Latarjet Procedure: Comparative Outcomes Study of Arthroscopic Versus Mini-open Approach With Minimum 2-year Follow-up
Latarjet Procedure: Comparative Outcomes Study of Arthroscopic Versus Mini-open Approach With Minimum 2-year Follow-up
To date, use of arthroscopic procedure to perform Latarjet procedure is still technically
 demanding. The benefits of arthroscopic procedure need to be evaluated compared to the
 mini-invasive approach. The aim of this study was to assess postoperative pain during the
 first week, and the positioning of coracoid bone block at the anterior aspect of the glenoid.
 At minimum 2 years follow-up, the recurrence of shoulder instability and functional
 evaluation of patients according to the Western Ontario Score Index (WOSI) were assessed.
This prospective comparative study was performed at two centers in 2012. Each center
 performed one procedure so this study was observational. All patients with a chronic anterior
 instability requiring bone grafting (Instability Severity Index Score>3) were included. The
 Latarjet procedure was performed by mini-open approach (set Arthrex, Naples, FL) in the first
 group, and by arthroscopic approach (set Depuy-Mitek, Raynham, MA) in the second group. The
 analgesic postoperative protocol was standardized (paracetamol, non-steroidal
 anti-inflammatory, tramadol).
Inclusion Criteria:

 -  chronic anterior instability requiring bone grafting (Instability Severity Index
 Score>3)

 Exclusion Criteria:

 -  Patient refusal