Bone and Joint Institute
Short-term Complications of the Arthroscopic Latarjet Procedure: A North American Experience
Document Type
Article
Publication Date
10-1-2016
Journal
Arthroscopy - Journal of Arthroscopic and Related Surgery
First Page
1965
Last Page
1970
URL with Digital Object Identifier
10.1016/j.arthro.2016.02.022
Abstract
© 2016 Arthroscopy Association of North America Purpose To report on the intraoperative and early postoperative (<3 >months) problems and complications encountered with the arthroscopic Latarjet procedure in patients with complex anterior shoulder instability. Methods Between 2010 and 2014, 83 patients underwent an arthroscopic Latarjet procedure for recurrent post-traumatic anterior instability. The group's mean age was 28 ± 10 years and consisted of 76 (92%) male patients. A “problem” was defined as an unanticipated perioperative event that was not likely to affect the patient's final outcome. A “complication” was defined as an event that was likely to negatively affect outcome. Results At a mean follow-up of 17 months (range, 3 to 43 months), 20 (24%) patients sustained either a problem and/or a complication. The problem rate was 18% and the complication rate was 10%. The most commonly encountered adverse event was intraoperative fracture of the coracoid graft, which occurred in 6 patients (7%). In addition, 1 arthroscopic case was intraoperatively converted to open and 1 patient sustained a transient axillary nerve injury. A total of 7 cases underwent secondary operative procedures. The rate of problems and/or complications in primary cases was not significantly different than revision cases (P =.335). Conclusions The rate of adverse events reported in this arthroscopic series is not insignificant and is similar to that reported with the traditional open Latarjet. With appropriate training, the arthroscopic Latarjet procedure can be effective for the management of patients with complex shoulder instability. Level of Evidence Level IV, therapeutic case series.
