Latarjet Procedure: Comparative Outcomes Study of Arthroscopic Versus Mini-open Approach With Minimum 2-year Follow-up

Hospital Ambroise Paré Paris

Status: Completed

Conditions: Joint Instability

Treatments: Procedure: Mini-open Latarjet procedure; Procedure: Arthroscopic Latarjet procedure

Study type: Observational

Funder types: Other

Identifiers

NCT02505932

APR012012

Details and patient eligibility

About

To date, use of arthroscopic procedure to perform Latarjet procedure is still technically demanding. The benefits of arthroscopic procedure need to be evaluated compared to the mini-invasive approach. The aim of this study was to assess postoperative pain during the first week, and the positioning of coracoid bone block at the anterior aspect of the glenoid. At minimum 2 years follow-up, the recurrence of shoulder instability and functional evaluation of patients according to the Western Ontario Score Index (WOSI) were assessed.

Full description

This prospective comparative study was performed at two centers in 2012. Each center performed one procedure so this study was observational. All patients with a chronic anterior instability requiring bone grafting (Instability Severity Index Score>3) were included. The Latarjet procedure was performed by mini-open approach (set Arthrex, Naples, FL) in the first group, and by arthroscopic approach (set Depuy-Mitek, Raynham, MA) in the second group. The analgesic postoperative protocol was standardized (paracetamol, non-steroidal anti-inflammatory, tramadol).

Enrollment: 58 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• chronic anterior instability requiring bone grafting (Instability Severity Index Score>3)

Exclusion criteria

• Patient refusal

Trial design

58 participants in 2 patient groups

Arthroscopic Latarjet procedure

Description:

arthroscopic approach (set Depuy-Mitek, Raynham, MA)

Treatment:

Procedure: Arthroscopic Latarjet procedure

Mini-open Latarjet procedure

Description:

mini-open approach (set Arthrex, Naples, FL)

Treatment:

Procedure: Mini-open Latarjet procedure