Outcomes of the Latarjet procedure with minimum 5- and 10-year follow-up: A systematic review

Abstract

Background: The purpose of this study was to evaluate mid- and long-term outcomes following the Latarjet procedure for anterior shoulder instability.

Methods: PubMed, MEDLINE, Embase, and Cochrane libraries were systematically searched, in line with PRISMA guidelines, for studies reporting on outcomes following the Latarjet procedure with minimum five-year follow-up. Outcomes of studies with follow-up between 5 and 10 years were compared to those with minimum follow-up of 10 years.

Results: Fifteen studies reporting on 1052 Latarjet procedures were included. Recurrent instability occurred in 127 patients, with an overall random summary estimates in studies with a minimum five-year follow-up of 0-18% (I² = 90%) compared to 5-26% (I² = 59%) for studies with a minimum 10-year follow-up. Overall rates for return to sports, non-instability related complications, and progression of arthritis estimated at 65-100% (I² = 87%), 0-20% (I² = 85%), and 8-42% (I² = 89%) for the minimum five-year follow-up studies and 62-93% (I² = 86%), 0-9% (I² = 28%), and 9-71% (I² = 91%) for the minimum 10-year follow-up studies, respectively. All studies reported good-to-excellent mean PRO scores at final follow-up.

Conclusions: The Latarjet is a safe and effective procedure for patients with shoulder instability. The majority of patients return to sport, though at long-term follow-up, a trend towards an increased incidence of recurrent instability is appreciated, while a significant number may demonstrate arthritis progression.

Keywords: Latarjet; coracoid transfer; shoulder instability.