CC2023: Complications Related to Latarjet Shoulder Stabilization: A Systematic Review (January 2023)-Complications Related to Latarjet Shoulder Stabilization: A Systematic Review

Complications Related to Latarjet Shoulder Stabilization: A Systematic Review

Pdf Summary

A systematic review was conducted to identify the overall complication rate of the Latarjet procedure for anterior shoulder instability and the rate of complications between arthroscopic and open approaches. A total of 35 articles were included in the analysis, with 2560 Latarjet procedures performed in 2532 patients. The overall complication rate was found to be 16.1%, with intraoperative complications at 3.4%, postoperative complications at 6.5%, and instability-related complications at 6.2%. The most common complications were nonunion, nerve injuries, and iatrogenic fractures. Approximately 2.6% of patients required an unplanned secondary operation. When comparing the arthroscopic and open approaches, the arthroscopic approach had a higher rate of intraoperative complications (5.0% vs 2.9%) but a lower rate of instability-related complications (3.1% vs 7.2%). The study concludes that while the overall complication rate of the Latarjet procedure is high, serious complications are rare at short-term follow-up. The arthroscopic approach is associated with higher intraoperative complications but lower instability-related complications compared to the open approach. Additional studies are recommended to further investigate appropriate surgical candidates for the Latarjet procedure.

Keywords

Latarjet procedure

anterior shoulder instability

complication rate

arthroscopic approach

open approach

intraoperative complications

postoperative complications

instability-related complications

nonunion

unplanned secondary operation