超过89%的患者在接受关节镜或开放式Latarjet手术治疗前肩不稳后重返工作岗位：一项系统评价。
Over 89% of Patients Return to Work After Undergoing Arthroscopic or Open Latarjet Procedure for Anterior Shoulder Instability: A Systematic Review.
作者信息
Lee Michael S, Patel Seema M, Klug Trevan, Moran Jay, Park Nancy, Mahatme Ronak J, Fong Scott, Gillinov Stephen M, Dawes Alexander, Surucu Serkan, Graf Alexander, Jimenez Andrew E
机构信息
Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
University of Connecticut School of Medicine, Farmington, Connecticut, U.S.A.
出版信息
Arthroscopy. 2025 Jul;41(7):2611-2620. doi: 10.1016/j.arthro.2024.09.056. Epub 2024 Oct 9.
PURPOSE
To better define the rate of return to work in patients undergoing Latarjet surgery for anterior shoulder instability.
METHODS
A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Cochrane Center Register of Controlled Trials, and Scopus were queried in October 2023 with the following keywords: ((latarjet) OR (anterior shoulder instability)) AND ((work) or (compensation)). Articles were included if they reported return to work in patients (including military members) undergoing Latarjet surgery for traumatic anterior shoulder instability with bone loss and were written in English. This study was registered in Prospero (ID blinded).
RESULTS
Six studies reporting on 419 shoulders were included in the review. Five studies reported on patients in the general population, and 1 reported on military members. Mean age ± standard deviation of patients ranged from 23.1 ± 5.8 to 32.0 ± 12.3 years. Moreover, there were 286 primary Latarjet procedures, 131 revision Latarjet procedures, and 2 unspecified as primary or revision surgery. Mean glenoid bone loss ranged from 14.5% to 22.9%. Return-to-work rates ranged from 89.1% to 100%, with 2 studies reporting all patients were able to return to work. Among military members, 89.1% were able to return to duty. Mean time to return to work ranged from 8.69 to 34.8 weeks after surgery. Four studies also reported return to sport, which ranged from 60.9% to 100%. Mean time for returning to sport varied between 10.0 and 35.2 weeks after the Latarjet procedure.
CONCLUSIONS
Patients with anterior shoulder instability who undergo an arthroscopic or open Latarjet procedure can expect high rates of return to work and sport. All studies reported return-to-work rates over 89%, with 89.1% of military members able to return to duty.
LEVEL OF EVIDENCE
Level IV, systematic review of Level III and Level IV studies.
目的
更好地明确接受Latarjet手术治疗前肩不稳患者的重返工作率。
方法
按照系统评价和Meta分析的首选报告项目指南进行系统评价。2023年10月在PubMed、Cochrane对照试验中心注册库和Scopus中检索，关键词如下：（（Latarjet）或（前肩不稳））且（（工作）或（赔偿））。如果文章报道了接受Latarjet手术治疗创伤性前肩不稳伴骨质丢失的患者（包括军人）的重返工作情况且为英文撰写，则纳入研究。本研究在国际前瞻性系统评价注册库（注册号保密）进行了注册。
结果
该评价纳入了6项报告419例肩部情况的研究。5项研究报告了普通人群患者，1项报告了军人。患者的平均年龄±标准差为23.1±5.8至32.0±12.3岁。此外，有286例初次Latarjet手术、131例翻修Latarjet手术，2例未明确为初次或翻修手术。平均肩胛盂骨质丢失率为14.5%至22.9%。重返工作率为89.1%至100%，2项研究报告所有患者均能重返工作。在军人中，89.1%能够重返岗位。术后平均重返工作时间为8.69至34.8周。4项研究还报告了重返运动情况，范围为60.9%至100%。Latarjet手术后平均重返运动时间在10.0至35.2周之间。
结论
接受关节镜或开放Latarjet手术的前肩不稳患者有望获得较高的重返工作和运动率。所有研究报告的重返工作率均超过89%，89.1%的军人能够重返岗位。
证据级别
IV级，III级和IV级研究的系统评价。
Zotero 插件