NYU Langone Health, Division of Sports Medicine, Department of Orthopaedic Surgery, New York, NY, USA.
NYU Langone Health, Division of Sports Medicine, Department of Orthopaedic Surgery, New York, NY, USA.
J Shoulder Elbow Surg. 2021 Jul;30(7):1693-1699. doi: 10.1016/j.jse.2021.01.024. Epub 2021 Feb 16.
The purpose of this study is to evaluate the short-term complication rate following the open and arthroscopic Latarjet procedures and to meta-analyze the studies comparing the 2 approaches.
PubMed was searched according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines to find clinical and biomechanical studies comparing complication rates in open and arthroscopic Latarjet procedures. A literature search of MEDLINE, Embase, and the Cochrane Library was performed based on the PRISMA guidelines. Clinical studies reporting on the complications following the open or arthroscopic Latarjet were included. Meta-analysis was performed for comparative studies using Review Manager, version 5.3. A P value of <.05 was considered statistically significant.
Overall, 89 studies (Level of Evidence [LOE] I: 2, LOE II: 2, LOE III: 24, LOE IV: 61) met inclusion criteria, with 7175 shoulders. Following the open Latarjet procedure, the overall complication rate was 6.1%, with a 1.9% occurrence of graft-related complications, 1.1% hardware, 1.1% wound, 0.9% nerve, and 1.2% other complications. Following the arthroscopic Latarjet procedure, the overall complication rate was 6.8%, with a 3.2% occurrence of graft-related complications, 1.9% hardware, 0.5% wound, 0.7% nerve, and 0.5% other complications. Complications were reported in 7 studies comparing 379 patients treated with the open Latarjet and 531 treated with the arthroscopic Latarjet, with no statistically significant difference between the two (P = .81).
Our study established that the overall complication rate following the Latarjet procedure was 6%-7%, with the most common complication being graft-related. Furthermore, based on the current evidence, there is no significant difference in the complication rate between the open and arthroscopic Latarjet procedures.
本研究旨在评估开放与关节镜下 Latarjet 手术的短期并发症发生率，并对比较两种方法的研究进行荟萃分析。
根据系统评价和荟萃分析的首选报告项目（PRISMA）指南，在 PubMed 上搜索临床和生物力学研究，比较开放和关节镜下 Latarjet 手术的并发症发生率。根据 PRISMA 指南，对 MEDLINE、Embase 和 Cochrane 图书馆进行文献检索。纳入报告开放或关节镜下 Latarjet 手术后并发症的临床研究。使用 Review Manager 版本 5.3 对比较研究进行荟萃分析。P 值<0.05 被认为具有统计学意义。
总体而言，89 项研究（证据水平[LOE] I：2，LOE II：2，LOE III：24，LOE IV：61）符合纳入标准，共涉及 7175 例肩关节。行开放 Latarjet 手术后，总并发症发生率为 6.1%，其中移植物相关并发症发生率为 1.9%，内固定物相关并发症发生率为 1.1%，切口相关并发症发生率为 1.1%，神经相关并发症发生率为 0.9%，其他并发症发生率为 1.2%。行关节镜下 Latarjet 手术后，总并发症发生率为 6.8%，其中移植物相关并发症发生率为 3.2%，内固定物相关并发症发生率为 1.9%，切口相关并发症发生率为 0.5%，神经相关并发症发生率为 0.7%，其他并发症发生率为 0.5%。7 项研究比较了 379 例接受开放 Latarjet 手术和 531 例接受关节镜下 Latarjet 手术的患者，结果显示两组之间无统计学差异（P=0.81）。
本研究确立了 Latarjet 手术后的总体并发症发生率为 6%-7%，最常见的并发症是移植物相关并发症。此外，根据目前的证据，开放与关节镜下 Latarjet 手术的并发症发生率无显著差异。
