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https://www.readbyqxmd.com/read/27876234/identification-of-a-remodeled-neo-tendon-after-arthroscopic-latarjet-procedure
#1
Daniel Smolen, Philip Went, Dirk Tomala, Christoph Sternberg, Laurent Lafosse, Jan Leuzinger
PURPOSE: To macroscopically, histologically, and radiologically describe a time-dependent remodeling process of a neo-tendon or -ligament in the shoulder after the arthroscopic Latarjet procedure. METHODS: During follow-up surgery after the arthroscopic Latarjet procedure, 17 shoulders in 16 patients were evaluated for a remodeled tendon-like structure. The mean overall follow-up period was 27.4 months. The mean time between the arthroscopic Latarjet procedure and revision was 11...
November 18, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27815958/coracoid-fracture-following-latarjet-failure-a-case-report
#2
Brian Capogna, William E Ryan, Alan W McGee, Laith M Jazrawi
The Latarjet procedure involves the transfer of the coracoid process with its soft tissue attachments, thereby providing both bony and soft tissue articular reinforcement for glenohumeral stabilization. Most studies show positive outcomes with this procedure and complications at rates as low as 1%, predominately secondary to technical error. We present a case of recurrent anterior instability after two attempts at soft tissue stabilization (arthroscopic labral repair followed by open inferior capsular shift) in which an open Latarjet procedure was performed followed by subsequent revision secondary to coracoid autograft fracture...
November 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27800066/-anterior-shoulder-instabilities-about-73-cases
#3
Louaste Jamal, Hicham Bousbaa, Taoufik Cherrad, Mohammed Wahidi, Larbi Amhajji, Khalid Rachid
Between 2005 and 2014, 73 patients (77 shoulders) underwent Latarjet procedure for anterior shoulder instability. This retrospective study aims to evaluate the clinical and radiographic results of this surgical technique. Surgical intervention was performed to treat 69 cases with recurrent dislocation, 5 cases with recurrent painful subluxation and 3 cases with painful shoulder. All patients underwent radiographic evaluation before surgery and during the most recent medical control. According to Rowe score, 73 (94...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27780512/a-six-months-old-neglected-anterior-shoulder-dislocation-managed-by-closed-reduction-and-latarjet-procedure
#4
Deepak Chaudhary, Deepak Joshi, Vineet Jain, Mukul Mohindra, Nitin Mehta
A neglected shoulder dislocation is a rarer entity and only few cases are reported in the literature. An anterior dislocation of the shoulder is rarely missed as patients present with limb in abduction and external rotation, an attitude very familiar to orthopaedic surgeon. Occasionally such cases are missed when they present with fracture of proximal humerus or when they receive treatment from unqualified practitioners who commonly practise in rural areas. Owing to very few reports there is paucity of literature and no standard treatment protocol exists for neglected anterior dislocation of the shoulder, though most such chronic cases are managed by open reduction...
October 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27776520/anatomical-study-of-the-coracoid-process-in-mongolian-male-cadavers-using-the-latarjet-procedure
#5
Jianqiang Lian, Lele Dong, Yanjun Zhao, Jinlei Sun, Wenlong Zhang, Chunzheng Gao
BACKGROUND: The Latarjet procedure addresses recurrent anterior shoulder instability in the context of a significant bony defect. However, the bony and soft tissue anatomy of the coracoid in coracoid transfer procedures has not yet been defined in Mongolian men. The aims of this study were to describe the soft tissue attachments of the coracoid regarding the bony anatomy, define the average amount of bone available for coracoid transfer, analyze the characteristics of the pectoralis minor and coracoid, and study the relationship between the bony dimensions of the coracoid and body length in Mongolian men...
October 24, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27771428/preliminary-clinical-outcomes-of-latarjet-patte-coracoid-transfer-by-arthroscopy-vs-open-surgery-prospective-multicentre-study-of-390%C3%A2-cases
#6
P Metais, P Clavert, J Barth, P Boileau, R Broszka, G Nourissat, J Leuzinger, G Walch, L Lafosse
BACKGROUND: The Latarjet-Patte procedure consisting in transfer and screw fixation of the coracoid process to the anterior glenoid is a treatment of reference for anterior shoulder instability. Over time, surgical innovations translated into a number of improvements and, in late 2003, an arthroscopically assisted variant of the procedure was described. OBJECTIVE: To evaluate and compare clinical outcomes of the modified Latarjet-Patte procedure performed by open surgery, arthroscopy with screw fixation, or arthroscopy with endobutton fixation...
October 19, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27735979/eden-hybinette-and-pectoralis-major-transfer-for-recurrent-shoulder-instability-due-to-failed-latarjet-and-chronic-subscapularis-rupture
#7
Xinning Li, Antonio Cusano, Josef Eichinger
Shoulder dislocations are a common injury, with anterior shoulder dislocation among male patients being the most common presentation. A patient with recurrent shoulder instability, anterior-superior escape, and chronic subscapularis tendon rupture following multiple shoulder stabilization surgeries presents the surgeon with a complex and challenging case. This report describes a 40-year-old man with an extensive left shoulder history that included a failed Latarjet procedure, an irreparable, chronic subscapularis tear with grade 4 Goutallier fatty infiltration, and associated anterior-superior escape...
October 13, 2016: Orthopedics
https://www.readbyqxmd.com/read/27734111/reliability-of-a-ct-reconstruction-for-preoperative-surgical-planning-in-the-arthroscopic-latarjet-procedure
#8
Alexandre Hardy, Philippe Loriaut, Benjamin Granger, Ahmed Neffati, Audrey Massein, Laurent Casabianca, Hugues Pascal-Moussellard, Antoine Gerometta
PURPOSE: The arthroscopic Latarjet procedure has provided reliable results in the treatment of anterior shoulder instability. However, this procedure remains technically challenging and is related to several complications. The morphology of the coracoid and the glenoid are inconsistent. Inadequate coracoid and glenoid preparing may lead to mismatching between their surfaces. Inadequate screws lengthening and orientation are a major concern. Too long screws can lead to suprascapular nerve injuries or hardware irritation, whereas too short screws can lead to nonunions, fibrous unions or migration of the bone block...
October 12, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27727053/three-dimensional-volume-measurement-of-coracoid-graft-osteolysis-after-arthroscopic-latarjet-procedure
#9
David L Haeni, Gaëtan Opsomer, Amit Sood, Jeremy Munji, Matthieu Sanchez, Benoit Villain, Gilles Walch, Laurent Lafosse
BACKGROUND AND HYPOTHESIS: The Latarjet procedure has been shown to be a reliable method to prevent recurrent anterior shoulder instability. Coracoid bone graft osteolysis is a potential catastrophic complication and can lead to recurrent instability. The purpose of our study is to present a novel quantitative method to measure the amount of coracoid bone osteolysis using 3-dimensional (3D) computed tomography (CT) scan imaging. MATERIALS AND METHODS: This is a prospective study with 15 patients (16 shoulders) who underwent an arthroscopic Latarjet procedure...
October 7, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27720375/coracoid-bone-block-fixation-with-cortical-buttons-an-alternative-to-screw-fixation
#10
P Gendre, C-E Thélu, T d'Ollonne, C Trojani, J-F Gonzalez, P Boileau
BACKGROUND: The purpose of this study was to evaluate suture button fixation in a bone block (Bristow and Latarjet) procedure. We hypothesize that (1) cortical button fixation will allow predictable and reproducible bone union and (2) minimize the complications reported with screw fixation. MATERIALS AND METHODS: Seventy patients (mean age, 27 years) underwent an arthroscopic bone block procedure with a guided surgical approach and suture button fixation for recurrent anterior shoulder instability...
October 5, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27709057/arthroscopic-iliac-crest-bone-grafting-to-the-anterior-glenoid
#11
Chad M Fortun, Ivan Wong, Joseph P Burns
Failed arthroscopic soft-tissue stabilization and anterior glenoid bone loss have been shown to have high failure rates after standard arthroscopic stabilization techniques. For patients with recurrent glenohumeral instability, the Bristow-Latarjet procedure is currently the standard of care. It is predominantly performed through an open deltopectoral approach but has recently been described arthroscopically. Although providing excellent clinical outcomes, the Bristow-Latarjet procedure violates the subscapularis muscle, has a steep learning curve with a high complication rate, and permanently changes the anterior shoulder anatomy, making any future revision surgery more challenging...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27697180/editorial-commentary-not-for-the-faint-of-heart-the-arthroscopic-latarjet-procedure-a-north-american-experience
#12
James Tibone
The Latarjet operation is a very difficult operation both when performed arthroscopically and when performed with an open approach. I do not think that this is an operation that should be done by a casual shoulder surgeon. I think, in the best interests of the patient, that this surgery should be performed only by orthopaedic surgeons who are trained in it.
October 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27687064/functional-outcomes-after-open-versus-arthroscopic-latarjet-procedure-a-prospective-comparative-study
#13
G Nourissat, L Neyton, P Metais, P Clavert, B Villain, D Haeni, G Walch, L Lafosse
INTRODUCTION: The Latarjet procedure provides effective stabilization of chronically unstable shoulders. Since this procedure is mainly performed in a young athletic population, the functional impact is significant. Published data does not shed light on the time needed to recover work-related or sports-related function. Performing this procedure arthroscopically may improve functional recovery. This led us to carry out a prospective, multicenter study to compare the functional recovery after arthroscopic versus open Latarjet procedure...
September 27, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27617665/a-prospective-comparative-study-of-arthroscopic-versus-mini-open-latarjet-procedure-with-a-minimum-2-year-follow-up
#14
Blandine Marion, Shahnaz Klouche, Julien Deranlot, Thomas Bauer, Geoffroy Nourissat, Philippe Hardy
PURPOSE: To compare postoperative pain during the first postoperative week and the position of the coracoid bone block at the anterior aspect of the glenoid after the arthroscopic and the mini-open Latarjet procedure. The secondary purpose was to assess functional results and recurrence after at least 2 years of follow-up. METHODS: This comparative prospective study included patients who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2012...
September 8, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27613475/feasibility-of-monomodal-analgesia-with-iv-alfentanil-during-burn-dressing-changes-at-bedside-in-spontaneously-breathing-non-intubated-patients
#15
Mathieu Fontaine, Jacques Latarjet, Jacqueline Payre, Jean-Charles Poupelin, François Ravat
INTRODUCTION: The severe pain related to repeated burn dressing changes at bedside is often difficult to manage. However these dressings can be performed at bedside on spontaneously breathing non-intubated patients using powerful intravenous opioids with a quick onset and a short duration of action such as alfentanil. The purpose of this study is to demonstrate the efficacy and safety of the protocol which is used in our burn unit for pain control during burn dressing changes. PATIENTS AND METHODS: Cohort study began after favorable opinion from local ethic committee has been collected...
September 6, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27605700/the-role-of-capsular-repair-in-latarjet-procedures-commentary-on-an-article-by-yoshiaki-itoigawa-md-phd-et-al-repairing-the-capsule-to-the-transferred-coracoid-preserves-external-rotation-in-the-modified-latarjet-procedure
#16
https://www.readbyqxmd.com/read/27605693/repairing-the-capsule-to-the-transferred-coracoid-preserves-external-rotation-in-the-modified-latarjet-procedure
#17
Yoshiaki Itoigawa, Alexander W Hooke, John W Sperling, Scott P Steinmann, Kristin D Zhao, Nobuyuki Yamamoto, Eiji Itoi, Kai-Nan An
BACKGROUND: It is not clear whether the anterior capsule should be repaired to the coracoid process or to the native glenoid during the modified Latarjet procedure. We investigated joint stability and range of motion of the shoulder after the modified Latarjet procedure with both of these methods of capsular repair. METHODS: Eighteen fresh-frozen cadaveric shoulders were used. After a Bankart lesion and 6-mm glenoid defect were created, the coracoid process was transferred to the glenoid and fixed with screws...
September 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27594323/shoulder-problems-motivate-innovative-solutions
#18
EDITORIAL
James H Lubowitz, Jefferson C Brand, Michael J Rossi, Matthew T Provencher
Shoulder arthroscopic and related surgeons may require expertise in use of the 70° arthroscope, biologic patch augmentation, repair of massive rotator cuff tears, the Latarjet procedure and related glenoid bone augmentation, and reverse total shoulder arthroplasty.
September 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27587522/what-is-a-bristow-latarjet-procedure-a-review-of-the-described-operative-techniques-and-outcomes
#19
P D Cowling, M A Akhtar, R Y L Liow
OBJECTIVES: A variety of operative techniques have been described as under the term 'Bristow-Latarjet' procedure. This review aims to define the original procedure, and compare the variation in techniques described in the literature, assessing any effect on clinical outcomes. MATERIALS AND METHODS: A systematic review of 24 studies was performed to compare specific steps of the technique (coracoid osteotomy site, subscapularis approach, orientation and position of coracoid graft fixation and fixation method, additional labral and capsular repair) and detect any effect this variability had on outcomes...
September 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27562373/preoperative-ct-planning-of-screw-length-in-arthroscopic-latarjet
#20
Alexandre Hardy, Antoine Gerometta, Benjamin Granger, Audrey Massein, Laurent Casabianca, Hugues Pascal-Moussellard, Philippe Loriaut
PURPOSE: The Latarjet procedure has shown its efficiency for the treatment of anterior shoulder dislocation. The success of this technique depends on the correct positioning and fusion of the bone block. The length of the screws that fix the bone block can be a problem. They can increase the risk of non-union if too short or be the cause of nerve lesion or soft tissue discomfort if too long. Suprascapular nerve injuries have been reported during shoulder stabilisation surgery up to 6 % of the case...
August 25, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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