Rossi Luciano Andrés, Brandariz Rodrigo, Bongiovanni Santiago, Costa Paz Matias Ramón, Larrague Catalina, Tanoira Ignacio, Ranalletta Maximiliano
Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Am J Sports Med. 2025 Jul;53(9):2052-2059. doi: 10.1177/03635465251341451. Epub 2025 Jul 16.
There is a lack of studies in the literature evaluating the influence of the severity of the preoperative glenoid bone loss on the results of the Latarjet procedure.
To compare functional outcomes, return to sport, and complications in a consecutive series of athletes undergoing Latarjet surgery for glenohumeral instability by dividing patients for analysis into 3 groups according to the severity of glenoid bone loss (GBL) (group 1, GBL between 0% and 10%; group 2, GBL between 11% and 20%; group 3, GBL >20%).
Case series; Level of evidence, 4.
A comparative retrospective cohort study was performed in a consecutive series of competitive athletes with anterior glenohumeral instability who underwent surgery between January 2014 and January 2019. The clinical assessment included range of motion, Rowe score, American Shoulder and Elbow Surgeons (ASES) score, visual analog scale (VAS), Athletic Shoulder Outcome Scoring System (ASOSS), and return to sports. Graft consolidation was assessed by 3D computed tomography in all patients. All intraoperative and postoperative complications were documented. All results were compared between the 3 groups of patients.
A total of 310 patients were evaluated (n = 120 in group 1, n = 105 in group 2, and n = 85 in group 3). The mean follow-up was 8.3 years (range, 6.3-9.9 years) and the mean age was 22.1 ± 3.69 years. Range of motion and Rowe, ASES, VAS, and ASOSS scores showed significant improvement after surgery ( < .001). No statistically significant differences were found in range of motion pain or functional scores in relation to the severity of the preoperative GBL. In total, 286 patients (92%) returned to sport, and of these, 259 patients (90%) were able to return to competition at their preinjury level. The overall mean interval between surgery and return to sport was 5.4 months (range, 3-7 months). In total, 48 complications (15%) and 11 reoperations (3.5%) were noted, with no significant differences between groups. The control 3D computed tomography was performed at a mean of 3.4 months. The graft consolidated in 94.5% of patients. At the end of follow-up, 11% of patients had mild-stage osteoarthritis and 6% had moderate-stage osteoarthritis with no significant differences between groups.
The majority of athletes with recurrent glenohumeral instability who underwent Latarjet surgery returned to sport at their preinjury level, with complete recovery of shoulder function and a similar percentage of complications regardless of the severity of the preoperative GBL.
文献中缺乏评估术前肩胛盂骨丢失严重程度对Latarjet手术结果影响的研究。
通过根据肩胛盂骨丢失（GBL）的严重程度将患者分为3组（1组，GBL在0%至10%之间；2组，GBL在11%至20%之间；3组，GBL>20%），比较连续一系列因肩肱关节不稳接受Latarjet手术的运动员的功能结果、恢复运动情况和并发症。
病例系列；证据等级，4级。
对2014年1月至2019年1月期间连续一系列因前肩肱关节不稳接受手术的竞技运动员进行了一项比较性回顾性队列研究。临床评估包括活动范围、Rowe评分、美国肩肘外科医师（ASES）评分、视觉模拟量表（VAS）、运动肩结局评分系统（ASOSS）以及恢复运动情况。所有患者均通过三维计算机断层扫描评估移植物愈合情况。记录所有术中及术后并发症。比较3组患者的所有结果。
共评估了310例患者（1组120例，2组105例，3组85例）。平均随访时间为8.3年（范围6.3 - 9.9年），平均年龄为22.1±3.69岁。手术后活动范围以及Rowe、ASES、VAS和ASOSS评分均有显著改善（P <.001）。在活动范围疼痛或功能评分方面，未发现与术前GBL严重程度相关的统计学显著差异。总共有286例患者（92%）恢复运动，其中259例患者（90%）能够恢复到受伤前的比赛水平。手术至恢复运动的总体平均间隔时间为5.4个月（范围3 - 7个月）。总共记录了48例并发症（15%）和11例再次手术（3.5%），各组之间无显著差异。平均在3.4个月时进行了对照三维计算机断层扫描。94.5%的患者移植物愈合。随访结束时，11%的患者有轻度骨关节炎，6%的患者有中度骨关节炎，各组之间无显著差异。
大多数因复发性肩肱关节不稳接受Latarjet手术的运动员恢复到了受伤前的运动水平，肩部功能完全恢复，且无论术前GBL严重程度如何，并发症发生率相似。
