Primary Latarjet procedure versus Latarjet in the setting of previously failed Bankart repair: a systematic review.
J ISAKOS
; 8(6): 490-496, 2023 12.
Article
em En
| MEDLINE
| ID: mdl-37666300
ABSTRACT
OBJECTIVES:
The purpose of this study is to systematically review the comparative studies in the literature to compare the outcomes of the Latarjet procedure in the setting of a previously failed Bankart repair versus those undergoing the Latarjet procedure as a primary surgery for anterior shoulder instability.METHODS:
A systematic search in Pubmed, EMBASE, and The Cochrane Library databases was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Cohort studies comparing outcomes in the Latarjet procedure as a primary surgery versus the Latarjet procedure in the setting of a previously failed Bankart repair were included.RESULTS:
Ten studies with 1913 patients were included. There was a significantly lower rate of recurrent instability in those with a Latarjet procedure as a primary surgery (4.8% vs 12.1%, p â= â0.007). There was also a significantly lower rate of complications with the Latarjet procedure as a primary surgery (6.2% vs 10.2%, p â= â0.03). Furthermore, there was a significant difference in the rate of revision surgery in favour of the Latarjet procedure as a primary surgery (4.8% vs 10.9%, p â= â0.02). However, there were similar rates of redislocations (2.8% vs 3.4%, p â= â0.82) and return to play (67.7% vs 78.5%, p â= â0.30) between the two cohorts.CONCLUSION:
This study found that the Latarjet procedure as a revision procedure for a previously failed Bankart repair resulted in higher rates of complications, recurrent instability, and revisions than the Latarjet procedure performed as a primary procedure. LEVEL OF EVIDENCE Level III, Systematic Review & Meta-Analysis of Level III studies.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Luxação do Ombro
/
Articulação do Ombro
/
Instabilidade Articular
Tipo de estudo:
Observational_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
J ISAKOS
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos