searches of PubMed, Cochrane, Embase, and Scopus were performed in September 2024 using the Boolean search: (Male OR Female) AND Latarjet. Articles were included if sex-specific analyses evaluating differences in PROMs, postoperative complication risk, and/or RTS after the open Latarjet procedure were performed.
Results:
Nine studies met inclusion criteria and included 2576 patients who underwent the open Latarjet procedure for traumatic or atraumatic anterior shoulder instability. Of the patients, 83% were male (vs 17% female), with average age ranging from 26 to 30 years. Three studies, ranging from mean 24- to 50.5-month follow-up, found no significant postoperative differences in PROM scores between male and female patients. One study at a mean 75-month follow-up, female patients had 2.8 greater odds of clinical failure compared with male patients, based on PROM thresholds. Studies reported significantly greater odds of 30-day emergency department visits [odds ratio: 1.79; P = .029] and pulmonary embolism [2.33; P < .01] in female patients compared with male patients. RTS rates ranged from 38% to 67% for female and 50% to 63% for male patients, with no studies finding a significant sex-specific difference in RTS rate.
Conclusions:
While sex may not influence functional outcomes at a minimum 24-month follow-up and RTS rate after the open Latarjet procedure, female patients may have significantly greater risk for postoperative complications and emergency department visits. One study found that female patients had significantly greater long-term clinical failure compared with male patients, based on PROM measure thresholds.
Level Of Evidence:
Level IV, systematic review of Level III and IV studies.
