Outcomes of Latarjet Versus Distal Tibia Allograft for Anterior Shoulder Instability Repair
Purpose: To compare clinical outcomes between a distal tibia allograft (DTA) reconstruction or a Latarjet procedure for patients with recurrent shoulder instability.
Summary:
- This is the first comparative data between a DTA reconstruction and Latarjet.
- 100 patients were included in a 1:1 matched cohort (50 DTA patients and 50 Latarjet). Patients were matched consecutively by age, body mass index, history of contact sports and previous number of shoulder operations.
- Patients in the DTA group had significantly greater glenoid bone loss defects in comparison to the Latarjet group.
- Both groups had significant improvements in their postoperative outcomes scores at an average of 45 months follow-up.
- There were 6 total reoperations; 3 in the DTA group and 3 in the Latarjet group. There was only 1 case of recurrent instability due to a traumatic injury 16 months after surgery.
JRF Ortho Take Away: While the Latarjet has been considered the gold standard treatment for recurrent anterior instability with glenoid bone loss, DTA showed similar clinical outcomes. Both procedures result in a clinically stable joint.
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Authors: Rachel M. Frank, Anthony A. Romeo, Catherine Richardson, Shelby Sumner, Nikhil N. Verma, Brian J. Cole, Gregory P. Nicholson and Matthew T. Provencher
Published: The American Journal of Sports Medicine. April 2018.
Institution: Rush University