Department of Orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa; Department of Orthopaedic Surgery, New Somerset Hospital, Cape Town, South Africa; Life Orthopaedic Hospital, Cape Town, South Africa.
Department of Orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
J Shoulder Elbow Surg. 2018 Jan;27(1):e9-e15. doi: 10.1016/j.jse.2017.07.030. Epub 2017 Sep 21.
The aim of this study was to assess the short- and medium-term complications and clinical outcomes of female patients after a modified Latarjet procedure. A review of the literature was also conducted for outcomes of the modified Latarjet procedure in female patients and differences reported between male and female patients.
We retrospectively reviewed the clinical notes of all female patients who had modified Latarjet procedures from 2001 with at least 1 year of follow-up. Patients were interviewed for an Oxford Shoulder Score, Western Ontario Shoulder Instability Index, Oxford Shoulder Instability Score, and subjective shoulder value. A literature review was performed of the electronic database PubMed; 343 papers were assessed for clinical outcomes based on gender.
Twenty-nine patients were available for inclusion in the study. There were 13 complications in 11 patients (34%). The median postoperative Western Ontario Shoulder Instability Index score was 433; Oxford Shoulder Score, 42; and Oxford Shoulder Instability Score, 36. The median subjective shoulder value was 87%. Of these patients, 37.5% returned to sport. The reoperation rate was 13.8%. We found no literature reporting the outcomes of the modified Latarjet procedure in female patients.
There are no published data comparing outcomes of the modified Latarjet procedure in male and female patients. Female patients had a lower postoperative return to sport and shoulder scores after the modified Latarjet procedure compared with literature reports. Whereas female gender should not be a contraindication to the Latarjet procedure, selection of patients in this group may need to be more stringent.
本研究旨在评估女性患者改良 Latarjet 手术后的短期和中期并发症及临床结果。同时对女性患者改良 Latarjet 手术的结果进行文献回顾，并报告男性和女性患者之间的差异。
我们回顾性分析了 2001 年以来至少随访 1 年的所有接受改良 Latarjet 手术的女性患者的临床记录。对患者进行了牛津肩评分、西部安大略肩不稳定指数、牛津肩不稳定评分和主观肩价值评估。我们在电子数据库 PubMed 中进行了文献回顾，根据性别评估了 343 篇论文的临床结果。
共有 29 名患者符合纳入研究标准。11 名患者中有 13 名患者（34%）发生了 13 种并发症。术后 Western Ontario 肩不稳定指数中位数为 433；牛津肩评分中位数为 42；牛津肩不稳定评分中位数为 36。主观肩价值中位数为 87%。其中 37.5%的患者恢复运动。再手术率为 13.8%。我们未发现文献报告女性患者改良 Latarjet 手术的结果。
目前尚无文献比较男性和女性改良 Latarjet 手术的结果。与文献报道相比，女性患者改良 Latarjet 手术后的术后运动恢复和肩部评分较低。虽然女性性别不应成为 Latarjet 手术的禁忌症，但对该组患者的选择可能需要更加严格。
