2021 ISAKOS Biennial Congress Paper
The Latarjet Procedure In Competitive Athletes Younger Than 20 Years Old With A Significant Glenoid Bone Loss
Luciano Rossi, PhD, Buenos Aires ARGENTINA
Ignacio Tanoira, MD PhD, Buenos Aires ARGENTINA
Ignacio Pasqualini, MD, Ciudad de Buenos Aires, Buenos Aires ARGENTINA
Maximiliano Ranalletta, MD, Buenos Aires, Buenos Aires ARGENTINA
Italian Hospital Buenos Aires, Ciudad de Buenos Aires, Buenos Aires, ARGENTINA
FDA Status Cleared
Summary
The Latarjet procedure in competitive athletes younger than 20 years old with a significant glenoid bone loss
Abstract
Purpose
To analyze return to sports, functional outcomes, and complications following the Latarjet procedure in competitive athletes younger than 20 years old with a significant glenoid bone loss
Methods
Between 2010 and 2017 60 competitive athletes younger than 20 years old with a significant glenoid bone loss were operated with the Latarjet procedure. Return to sports, range of motion (ROM), the Rowe and the ASOSS score were used to assess functional outcomes. Complications and bone consolidation were also evaluated.
Results
The mean follow- up was 58 months and the mean age was 16.3 years. Overall, 93% were able to return to sports and 84% returned at the same level. The Rowe and ASOSS scores showed statistical improvement after operation (P < .001). The total complication rate was 22% and the revision rate was 1.6% The recurrence rate was 3.3%. The bone block healed in 93% of the cases.
Conclusions
In competitive athletes younger than 20 years old with a significant glenoid bone loss, the Latarjet procedure resulted in excellent functional outcomes, with most of the patients returning to sports and at the same level they had before injury with a low rate of recurrences. However, this procedure is associated with a significant rate of complications and should preferably be performed by experienced surgeons.