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The Latarjet procedure without remplissage is effective to restore stability in athletes with glenoid bone defects > 25% and off-track hill sachs lesions

Arthroscopy Apr 03, 2021

Brandariz RN, Gorodischer TD, Pasqualini I, et al. - Researchers conducted this study with the aim to describe clinical outcomes of the Latarjet procedure without remplissage in athletes with a glenoid bone defects > 25% and off-track hill sachs lesions as well as to investigate if the isolated Latarjet procedure converted off-track Hill Sachs lesions to on-track Hill Sachs lesions as determined on CT. They identified a total of 29 athletes for inclusion who had anterior glenohumeral instability with a glenoid bone defect > 25% and Off-Track Hill Sachs lesions and underwent a Latarjet surgery during the study period; mean follow-up period: 35 months; mean age: 30 years. Return to sports was reported in 27 patients (93%) and 25 (86%) achieved the same level as they had before the injury. Overall findings support the effectiveness of Latarjet to restore stability in these athletes, with averting recurrences in all patients after an average follow-up of 35 months. In addition, the Latarjet procedure led to conversion of all off-track Hill Sachs lesions to on-track Hill Sachs lesions as measured on CT.

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