Open Latarjet versus arthroscopic Latarjet: clinical results and cost analysis.
Knee Surg Sports Traumatol Arthrosc
; 24(2): 526-32, 2016 Feb.
Article
en En
| MEDLINE
| ID: mdl-26745964
ABSTRACT
PURPOSE:
The aim of this study was to compare the clinical results between open and arthroscopic Latarjet and perform a cost analysis of the two techniques. MATERIALS ANDMETHODS:
A systematic review of articles present in PubMed and MEDLINE was performed in accordance with PRISMA guidelines. Studies concerning post-operative outcomes following Latarjet procedures for chronic anterior shoulder instability were selected for analysis. The clinical and radiographic results as well as the costs of the open and arthroscopic techniques were evaluated.RESULTS:
Twenty-three articles, describing a total of 1317 shoulders, met the inclusion criteria 17 studies were related to open Latarjet, and 6 to the arthroscopic technique. Despite the heterogeneity of the evaluation scales, the clinical results seemed very satisfactory for both techniques. We detected a statistically significant difference in the percentage of bone graft healing in favour of the open technique (88.6 vs 77.6 %). Recurrent dislocation was more frequent following open surgery (3.3 % after open surgery vs 0.3 % after arthroscopy), but this finding was biased by the large difference in follow-up duration between the two techniques. The direct costs of the arthroscopic procedure were double in comparison to open surgery (2335 vs 1040). A lack of data prevented evaluation of indirect costs and, therefore, a cost-effectiveness analysis.CONCLUSIONS:
The open and arthroscopic Latarjet techniques showed excellent and comparable clinical results. However, the much higher direct costs of the arthroscopic procedure do not seem, at present, to be justified by a benefit to the patient. LEVEL OF EVIDENCE III.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Artroscopía
/
Escápula
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Articulación del Hombro
/
Trasplante Óseo
/
Inestabilidad de la Articulación
Tipo de estudio:
Etiology_studies
/
Guideline
/
Health_economic_evaluation
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Knee Surg Sports Traumatol Arthrosc
Asunto de la revista:
MEDICINA ESPORTIVA
/
TRAUMATOLOGIA
Año:
2016
Tipo del documento:
Article
País de afiliación:
Italia