Hurley Eoghan T, Ben Ari Erel, Lorentz Nathan A, Mojica Edward S, Colasanti Christopher A, Matache Bogdan A, Jazrawi Laith M, Virk Mandeep, Meislin Robert J
NYU Langone Health, Orthopaedic Surgery Department, New York, New York, U.S.A.
Arthrosc Sports Med Rehabil. 2021 Nov 4;3(6):e1955-e1960. doi: 10.1016/j.asmr.2021.09.017. eCollection 2021 Dec.
The purpose of this study is to evaluate the patient-reported outcomes of open Latarjet (OL) compared to arthroscopic Latarjet (AL) for anterior shoulder instability.
A retrospective review of patients who underwent either OL or AL for anterior shoulder instability between 2011 and 2019 was performed. Recurrent instability, visual analog scale (VAS) score, Shoulder Instability-Return to Sport after Injury (SIRSI), Subjective Shoulder Value (SSV), Western Ontario Shoulder Instability (WOSI) score, patient satisfaction, willingness to undergo surgery again, and return to work/sport (RTW/RTS) were evaluated. A value of < .05 was considered to be statistically significant.
Our study included 102 patients in total; 72 patients treated with OL, and 30 treated with AL. There were no demographic differences between the two groups ( > .05 for all). At final follow up (mean of 51.3 months), there was no difference between those that underwent OL or AL in the reported WOSI, VAS, VAS during sports, SSV, and SIRSI scores, nor in patient satisfaction, or whether they would undergo surgery again ( > .05). Overall, there was no significant difference in the total rate of RTP (65% vs 60.9%; = .74), or timing of RTP (8.1 months vs 7 months; = .35). Additionally, there was no significant difference in the total rate of RTW (93.5% vs 95.5%; = .75). Overall, 3 patients in the OL group and 2 patients in the AL group had recurrent instability events (6.9% vs 6.7%; = .96), with no significant difference in the rate of recurrent dislocation (4.2% vs 3.3%; = .84).
In patients with anterior shoulder instability, both the OL and AL are reliable treatment options, with a low rate of recurrent instability, and similar patient-reported outcomes.
本研究旨在评估开放性Latarjet手术（OL）与关节镜下Latarjet手术（AL）治疗前肩不稳患者的患者报告结局。
对2011年至2019年间接受OL或AL治疗前肩不稳的患者进行回顾性研究。评估复发性不稳、视觉模拟量表（VAS）评分、肩伤后恢复运动（SIRSI）、主观肩值（SSV）、西安大略肩不稳（WOSI）评分、患者满意度、再次接受手术的意愿以及恢复工作/运动（RTW/RTS）情况。P值<0.05被认为具有统计学意义。
本研究共纳入102例患者；72例接受OL治疗，30例接受AL治疗。两组间人口统计学无差异（所有P>0.05）。在末次随访时（平均51.3个月），接受OL或AL治疗的患者在报告的WOSI、VAS、运动时VAS、SSV和SIRSI评分方面，以及患者满意度或是否会再次接受手术方面均无差异（P>0.05）。总体而言，恢复到术前水平（RTP）的总发生率（65%对60.9%；P = 0.74）或RTP时间（8.1个月对7个月；P = 0.35）无显著差异。此外，恢复工作（RTW）的总发生率（93.5%对95.5%；P = 0.75）无显著差异。总体而言，OL组3例患者和AL组2例患者发生复发性不稳事件（6.9%对6.7%；P = 0.96），复发性脱位发生率无显著差异（4.2%对3.3%；P = 0.84）。
在前肩不稳患者中，OL和AL都是可靠的治疗选择，复发性不稳发生率低，患者报告结局相似。
