CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(02): 208-214
DOI: 10.1055/s-0039-3400523
Artigo original
Ombro
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Arthroscopic Latarjet: Technique Description and Preliminary Results. Study of the First 30 Cases[*]

Article in several languages: português | English
1  Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil
,
Breno Schor
1  Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil
,
Alexandre Bitar
1  Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil
,
Giovanna Medina
1  Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil
,
Luiz Henrique Ribas
1  Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil
,
Carlos Mendes
1  Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

18 August 2018

22 January 2019

Publication Date:
19 December 2019 (online)

Abstract

Objective Arthroscopic Latarjet has been performed with the aim to be an accurate technique with a low incidence of complications. The aim of the present study was to briefly describe the technique and to evaluate the shot-term complications following arthroscopic Latarjet procedure to correct anterior shoulder dislocation with glenoid bone loss.

Methods Retrospective study with 30 subjects with anterior shoulder instability, submitted to arthroscopic Latarjet. Intraoperative and short-term postoperative complications were recorded, as well as the rate of revision surgery.

Results Five cases had complication (16.7%), and in the last 10 cases no complication occurred. In 1 case (3.3%), it was required to reverse for open surgery due to a fracture of the coracoid process during fixation in the glenoid. No other intraoperative complication occurred. No infection was observed. Two cases (6.7%) evolved with temporary neuropraxia of the musculocutaneous nerve, totally reversed with physiotherapy. With a follow-up from 6 to 26 months, 2 patients (6.7%) required a new intervention for graft/screws removal and release of the joint due to excessive limitation in external rotation. There was no case of recurrence.

Conclusion Even in an initial learning curve, arthroscopic Latarjet demonstrated a low rate of short-tem complications and was a safe procedure for treating anterior dislocation of the shoulder with glenoid bone loss.

* The present study was conducted at Instituto Vita, São Paulo, SP, Brazil.