This is a prospective study of 118 Bristow-Latarjet coracoid transfers for recurrent anterior shoulder instability. All shoulders were followed for a mean of 15.2 years with uniform follow-up and no dropouts. Outcomes were assessed with physical exam, the Rowe score, and patient-reported satisfaction.
When counseling a patient on coracoid transfer for recurrent anterior instability, this series gives you concrete long-term numbers: about 98% satisfaction and under 1% revision at 15 years. The technical pearl is preserving external rotation. Losing more than 10° was linked to lower satisfaction, so split the subscapularis medially and avoid capsular tethering to protect motion.
Counsel patients that occasional subluxation is common (10%) and usually does not signal failure, since nearly all affected patients stayed satisfied. The rising bilateral instability rate (19% to 35%) reflects the natural history of the disease and warns against classification systems built on laterality alone.
Read this in context: the authors themselves recommended the procedure mainly for revision cases and experienced surgeons, and modern interest in Latarjet centers on glenoid bone loss, which this paper predates.
This is a prospective study of 118 Bristow-Latarjet coracoid transfers for recurrent anterior shoulder instability. All shoulders were followed for a mean of 15.2 years with uniform follow-up and no dropouts. Outcomes were assessed with physical exam, the Rowe score, and patient-reported satisfaction.
When counseling a patient on coracoid transfer for recurrent anterior instability, this series gives you concrete long-term numbers: about 98% satisfaction and under 1% revision at 15 years. The technical pearl is preserving external rotation. Losing more than 10° was linked to lower satisfaction, so split the subscapularis medially and avoid capsular tethering to protect motion.
Counsel patients that occasional subluxation is common (10%) and usually does not signal failure, since nearly all affected patients stayed satisfied. The rising bilateral instability rate (19% to 35%) reflects the natural history of the disease and warns against classification systems built on laterality alone.
Read this in context: the authors themselves recommended the procedure mainly for revision cases and experienced surgeons, and modern interest in Latarjet centers on glenoid bone loss, which this paper predates.