Short-term effectiveness of modified arthroscopic Latarjet procedure with double EndoButtons for recurrent anterior shoulder dislocation_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHONG Hehe , JIN Ying , XIANG Kuan ,  WU Shuhong , PENG Jiachen , LIU Yi

Department of Orthopedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563000, P. R. China;

Corresponding?author：

WU Shuhong, Email: 15329112966@163.com

Keywords：

Anterior shoulder dislocation; arthroscopy; double EndoButtons; Latarjet procedure

DOI：

10.7507/1002-1892.202204127

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the short-term effectiveness of modified arthroscopic Latarjet procedure with double EndoButtons for recurrent anterior shoulder dislocation. Methods Between January 2019 and November 2020, 36 patients with recurrent anterior shoulder dislocation were treated by modified arthroscopic Latarjet procedure with double EndoButtons. There were 26 males and 10 females, with an average age of 27.8 years (range, 18-36 years). The number of shoulder dislocations ranged from 3 to 12 times, with an average of 6.5 times. The disease duration ranged from 5 to 36 months, with an average of 16.2 months. Preoperative shoulder fear test was positive, and the Beighton score of joint relaxation was 0-4, with an average of 1.3. Imaging examination showed that the defect width of the ipsilateral glenoid bone was 16%-28%, with an average of 21.5%. Postoperative complications, recurrent dislocation, subluxation, and instability of shoulder joint were recorded. Shoulder range of motion was examined, including forward flexion, external rotation at side, external rotation at 90° abduction, and internal rotation. Shoulder joint function was evaluated by Walch-Duplay score, American Association for Shoulder and Elbow Surgery Score (ASES), and ROWE score. X-ray film and CT images were taken to observe the shaping of coracoid process graft. Results All incisions healed by first intention, and no vascular or nerve injury occurred. All patients were followed up 12-28 months, with an average of 19.9 months. During follow-up, no shoulder dislocation recurred, and shoulder fear test was negative. At last follow-up, there was no significant difference in shoulder forward flexion, external rotation at side, external rotation at 90° abduction, and internal rotation when compared with preoperative values (P>0.05). The Walch-Duplay score, ASES score, and ROWE score of shoulder function significantly improved (P<0.05). Postoperative imaging examination showed that coracoid process graft was at the same level with the glenoid in 33 cases (91.7%), medial in 1 case (2.8%), and lateral in 2 cases (5.6%); the center of coracoid process graft was mainly located between 3 to 5 o’clock in 33 cases (91.7%), higher than 3 o’clock in 1 case (2.8%), and lower than 5 o’clock in 2 cases (5.6%). There was no obvious glenohumeral joint degeneration during follow-up, and the coracoid process graft gradually formed concentric circles with the humeral head. Conclusion The modified arthroscopic Latarjet procedure with double EndoButtons can effectively treat recurrent anterior shoulder dislocation, and the short-term effectiveness is satisfactory, and the position of coracoid process graft is accurate.

Citation： ZHONG Hehe, JIN Ying, XIANG Kuan, WU Shuhong, PENG Jiachen, LIU Yi. Short-term effectiveness of modified arthroscopic Latarjet procedure with double EndoButtons for recurrent anterior shoulder dislocation. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(9): 1072-1077. doi: 10.7507/1002-1892.202204127 Copy

1.	Castricini R, Castioni D, De Benedetto M, et al. Arthroscopic Latarjet for primary shoulder instability with off-track lesions or revision surgery yields satisfactory clinical results and reliable return to sport and work at minimum 3-year follow-up: A single surgeon’s experience on 95 cases. Arthroscopy, 2022. doi: 10.1016/j.arthro.2022.04.004.
2.	Shao Z, Zhao Y, Luo H, et al. Clinical and radiologic outcomes of all-arthroscopic Latarjet procedure with modified suture button fixation: Excellent bone healing with a low complication rate. Arthroscopy, 2022. doi: 10.1016/j.arthro.2022.01.020.
3.	Hurley ET, Schwartz LB, Mojica ES, et al. Short-term complications of the Latarjet procedure: a systematic review. J Shoulder Elbow Surg, 2021, 30(7): 1693-1699.
4.	Cho CH, Na SS, Choi BC, et al. Complications related to Latarjet shoulder stabilization: a systematic review. Am J Sports Med, 2021. doi: 10.1177/03635465211042314.
5.	Boileau P, Gendre P, Baba M, et al. A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg, 2016, 25(1): 78-89.
6.	Xu J, Liu H, Lu W, et al. Modified arthroscopic Latarjet procedure: Suture-button fixation achieves excellent remodeling at 3-year follow-up. Am J Sports Med, 2020, 48(1): 39-47.
7.	Xu J, Liu H, Lu W, et al. Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure. BMC Musculoskelet Disord, 2019, 20(1): 173. doi: 10.1186/s12891-019-2544-x.
8.	Baverel L, Colle PE, Saffarini M, et al. Open Latarjet procedures produce better outcomes in competitive athletes compared with recreational athletes: A clinical comparative study of 106 athletes aged under 30 years. Am J Sports Med, 2018, 46(6): 1408-1415.
9.	Ranne JO, Kainonen TU, Lehtinen JT, et al. Modified arthroscopic latarjet procedure with coracoid exteriorization for treatment of anterior glenohumeral instability. Arthrosc Tech, 2013, 2(4): e361-e365.
10.	Sakeb N, Islam MA, Jannat SN. Outcome of modified Bristow-Laterjet procedure in post-traumatic recurrent anterior shoulder dislocation in young population. Mymensingh Med J, 2015, 24(1): 74-83.
11.	覃其煌, 梁新枝, 梁達強, 等. 改良關節鏡下彈性固定 Latarjet 手術中移植骨塊偏外放置對肩關節退變影響的影像學研究. 中國修復重建外科雜志, 2021, 35(4): 414-419.
12.	L?dermann A, Lubbeke A, Stern R, et al. Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study. Int Orthop, 2013, 37(6): 1093-1098.
13.	朱以明, 姜春巖. 評估Latarjet手術后移位喙突骨塊吸收情況的CT分型系統的一致性研究. 中華肩肘外科電子雜志, 2015, (1): 35-42.
14.	Zhu Y, Jiang C, Song G. Arthroscopic versus open Latarjet in the treatment of recurrent anterior shoulder dislocation with marked glenoid bone loss: A prospective comparative study. Am J Sports Med, 2017, 45(7): 1645-1653.
15.	Alp NB, Do?an O, Y?lmaz TG, et al. Understanding the causes behind coracoid graft osteolys?s in latarjet procedure (finite element analysis and comparison of three fixation methods). Orthop Traumatol Surg Res, 2020, 106(1): 53-59.
16.	Haeni DL, Opsomer G, Sood A, et al. Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure. J Shoulder Elbow Surg, 2017, 26(3): 484-489.
17.	Kee YM, Kim JY, Kim HJ, et al. Fate of coracoid grafts after the Latarjet procedure: will be analogous to the original glenoid by remodelling. Knee Surg Sports Traumatol Arthrosc, 2018, 26(3): 926-932.
18.	梁達強, 蒯聲政, 李瑛, 等. Latarjet手術治療肩關節前向脫位中螺釘固定與紐扣固定的生物力學對比分析. 中國修復重建外科雜志, 2020, 34(5): 602-607.
19.	柳海峰, 陸偉, 許鑒, 等. 改良線袢法Latarjet技術治療肩關節復發性脫位的中期療效及移植骨塊塑形模式分析. 中國內鏡雜志, 2019, 25(6): 1-8.
20.	Dalmas Y, Thélu CE, Laumonerie P, et al. Arthroscopic double-button Latarjet osteolysis and remodeling at 1-year follow-up. J Shoulder Elbow Surg, 2022. doi: 10.1016/j.jse.2022.04.004.

1. Castricini R, Castioni D, De Benedetto M, et al. Arthroscopic Latarjet for primary shoulder instability with off-track lesions or revision surgery yields satisfactory clinical results and reliable return to sport and work at minimum 3-year follow-up: A single surgeon’s experience on 95 cases. Arthroscopy, 2022. doi: 10.1016/j.arthro.2022.04.004.
2. Shao Z, Zhao Y, Luo H, et al. Clinical and radiologic outcomes of all-arthroscopic Latarjet procedure with modified suture button fixation: Excellent bone healing with a low complication rate. Arthroscopy, 2022. doi: 10.1016/j.arthro.2022.01.020.
3. Hurley ET, Schwartz LB, Mojica ES, et al. Short-term complications of the Latarjet procedure: a systematic review. J Shoulder Elbow Surg, 2021, 30(7): 1693-1699.
4. Cho CH, Na SS, Choi BC, et al. Complications related to Latarjet shoulder stabilization: a systematic review. Am J Sports Med, 2021. doi: 10.1177/03635465211042314.
5. Boileau P, Gendre P, Baba M, et al. A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg, 2016, 25(1): 78-89.
6. Xu J, Liu H, Lu W, et al. Modified arthroscopic Latarjet procedure: Suture-button fixation achieves excellent remodeling at 3-year follow-up. Am J Sports Med, 2020, 48(1): 39-47.
7. Xu J, Liu H, Lu W, et al. Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure. BMC Musculoskelet Disord, 2019, 20(1): 173. doi: 10.1186/s12891-019-2544-x.
8. Baverel L, Colle PE, Saffarini M, et al. Open Latarjet procedures produce better outcomes in competitive athletes compared with recreational athletes: A clinical comparative study of 106 athletes aged under 30 years. Am J Sports Med, 2018, 46(6): 1408-1415.
9. Ranne JO, Kainonen TU, Lehtinen JT, et al. Modified arthroscopic latarjet procedure with coracoid exteriorization for treatment of anterior glenohumeral instability. Arthrosc Tech, 2013, 2(4): e361-e365.
10. Sakeb N, Islam MA, Jannat SN. Outcome of modified Bristow-Laterjet procedure in post-traumatic recurrent anterior shoulder dislocation in young population. Mymensingh Med J, 2015, 24(1): 74-83.
11. 覃其煌, 梁新枝, 梁達強, 等. 改良關節鏡下彈性固定 Latarjet 手術中移植骨塊偏外放置對肩關節退變影響的影像學研究. 中國修復重建外科雜志, 2021, 35(4): 414-419.
12. L?dermann A, Lubbeke A, Stern R, et al. Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study. Int Orthop, 2013, 37(6): 1093-1098.
13. 朱以明, 姜春巖. 評估Latarjet手術后移位喙突骨塊吸收情況的CT分型系統的一致性研究. 中華肩肘外科電子雜志, 2015, (1): 35-42.
14. Zhu Y, Jiang C, Song G. Arthroscopic versus open Latarjet in the treatment of recurrent anterior shoulder dislocation with marked glenoid bone loss: A prospective comparative study. Am J Sports Med, 2017, 45(7): 1645-1653.
15. Alp NB, Do?an O, Y?lmaz TG, et al. Understanding the causes behind coracoid graft osteolys?s in latarjet procedure (finite element analysis and comparison of three fixation methods). Orthop Traumatol Surg Res, 2020, 106(1): 53-59.
16. Haeni DL, Opsomer G, Sood A, et al. Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure. J Shoulder Elbow Surg, 2017, 26(3): 484-489.
17. Kee YM, Kim JY, Kim HJ, et al. Fate of coracoid grafts after the Latarjet procedure: will be analogous to the original glenoid by remodelling. Knee Surg Sports Traumatol Arthrosc, 2018, 26(3): 926-932.
18. 梁達強, 蒯聲政, 李瑛, 等. Latarjet手術治療肩關節前向脫位中螺釘固定與紐扣固定的生物力學對比分析. 中國修復重建外科雜志, 2020, 34(5): 602-607.
19. 柳海峰, 陸偉, 許鑒, 等. 改良線袢法Latarjet技術治療肩關節復發性脫位的中期療效及移植骨塊塑形模式分析. 中國內鏡雜志, 2019, 25(6): 1-8.
20. Dalmas Y, Thélu CE, Laumonerie P, et al. Arthroscopic double-button Latarjet osteolysis and remodeling at 1-year follow-up. J Shoulder Elbow Surg, 2022. doi: 10.1016/j.jse.2022.04.004.

Previous Article
Treatment and progress of cutaneous neurofibroma
Next Article
Characteristics of femoral neck fractures in young and middle-aged adults based on fracture mapping technology

Chinese Journal of Reparative and Reconstructive Surgery

Short-term effectiveness of modified arthroscopic Latarjet procedure with double EndoButtons for recurrent anterior shoulder dislocation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content