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2015 ; 8
(1
): 59-66
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Complications of the Latarjet procedure
#MMPMID25644052
Gupta A
; Delaney R
; Petkin K
; Lafosse L
Curr Rev Musculoskelet Med
2015[Mar]; 8
(1
): 59-66
PMID25644052
show ga
The Latarjet procedure is an operation performed either arthroscopically or open
for recurrent anterior shoulder instability, in the setting of glenoid bone loss;
with good to excellent functional results. Despite excellent clinical results,
the complication rates are reported between 15 and 30 %. Intraoperative
complications such as graft malpositioning, neurovascular injury, and graft
fracture can all be mitigated with meticulous surgical technique and
understanding of the local anatomy. Nonunion and screw breakage are
intermediate-term complications that occur in less than 5 % of patients. The
long-term complications such as graft osteolysis are still an unsolved problem,
and future research is required to understand the etiology and best treatment
option. Recurrent instability after the Latarjet procedure can be managed with
iliac crest bone graft reconstruction of the anterior glenoid. Shoulder arthritis
is another complication reported after the Latarjet procedure, which poses
additional challenges to both the surgeon and patient.