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Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation

BACKGROUND: Anterior dislocation is the most common type of shoulder dislocation, and even after appropriate treatment, recurrence after a primary traumatic anterior dislocation is highly frequent. Surgical options for treating recurrent anterior dislocations mainly include Bankart arthroscopic and...

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Autores principales: Sobhani, Amir, Taheri, Seyed Nima, Amiri, Shayan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10349360/
https://www.ncbi.nlm.nih.gov/pubmed/37457418
http://dx.doi.org/10.47176/mjiri.37.60
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author Sobhani, Amir
Taheri, Seyed Nima
Amiri, Shayan
author_facet Sobhani, Amir
Taheri, Seyed Nima
Amiri, Shayan
author_sort Sobhani, Amir
collection PubMed
description BACKGROUND: Anterior dislocation is the most common type of shoulder dislocation, and even after appropriate treatment, recurrence after a primary traumatic anterior dislocation is highly frequent. Surgical options for treating recurrent anterior dislocations mainly include Bankart arthroscopic and Latarjet open surgery. We aimed to evaluate the outcomes and complication rates of the open Latarjet procedure in a series of patients with recurrent anterior shoulder dislocation. METHODS: A total of 55 patients with recurrent anterior shoulder dislocation who underwent an open Latarjet procedure were included in this retrospective cohort study. Shoulder range of motion and postoperative complications, including neurapraxia, re-dislocation, hematoma, infection, dehiscence, implant failure, and pain, were evaluated. RESULTS: The mean age of the patients was 27.7 ± 6.5 years . The mean time interval after the first dislocation was 3.4 ± 2.7 years . The mean preoperative and postoperative forward flexion (P = 0.200), abduction (P = 0.200), external rotation (P = 0.066), and internal rotation (P = 0.310) were not significantly different. Postoperative complications included 1 case of postoperative musculocutaneous nerve neurapraxia, 1 case of re- dislocation, 1 case of wound dehiscence, and 2 cases of screw breakage. Postoperative pain was also recorded in 11 (20%) patients that were either in the form of occasional night pain (n = 6) or activity-dependent pain (n = 5). CONCLUSION: Open Latarjet procedure is an efficient procedure for the treatment of recurrent anterior shoulder dislocation. However, its rate of complications remains relatively high, and surgeons must consider this drawback in their decision-making and address patients' expectations.
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spelling pubmed-103493602023-07-16 Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation Sobhani, Amir Taheri, Seyed Nima Amiri, Shayan Med J Islam Repub Iran Original Article BACKGROUND: Anterior dislocation is the most common type of shoulder dislocation, and even after appropriate treatment, recurrence after a primary traumatic anterior dislocation is highly frequent. Surgical options for treating recurrent anterior dislocations mainly include Bankart arthroscopic and Latarjet open surgery. We aimed to evaluate the outcomes and complication rates of the open Latarjet procedure in a series of patients with recurrent anterior shoulder dislocation. METHODS: A total of 55 patients with recurrent anterior shoulder dislocation who underwent an open Latarjet procedure were included in this retrospective cohort study. Shoulder range of motion and postoperative complications, including neurapraxia, re-dislocation, hematoma, infection, dehiscence, implant failure, and pain, were evaluated. RESULTS: The mean age of the patients was 27.7 ± 6.5 years . The mean time interval after the first dislocation was 3.4 ± 2.7 years . The mean preoperative and postoperative forward flexion (P = 0.200), abduction (P = 0.200), external rotation (P = 0.066), and internal rotation (P = 0.310) were not significantly different. Postoperative complications included 1 case of postoperative musculocutaneous nerve neurapraxia, 1 case of re- dislocation, 1 case of wound dehiscence, and 2 cases of screw breakage. Postoperative pain was also recorded in 11 (20%) patients that were either in the form of occasional night pain (n = 6) or activity-dependent pain (n = 5). CONCLUSION: Open Latarjet procedure is an efficient procedure for the treatment of recurrent anterior shoulder dislocation. However, its rate of complications remains relatively high, and surgeons must consider this drawback in their decision-making and address patients' expectations. Iran University of Medical Sciences 2023-05-30 /pmc/articles/PMC10349360/ /pubmed/37457418 http://dx.doi.org/10.47176/mjiri.37.60 Text en © 2023 Iran University of Medical Sciences https://creativecommons.org/licenses/by-nc-sa/1.0/This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial-ShareAlike 1.0 License (CC BY-NC-SA 1.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Sobhani, Amir
Taheri, Seyed Nima
Amiri, Shayan
Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation
title Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation
title_full Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation
title_fullStr Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation
title_full_unstemmed Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation
title_short Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation
title_sort short-term complications of open latarjet procedure for recurrent anterior shoulder dislocation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10349360/
https://www.ncbi.nlm.nih.gov/pubmed/37457418
http://dx.doi.org/10.47176/mjiri.37.60
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