Vuletić Filip, Bøe Berte
Department for Orthopaedic and Trauma Surgery, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia.
Faculty of Kinesiology, University of Zagreb, Horvaćanski zavoj 15, 10000, Zagreb, Croatia.
Curr Rev Musculoskelet Med. 2024 May;17(5):136-143. doi: 10.1007/s12178-024-09889-9. Epub 2024 Mar 11.
This paper aims to analyze and compare the existing research on open and arthroscopic Latarjet procedures for treating anterior shoulder instability. The review will assess different factors such as graft positioning, functional outcomes, complications, and return-to-play rates for both approaches. The study's primary goal is to establish which technique yields superior outcomes.
Recent studies have suggested that arthroscopic Latarjet surgery can produce outcomes similar to open surgery regarding functional scores and patient satisfaction. Some research indicates that arthroscopy may even provide slightly better results. Both techniques have similar complication rates, but arthroscopy requires a longer learning curve and operating time. It is crucial to ensure the proper placement of the graft, and some studies suggest that arthroscopy may be better at achieving accurate positioning. Both open and arthroscopic Latarjet procedures are equally effective in treating shoulder instability. While arthroscopy offers a faster recovery time and causes less soft tissue damage, it requires surgeons to undergo a steeper learning curve. The optimal graft position for both techniques is still debated. More long-term data is needed to establish superiority. Future research should compare approaches in larger cohorts and identify outcome-affecting factors to improve the treatment of shoulder instability. Both techniques are promising, but arthroscopy may be a better option as the procedure evolves into a less invasive reconstruction.
本文旨在分析和比较现有关于开放手术和关节镜下Latarjet手术治疗肩关节前向不稳的研究。该综述将评估两种手术方式的不同因素，如移植物定位、功能结果、并发症和重返运动率。该研究的主要目标是确定哪种技术能产生更好的结果。
近期研究表明，在功能评分和患者满意度方面，关节镜下Latarjet手术可产生与开放手术相似的结果。一些研究表明，关节镜手术甚至可能提供稍好的结果。两种技术的并发症发生率相似，但关节镜手术需要更长的学习曲线和手术时间。确保移植物正确放置至关重要，一些研究表明关节镜手术在实现精确定位方面可能更好。开放手术和关节镜下Latarjet手术在治疗肩关节不稳方面同样有效。虽然关节镜手术恢复时间更快且软组织损伤更小，但它要求外科医生经历更陡峭的学习曲线。两种技术的最佳移植物位置仍存在争议。需要更多长期数据来确定哪种技术更具优势。未来研究应在更大的队列中比较两种手术方式，并确定影响结果的因素，以改善肩关节不稳的治疗。两种技术都很有前景，但随着手术发展为侵入性更小的重建方式，关节镜手术可能是更好的选择。
