Abstract
Objective Arthroscopic Latarjet has been performed with the aim to be an accurate technique
with a low incidence of complications. The aim of the present study was to briefly
describe the technique and to evaluate the shot-term complications following arthroscopic
Latarjet procedure to correct anterior shoulder dislocation with glenoid bone loss.
Methods Retrospective study with 30 subjects with anterior shoulder instability, submitted
to arthroscopic Latarjet. Intraoperative and short-term postoperative complications
were recorded, as well as the rate of revision surgery.
Results Five cases had complication (16.7%), and in the last 10 cases no complication occurred.
In 1 case (3.3%), it was required to reverse for open surgery due to a fracture of
the coracoid process during fixation in the glenoid. No other intraoperative complication
occurred. No infection was observed. Two cases (6.7%) evolved with temporary neuropraxia
of the musculocutaneous nerve, totally reversed with physiotherapy. With a follow-up
from 6 to 26 months, 2 patients (6.7%) required a new intervention for graft/screws
removal and release of the joint due to excessive limitation in external rotation.
There was no case of recurrence.
Conclusion Even in an initial learning curve, arthroscopic Latarjet demonstrated a low rate
of short-tem complications and was a safe procedure for treating anterior dislocation
of the shoulder with glenoid bone loss.
Keywords
shoulder - shoulder instability - arthroscopy - minimally invasive surgical procedures
