Ali Zakariya S, Hurley Eoghan T, Jamal M Shazil, Horan Marilee P, Montgomery Connor, Pauzenberger Leo, Millett Peter J, Mullett Hannan
Sports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland.
Royal College of Surgeons in Ireland, Dublin, Ireland.
Knee Surg Sports Traumatol Arthrosc. 2021 Jul;29(7):2110-2117. doi: 10.1007/s00167-020-06155-6. Epub 2020 Jul 24.
The purpose of this study is to systematically review the literature to ascertain functional outcomes, recurrence rates and subsequent revision rates following the open Latarjet procedure when performed as a revision procedure.
Two independent reviewers performed the literature search based on PRISMA guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases. Studies where the Latarjet procedure was performed as a revision procedure were included. Clinical outcomes analyzed were: (1) functional outcomes, (2) recurrent instability, (3) revisions, and (4) complications.
The review found 16 studies with 713 shoulders that met the inclusion criteria. 605 of the patients were male (84.9%), with an average age of 28.2 years (15-62) and follow-up of 47.7 months. The most commonly reported functional outcome measure was the Rowe score, with a weighted mean of 92.7. 86/95 patients had good-excellent outcomes (90.4%). 136/143 patients reported return to play (95.1%). 141/161 patients returned to the same level of competition (87.6%). 50 patients experienced recurrence (8.4%). Five patients experienced redislocation (0.9%) and 37 patients experienced subluxation (6.7%). There were 29 revisions (5.1%), with 12 revisions due to recurrence (2.1%). There were 68 total complications, not including recurrence (11%). The most common complications were 13 cases of nerve damage and infection respectively (2.1%). There was 17 cases of new instability arthropathy (6.5%), and 31 cases of residual pain (6.7%).
This review shows that the revision Latarjet provides excellent functional outcomes, low rates of recurrence and complications, and a high rate of return to sport among athletes. This results from study can be used to explain the expected outcomes associated with the Latarjet procedure performed as a revision.
IV.
本研究旨在系统回顾文献，以确定开放性Latarjet手术作为翻修手术时的功能结果、复发率和后续翻修率。
两名独立评审员根据PRISMA指南，利用EMBASE、MEDLINE和Cochrane图书馆数据库进行文献检索。纳入Latarjet手术作为翻修手术的研究。分析的临床结果包括：（1）功能结果，（2）复发性不稳定，（3）翻修，（4）并发症。
该综述发现16项研究，共713例肩部病例符合纳入标准。605例患者为男性（84.9%），平均年龄28.2岁（15 - 62岁），随访时间为47.7个月。最常报告的功能结果测量指标是Rowe评分，加权平均值为92.7。86/95例患者获得良好至优秀的结果（90.4%）。136/143例患者报告恢复运动（95.1%）。141/161例患者恢复到相同的比赛水平（87.6%）。50例患者出现复发（8.4%）。5例患者出现再脱位（0.9%），37例患者出现半脱位（6.7%）。有29例翻修（5.1%），其中12例翻修是由于复发（2.1%）。不包括复发在内，共有68例并发症（11%）。最常见的并发症分别是13例神经损伤和感染（2.1%）。有17例新的不稳定关节病（6.5%），31例残留疼痛（6.7%）。
本综述表明，翻修性Latarjet手术能提供优异的功能结果、低复发率和并发症发生率，且运动员恢复运动的比例较高。本研究结果可用于解释Latarjet手术作为翻修手术的预期结果。
IV级
