CU Sports Medicine, Department of Orthopedics, University of Colorado School of Medicine, Boulder, CO, USA.
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
J Shoulder Elbow Surg. 2019 Jan;28(1):88-94. doi: 10.1016/j.jse.2018.06.022. Epub 2018 Aug 16.
The purpose of this study was to describe the rate and type of complications occurring within 90 days following the Latarjet procedure for anterior glenohumeral instability.
Consecutive patients undergoing the Latarjet procedure by fellowship-trained surgeons from a single institution between 2007 and 2016 were included for analysis. Indications for the Latarjet procedure included primary or recurrent anterior instability with clinically significant anterior glenoid bone loss and/or failed prior arthroscopic stabilization. Patients undergoing the Latarjet procedure after prior glenoid bone grafting were excluded. All complications that occurred within 90 days of surgery were analyzed and correlated with demographic factors.
A total of 146 consecutive patients (146 shoulders) were included. Of these patients, 11 were lost to follow-up and 2 were excluded for having undergone prior open bone grafting. Among the remaining 133 patients (average age, 28.5 ± 11.8 years; 75% male patients), 10 total complications occurred within 90 days of surgery, for an overall short-term complication rate of 7.5%. Of these 10 complications, 6 required subsequent surgery, with recurrent instability in 2 cases (overall rate, 1.50%), infection in 2 (overall rate, 1.50%), musculocutaneous nerve palsy in 1 (overall rate, 0.75%), and postoperative pain in 1 (overall rate, 0.75%). The remaining 4 complications were transient, resolving with nonoperative treatment. No cases of hardware failure or graft osteolysis were reported.
The overall 90-day complication rate following the Latarjet procedure for anterior shoulder stabilization was 7.5%. In 6 of the 10 cases, complications led to subsequent surgery, including recurrent instability in 2, while in the remaining 4 cases, the complications were transient and resolved with nonoperative treatment.
本研究旨在描述在接受 Latarjet 手术治疗前肩不稳后 90 天内发生的并发症的发生率和类型。
连续纳入 2007 年至 2016 年期间在一家机构接受 fellowship 培训的外科医生进行 Latarjet 手术的患者进行分析。Latarjet 手术的适应证包括有临床意义的前盂肱骨骨量丢失和/或先前关节镜稳定失败的原发性或复发性前不稳定。排除在 Latarjet 手术后进行盂肱骨植骨的患者。分析所有术后 90 天内发生的并发症，并与人口统计学因素相关。
共纳入 146 例连续患者（146 例肩）。其中 11 例失访，2 例因先前接受过开放植骨而被排除。在剩余的 133 例患者（平均年龄 28.5 ± 11.8 岁；75%为男性）中，术后 90 天内共发生 10 例总并发症，总体短期并发症发生率为 7.5%。这 10 例并发症中，有 6 例需要进一步手术，其中 2 例（总发生率为 1.50%）为复发性不稳定，2 例（总发生率为 1.50%）为感染，1 例（总发生率为 0.75%）为肌皮神经麻痹，1 例（总发生率为 0.75%）为术后疼痛。其余 4 例并发症为一过性，经非手术治疗缓解。无报告硬件失败或移植物骨溶解的病例。
接受 Latarjet 手术治疗前肩不稳的患者术后 90 天总体并发症发生率为 7.5%。在 10 例并发症中，有 6 例导致进一步手术，其中 2 例为复发性不稳定，而在其余 4 例中，并发症为一过性，经非手术治疗缓解。
