Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e734-e741
DOI: 10.1055/s-0043-1776131
Artigo Original
Ombro e Cotovelo

Bristow-Latarjet Surgery: A Current Overview in Brazil

Article in several languages: português | English
Bruno Vierno de Araujo 
1   Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil
,
Paulo Henrique Schmidt Lara
1   Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil
,
Alberto de Castro Pochini
1   Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil
,
Benno Ejnisman
1   Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil
,
Eduardo Antônio de Figueiredo
1   Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil
,
Paulo Santoro Belangero
1   Cirurgião ortopedico, Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologias, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil
› Author Affiliations Financial Support The authors declare that they have received no financial support from public, commercial, or not-for-profit sources to conduct the present study.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Objective To provide a current overview of the Bristow-Latarjet surgery in Brazil.

Materials and Methods This cross-sectional study was based on an electronic questionnaire with 26 items, which was sent to active members of the Brazilian Society of Shoulder and Elbow Surgery (Sociedade Brasileira de Cirurgia do Ombro e Cotovelo, SBCOC, in Portuguese). The questionnaire addressed training, surgical technique, complications, and postoperative management.

Results We sent the questionnaire to 845 specialists from April 20 to May 12, 2021, and 310 of them answered i in full. During their specialization, most specialists participated in up to ten Bristow-Latarjet procedures. The most frequent complication was graft fracture, while the most common technical difficulty was screw positioning. In total, 50.6% and 73.9% reported having experienced intraoperative and postoperative complications respectively; 57.1% declared performing subscapularis suture; 99.7% indicated postoperative immobilization; and 61.9% considered graft consolidation fundamental.

Conclusion Most specialists participated in up to ten Bristow-Latarjet procedures during the specialization, but 13.5% of them graduated without participating in the surgery. The most frequent complication was graft fracture. The most common technical difficulty was screw positioning. Most participants prefer postoperative immobilization since they believe graft consolidation is essential to resume the practiced of sports. The highest complication rate occurred with specialists who have obtained their titles 11 to 15 years ago. In Brazil, the Southeast region is the largest producer of specialists and has the highest concentration of these professionals.

Keywords

joint instability - shoulder dislocations - shoulder joint - postoperative complications

Study developed at the Sports Traumatology Center, Escola Paulista of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil.




Publication History

Received: 16 May 2022

Accepted: 05 May 2023

Article published online:
30 October 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Latarjet M. Treatment of recurrent dislocation of the shoulder. Lyon Chir 1954; 49 (08) 994-997
    PubMedSearch in Google Scholar
  • 2 Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br 1958; 40-B (02) 198-202
    CrossrefPubMedSearch in Google Scholar
  • 3 Godinho GG, Monteiro PCVF. Tratamento cirúrgico da instabilidade anterior do ombro pela técnica de Didier-Patte. Rev Bras Ortop (Sao Paulo) 1993; 28 (09) 640-644
    Search in Google Scholar
  • 4 Zhang S, Zhang L, Han QX, Sun J, Ma J, Liu X-H. et al. [Comparison of the efficacy between open and arthroscopic Latarjet procedure in the treatment of anterior shoulder instability:a Meta-analysis]. Zhongguo Gu Shang 2021; 34 (06) 573-583
    PubMedSearch in Google Scholar
  • 5 Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY, Miniaci A. Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg 2013; 22 (02) 286-292
    CrossrefPubMedSearch in Google Scholar
  • 6 Cohen M, Fonseca R, Gribel B, Galvão MV, Monteiro M, Motta Filho G. Incidence and Risk Factors of the Complications Related to the Latarjet Surgery. Rev Bras Ortop 2021; 56 (03) 307-312
    Thieme ConnectPubMedSearch in Google Scholar
  • 7 Degen RM, Camp CL, Werner BC, Dines DM, Dines JS. Trends in bone-block augmentation among recently trained orthopaedic surgeons treating anterior shoulder instability. J Bone Joint Surg Am 2016; 98 (13) e56
    CrossrefPubMedSearch in Google Scholar
  • 8 Boileau P, Saliken D, Gendre P, Seeto BL, d'Ollonne T, Gonzalez J-F, Bronsard N. Arthroscopic Latarjet: Suture-Button Fixation Is a Safe and Reliable Alternative to Screw Fixation. Arthroscopy 2019; 35 (04) 1050-1061
    CrossrefPubMedSearch in Google Scholar
  • 9 Belangero PS, Lara PHS, Figueiredo EA, Andreoli CV, Pochini AC, Ejnisman B, Smith RL. Bristow versus Latarjet in high-demand athletes with anterior shoulder instability: a prospective randomized comparison. JSES Int 2021; 5 (02) 165-170
    CrossrefPubMedSearch in Google Scholar
  • 10 Figueiredo EA, Belangero PS, Cohen C, Louchard RL, Terra BB, Pochini AC. et al. Rodeo athletes: management of shoulder instability. J Sports Med Phys Fitness 2016; 56 (05) 560-564
    PubMedSearch in Google Scholar
  • 11 Moura DL, Reis ARE, Ferreira J, Capelão M, Cardoso JB. Modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation. Rev Bras Ortop 2018; 53 (02) 176-183
    PubMedSearch in Google Scholar
  • 12 Castricini R, De Benedetto M, Orlando N, Rocchi M, Zini R, Pirani P. Arthroscopic Latarjet procedure: analysis of the learning curve. Musculoskelet Surg 2013; 97 (Suppl. 01) 93-98
    CrossrefPubMedSearch in Google Scholar
  • 13 Hopper AN, Jamison MH, Lewis WG. Learning curves in surgical practice. Postgrad Med J 2007; 83 (986) 777-779
    CrossrefPubMedSearch in Google Scholar
  • 14 Dauzère F, Faraud A, Lebon J, Faruch M, Mansat P, Bonnevialle N. Is the Latarjet procedure risky? Analysis of complications and learning curve. Knee Surg Sports Traumatol Arthrosc 2016; 24 (02) 557-563
    CrossrefPubMedSearch in Google Scholar
  • 15 Ekhtiari S, Horner NS, Bedi A, Ayeni OR, Khan M. The learning curve for the latarjet procedure: a systematic review. Orthop J Sports Med 2018; 6 (07) 2325967118786930
    CrossrefPubMedSearch in Google Scholar
  • 16 Hope C, Reilly JJ, Griffiths G, Lund J, Humes D. The impact of COVID-19 on surgical training: a systematic review. [published correction appears in Tech Coloproctol 2021;25(11):1267–1268] Tech Coloproctol 2021; 25 (05) 505-520
    CrossrefPubMedSearch in Google Scholar
  • 17 Posição do Conselho Federal de Medicina sobre a pandemia de COVID-19: contexto,. análise de medidas e recomendações [accessed february 22, 2022]. Disponível em: https://portal.cfm.org.br/images/PDF/covid-19cfm.pdf
  • 18 Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T. The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy 2007; 23 (11) 1242.e1-1242.e5
    CrossrefPubMedSearch in Google Scholar
  • 19 Metais P, Clavert P, Barth J, Boileau P, Brzoska R, Nourissat G. et al; French Arthroscopic Society. Preliminary clinical outcomes of Latarjet-Patte coracoid transfer by arthroscopy vs. open surgery: Prospective multicentre study of 390 cases. Orthop Traumatol Surg Res 2016; 102 (8S): S271-S276
    CrossrefPubMedSearch in Google Scholar
  • 20 Karlsson J, Magnusson L, Ejerhed L, Hultenheim I, Lundin O, Kartus J. Comparison of open and arthroscopic stabilization for recurrent shoulder dislocation in patients with a Bankart lesion. Am J Sports Med 2001; 29 (05) 538-542
    CrossrefPubMedSearch in Google Scholar
  • 21 Castropil W, Schor B, Bitar A, Medina G, Ribas LH, Mendes C. Arthroscopic Latarjet: Technique Description and Preliminary Results. Study of the First 30 Cases. Rev Bras Ortop 2020; 55 (02) 208-214
    Thieme ConnectPubMedSearch in Google Scholar
  • 22 Gendre P, Thélu CE, d'Ollonne T, Trojani C, Gonzalez JF, Boileau P. Coracoid bone block fixation with cortical buttons: An alternative to screw fixation?. Orthop Traumatol Surg Res 2016; 102 (08) 983-987
    CrossrefPubMedSearch in Google Scholar
  • 23 Patte D, Bernageau J, Rodineau J, Gardes JC. Epaules douloureuses et instables. [Unstable painful shoulders (author's transl)] Rev Chir Orthop Repar Appar Mot 1980; 66 (03) 157-165
    Search in Google Scholar
  • 24 Alvi HM, Monroe EJ, Muriuki M, Verma RN, Marra G, Saltzman MD. Latarjet Fixation: A Cadaveric Biomechanical Study Evaluating Cortical and Cannulated Screw Fixation. Orthop J Sports Med 2016; 4 (04) 2325967116643533
    CrossrefPubMedSearch in Google Scholar
  • 25 Provencher MT, Aman ZS, LaPrade CM, Bernhardson AS, Moatshe G, Storaci HW. et al. Biomechanical comparison of screw fixation versus a cortical button and self-tensioning suture for the Latarjet procedure. Orthop J Sports Med 2018; 6 (06) 2325967118777842
    CrossrefPubMedSearch in Google Scholar
  • 26 Massin V, Lami D, Ollivier M, Pithioux M, Argenson JN. Comparative biomechanical study of five systems for fixation of the coracoid transfer during the Latarjet procedure for treatment of anterior recurrent shoulder instability. Int Orthop 2020; 44 (09) 1767-1772
    CrossrefPubMedSearch in Google Scholar
  • 27 Sabharwal S, Patel NK, Bull AM, Reilly P. Surgical interventions for anterior shoulder instability in rugby players: A systematic review. World J Orthop 2015; 6 (04) 400-408
    CrossrefPubMedSearch in Google Scholar
  • 28 Gartsman GM, Waggenspack Jr WN, O'Connor DP, Elkousy HA, Edwards TB. Immediate and early complications of the open Latarjet procedure: a retrospective review of a large consecutive case series. J Shoulder Elbow Surg 2017; 26 (01) 68-72
    CrossrefPubMedSearch in Google Scholar
  • 29 Hovelius L, Saeboe M. Neer Award 2008: Arthropathy after primary anterior shoulder dislocation–223 shoulders prospectively followed up for twenty-five years. J Shoulder Elbow Surg 2009; 18 (03) 339-347
    CrossrefPubMedSearch in Google Scholar
  • 30 Walch G, Boileau P. Latarjet-Bristow Procedure for Recurrent Anterior Instability. Tech Shoulder Elbow Surg 2000; 1 (04) 256-261
    CrossrefSearch in Google Scholar
  • 31 Ikemoto RY, Murachovisky J, Nascimento LGP, Bueno RS, Almeida LHO, Strose E, Helmer FF. Resultados da cirurgia de latarjet no tratamento da instabilidade anterior traumática do ombro associada à erosão óssea da cavidade glenoidal - Seguimento mínimo de um ano. Rev Bras Ortop (Sao Paulo) 2011; 46 (05) 553-560
    CrossrefSearch in Google Scholar
  • 32 da Silva LA, da Costa Lima ÁG, Kautsky RM, Santos PD, do Val Sella G, Checchia SL. Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder. Rev Bras Ortop 2015; 50 (06) 652-659
    CrossrefPubMedSearch in Google Scholar
  • 33 Kawakami E. Avaliação do posicionamento dos parafusos na cirurgia de Bristow - Latarjet. Paralelismo à glenoide é essencial? [dissertação]. São Paulo: UNIFESP; 2019
    Search in Google Scholar
  • 34 Scheffer M, Cassenote A, Guerra A, Guilloux AGA, Brandão APD, Miotto BA. et al. Demografia Médica no Brasil 2020. São Paulo, SP: FMUSP, CFM; 2020
    Search in Google Scholar