ARTHROSCOPIC LATARJET WITH CORTICAL BUTTONS: CLINICAL AND RADIOLOGICAL OUTCOMES.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253303e293793

Alexandre Tadeu do Nascimento, Caio Santos Checchia, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Fernando Brandão de Andrade E Silva, Robson Massi Bastos, Arnaldo Amado Ferreira, Eduardo Angeli Malavolta

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Abstract

Objective: To evaluate clinical and radiological outcomes of the arthroscopic Latarjet procedure with cortical buttons for traumatic anterior shoulder instability.

Methods: Retrospective case series of medical reports and imaging studies of patients operated between April 2016 and September 2019 at a single hospital. Primary outcome was the Rowe score 24 months after surgery (MCID of 9.7 points). Secondary outcomes were the VAS, Rowe scores at other follow-up points, recurrence of instability, complications and tomographic evaluation of arthritis and graft healing, resorption and positioning.

Results: 46 shoulders were evaluated. At 24 months, mean Rowe score increased from 34.4 ± 11.4 to 90.1 ± 12.2 (p<0.001) and VAS from 6.1 ± 2.0 to 1.2 ± 1.9 (p<0.001). Every patient achieved MCID. Over 90% of grafts were well positioned and approximately 85% of them healed. There was no redislocation and only one (2.2%) subluxation. There were complications in six patients (13%), and no reoperation was needed.

Conclusion: At short-term, arthroscopic Latarjet procedure with cortical buttons provides good clinical outcomes, significant pain reduction and low recurrence rate. Graft healing and positioning were adequate. Complications were minor, with no reoperation needed. Level of Evidence IV; Case Series.

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关节镜下带皮质钮扣的latarjet：临床和放射学结果。

目的：评价关节镜下皮质按钮Latarjet手术治疗外伤性前肩不稳的临床和影像学结果。方法：回顾性分析2016年4月至2019年9月在同一家医院手术的患者的医学报告和影像学研究。主要预后指标为术后24个月Rowe评分（MCID为9.7分）。次要结果是VAS评分、其他随访点的Rowe评分、不稳定复发、并发症和关节炎和移植物愈合、吸收和定位的断层扫描评估。结果：对46个肩关节进行了评估。24个月时，平均Rowe评分从34.4±11.4上升到90.1±12.2。结论：在短期内，关节镜下皮质按钮Latarjet手术具有良好的临床效果，显着减轻疼痛，复发率低。移植物愈合和定位良好。并发症轻微，无需再手术。证据水平IV；系列。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.