Rockwood Adults CH34

1107

CHAPTER 34 • Glenohumeral Instability

TABLE 34-5. Clinical Outcomes After Open Bristow-Latarjet and Bone Block Augmentation With Autograft and Allograft

No. Patients

Type of Procedure

Recurrence Rate

Author

Year

Mean Follow-Up Outcomes

Complication

Open Bristow-Latarjet or Modified Latarjet

Hovelius et al. 96

2004

113

Bristow-Latarjet

15.2 (14.3– 20.8) yr

Rowe: 89.4 Excellent: 79 Good: 16

20/118 (17%)

Fair: 12 Poor: 4

Burkhart et al. 32

2007

102

Modified Latarjet

59 (32–108) mo Constant: Postop: 94.4 Walch: Postop: 91.7

5/102 (4.9%)

Hematoma: 4.3% Loose screw: 4.3% Fibrous nonunion: 2.1%

de Beer and Roberts 55

2010

55

Latarjet

59 mo

Constant: Postop: 94.4 Walch: 91.7

5/55 (9%)

Neyton et al. 166

2012

34

Latarjet

144 (68–237) mo

Rowe: Postop: 93 Walch: Postop: 86

0/34 (0%)

Hematoma: 2.7% Fracture of bone block: (8.9%)

Yang et al. 273

2016

52

Modified Latarjet

3.5 yr

SANE: Postop: 83.6 WOSI: Postop: 384 Patient satisfaction: 86.6%

8/52 (15.4%)

13/52 (25%)

Open Glenoid Bone Block Augmentation

Rahme et al. 187

2003

87

Iliac crest autograft Iliac crest autograft

29 (22–37) yr

Constant: Postop: 85 18/87 (21.8%)

Warner et al. 250

2006

11

33 (24–60) mo Rowe: Preop: 28 Postop: 94

Scheibel et al. 204

2008

10

Iliac crest autograft

37.9 (24–49) mo

Constant: Postop: 88.3 Walch: 83.5

0/10 (0%)

None

Weng et al. 260

2009

9

Femoral head allograft

4.5 yr

Rowe: Preop: 24 Postop: 84

2/9 (22.2%)

Steffen and Hertel 224

2013

48

Iliac crest autograft Iliac crest allograft

9.2 (5–19) yr

Constant: Postop: 85 1/48 (2%)

Mascarenhas et al. 146

2014

10

48 mo

ASES: Preop: 64.3 Postop: 97.8 SST: Preop: 66.7 Postop: 100 WOSI: Postop: 93.8

0/10 (10%)

WOSI, Western Ontario Shoulder Instability Index; ASES, American Shoulder and Elbow Surgeon Self-Assessment Score; SST, Simple Shoulder Test; SANE, Single Assessment Numeric Evaluation.

TABLE 34-6. Outcome Analysis: Arthroscopic Bankart, Open Bankart, and Latarjet 194

Dislocation (%)

Instability (%)

Rowe Score

Complication

0.0 ( − 4.6 to 4.6) a

15.1 (9.9–20.3) a

20.2 (11.7–28.7)

85.5 (80.1–90.8)

Arthroscopic

Open Bankart

7.7 (4.2–11.1)

20.8 (14.6–27.1)

87.1 (83.9–90.3)

4.3 (0.0–8.6)

2.7 ( − 0.3–5.8) a

10.6 (6.6–14.7) a

Latarjet

14.8 (8.6–20.9)

87.9 (84.7–91.2)

a Statistical significant ( P < 0.05).