Evidence map›Paper›PMID 32710144›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Low rate of recurrent instability following the open Latarjet procedure as a revision procedure for failed prior stabilization surgery.

Zakariya S Ali, Eoghan T Hurley, M Shazil Jamal, Marilee P Horan, Connor Montgomery, Leo Pauzenberger, Peter J Millett, Hannan Mullett

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  7. Evolving concepts and consensus in challenging shoulder problems: a European perspective.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  8. No difference in 90-day complication rate following open versus arthroscopic Latarjet procedure.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Zakariya S AliSports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland.
Eoghan T HurleySports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland. eoghanhurley@rcsi.ie.ORCID http://orcid.org/0000-0002-7696-2981
M Shazil JamalSports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland.
Marilee P HoranThe Steadman Philippon Research Institute, Vail, CO, USA.
Connor MontgomerySports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland.
Leo PauzenbergerSports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland.
Peter J MillettThe Steadman Philippon Research Institute, Vail, CO, USA.
Hannan MullettSports Surgery Clinic, Northwood Avenue, Santry, Santry Demesne, Dublin 9, Ireland.
Royal College of Surgeons in Ireland · IESports Surgery Clinic · IESteadman Philippon Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to systematically review the literature to ascertain functional outcomes, recurrence rates and subsequent revision rates following the open Latarjet procedure when performed as a revision procedure.

methodsTwo independent reviewers performed the literature search based on PRISMA guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases. Studies where the Latarjet procedure was performed as a revision procedure were included. Clinical outcomes analyzed were: (1) functional outcomes, (2) recurrent instability, (3) revisions, and (4) complications.

resultsThe review found 16 studies with 713 shoulders that met the inclusion criteria. 605 of the patients were male (84.9%), with an average age of 28.2 years (15-62) and follow-up of 47.7 months. The most commonly reported functional outcome measure was the Rowe score, with a weighted mean of 92.7. 86/95 patients had good-excellent outcomes (90.4%). 136/143 patients reported return to play (95.1%). 141/161 patients returned to the same level of competition (87.6%). 50 patients experienced recurrence (8.4%). Five patients experienced redislocation (0.9%) and 37 patients experienced subluxation (6.7%). There were 29 revisions (5.1%), with 12 revisions due to recurrence (2.1%). There were 68 total complications, not including recurrence (11%). The most common complications were 13 cases of nerve damage and infection respectively (2.1%). There was 17 cases of new instability arthropathy (6.5%), and 31 cases of residual pain (6.7%).

conclusionThis review shows that the revision Latarjet provides excellent functional outcomes, low rates of recurrence and complications, and a high rate of return to sport among athletes. This results from study can be used to explain the expected outcomes associated with the Latarjet procedure performed as a revision. LEVEL OF EVIDENCE: IV.

Indexed as

ArthroscopyAthletic InjuriesHumansJoint InstabilityPostoperative ComplicationsRecurrenceReoperationReturn to SportShoulder DislocationShoulder JointAnterior shoulder instabilityLatarjetRevisionSystematic review

Identifiers

PMID32710144
OpenAlexW3044706219

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.