Shah, J Bone Joint Surg Am 2012 - Short-Term Complications of the Latarjet Procedure

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Short-Term Complications of the Latarjet Procedure

Shah, Warner, et al.·J Bone Joint Surg Am·2012·387 citations·Retrospective cohort

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Background

Although the results of the Latarjet procedure have been reported previously, there is little literature regarding the early complications of this procedure. The purpose of this study was to report our experience with the Latarjet procedure for glenohumeral instability and to highlight the initial complications that may occur following this procedure.

Methods

47 patients (48 shoulders) underwent the Latarjet procedure for anterior glenohumeral instability between January 2005 and January 2010.
All shoulders had some osseous deficiency of the anterior glenoid rim or had undergone an unsuccessful prior soft-tissue Bankart repair.
The minimum duration of patient follow-up was 6 months.

Results

45 shoulders were available for follow-up.
The overall complication rate was 25% (12 of the original 48 shoulders).
Complications were divided into 3 groups: infection, recurrent glenohumeral instability, and neurologic injury.
A superficial infection developed in 3 shoulders (6%); in all cases, the infection resolved following irrigation and debridement and administration of antibiotics for up to 4 weeks.
4 shoulders (8%) developed recurrent glenohumeral instability; this occurred within 8 months in 2 shoulders and at 19 and 42 months postoperatively in the other 2.
5 procedures (10%) resulted in a neurologic injury.
2 of these involved the musculocutaneous nerve, one involved the radial nerve, and 2 involved the axillary nerve.
The 3 musculocutaneous and radial nerve injuries involved sensory neurapraxia that resolved fully within 2 months.
Both of the patients with axillary nerve dysfunction continued to have persistent sensory disturbances and one continued to have residual weakness that had not yet resolved fully at the time of the final follow-up.

Conclusions

The overall complication rate of 25% is higher than that reported in the literature. Although most of these complications resolved completely, two patients continued to have residual neurologic symptoms. Patients should be informed of the risk of complications associated with the Latarjet procedure, although most of the potential complications will resolve.

Level of evidence: Therapeutic Level IV. Copyright remains with the authors and publisher.

Short-Term Complications of the Latarjet Procedure.

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Short-Term Complications of the Latarjet Procedure

Shah, Warner, et al.·J Bone Joint Surg Am·2012·387 citations·Retrospective cohort

|

Background

Although the results of the Latarjet procedure have been reported previously, there is little literature regarding the early complications of this procedure. The purpose of this study was to report our experience with the Latarjet procedure for glenohumeral instability and to highlight the initial complications that may occur following this procedure.

Methods

47 patients (48 shoulders) underwent the Latarjet procedure for anterior glenohumeral instability between January 2005 and January 2010.
All shoulders had some osseous deficiency of the anterior glenoid rim or had undergone an unsuccessful prior soft-tissue Bankart repair.
The minimum duration of patient follow-up was 6 months.

Results

45 shoulders were available for follow-up.
The overall complication rate was 25% (12 of the original 48 shoulders).
Complications were divided into 3 groups: infection, recurrent glenohumeral instability, and neurologic injury.
A superficial infection developed in 3 shoulders (6%); in all cases, the infection resolved following irrigation and debridement and administration of antibiotics for up to 4 weeks.
4 shoulders (8%) developed recurrent glenohumeral instability; this occurred within 8 months in 2 shoulders and at 19 and 42 months postoperatively in the other 2.
5 procedures (10%) resulted in a neurologic injury.
2 of these involved the musculocutaneous nerve, one involved the radial nerve, and 2 involved the axillary nerve.
The 3 musculocutaneous and radial nerve injuries involved sensory neurapraxia that resolved fully within 2 months.
Both of the patients with axillary nerve dysfunction continued to have persistent sensory disturbances and one continued to have residual weakness that had not yet resolved fully at the time of the final follow-up.

Conclusions

The overall complication rate of 25% is higher than that reported in the literature. Although most of these complications resolved completely, two patients continued to have residual neurologic symptoms. Patients should be informed of the risk of complications associated with the Latarjet procedure, although most of the potential complications will resolve.

Level of evidence: Therapeutic Level IV. Copyright remains with the authors and publisher.

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