PMID- 36924182
OWN - NLM
STAT- MEDLINE
DCOM- 20230320
LR  - 20230320
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 105-B
IP  - 4
DP  - 2023 Mar 15
TI  - Factors affecting a patient's experience following the open Latarjet procedure to 
      treat recurrent anterior shoulder instability.
PG  - 389-399
LID - 10.1302/0301-620X.105B4.BJJ-2022-1049.R1 [doi]
AB  - The open Latarjet procedure is a widely used treatment for recurrent anterior 
      instability of the shoulder. Although satisfactory outcomes are reported, factors 
      which influence a patient's experience are poorly quantified. The aim of this 
      study was to evaluate the effect of a range of demographic factors and measures 
      of the severity of instability on patient-reported outcome measures in patients 
      who underwent an open Latarjet procedure at a minimum follow-up of two years. A 
      total of 350 patients with anterior instability of the shoulder who underwent an 
      open Latarjet procedure between 2005 and 2018 were reviewed prospectively, with 
      the collection of demographic and psychosocial data, preoperative CT, and 
      complications during follow-up of two years. The primary outcome measure was the 
      Western Ontario Shoulder Instability Index (WOSI), assessed preoperatively, at 
      two years postoperatively, and at mid-term follow-up at a mean of 50.6 months (SD 
      24.8) postoperatively. The secondary outcome measure was the abbreviated version 
      of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) score. The 
      influence of the demographic details of the patients, measurements of the 
      severity of instability, and the complications of surgery were assessed in a 
      multivariate analysis. The mean age of the patients was 25.5 years (22 to 32) and 
      27 (7.7%) were female. The median time to surgery after injury was 19 months 
      (interquartile range (IQR) 13 to 39). Seven patients developed clinically 
      significant complications requiring further intervention within two years of 
      surgery. The median percentage WOSI deficiency was 8.0% (IQR 4 to 20) and median 
      QuickDASH was 3.0 (IQR 0 to 9) at mid-term assessment. A minority of patients 
      reported a poorer experience, and 22 (6.3%) had a > 50% deficiency in WOSI score. 
      Multivariate analysis revealed that consumption of >/= 20 units of alcohol/week, a 
      pre-existing affective disorder or epilepsy, medicolegal litigation, increasing 
      time to surgery, and residing in a more socioeconomically deprived area were 
      independently predictive of a poorer WOSI score. Although most patients treated 
      by an open Latarjet procedure have excellent outcomes at mid-term follow-up, a 
      minority have poorer outcomes, which are mainly predictable from pre-existing 
      demographic factors, rather than measures of the severity of instability.
CI  - (c) 2023 The British Editorial Society of Bone & Joint Surgery.
FAU - Makaram, Navnit S
AU  - Makaram NS
AD  - Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh, Edinburgh, UK.
AD  - University of Edinburgh, Edinburgh, UK.
FAU - Nicholson, Jamie A
AU  - Nicholson JA
AD  - Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh, Edinburgh, UK.
AD  - University of Edinburgh, Edinburgh, UK.
FAU - Yapp, Liam Z
AU  - Yapp LZ
AUID- ORCID: 0000-0003-2180-8933
AD  - Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh, Edinburgh, UK.
FAU - Gillespie, Matthew
AU  - Gillespie M
AD  - Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh, Edinburgh, UK.
FAU - Shah, Chandrarajan P
AU  - Shah CP
AD  - University of Edinburgh, Edinburgh, UK.
FAU - Robinson, C M
AU  - Robinson CM
AD  - Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh, Edinburgh, UK.
LA  - eng
PT  - Journal Article
DEP - 20230315
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - IM
MH  - Humans
MH  - Female
MH  - Adult
MH  - Male
MH  - *Shoulder Dislocation/surgery/etiology
MH  - *Shoulder Joint/surgery
MH  - Shoulder
MH  - *Joint Instability/surgery/etiology
MH  - Arthroscopy/methods
MH  - Retrospective Studies
MH  - Recurrence
COIS- C. M. Robinson reports consulting fees and speaker payments from Acumed, 
      unrelated to this study.
EDAT- 2023/03/17 06:00
MHDA- 2023/03/21 06:00
CRDT- 2023/03/16 04:33
PHST- 2023/03/16 04:33 [entrez]
PHST- 2023/03/17 06:00 [pubmed]
PHST- 2023/03/21 06:00 [medline]
AID - BJJ-2022-1049.R1 [pii]
AID - 10.1302/0301-620X.105B4.BJJ-2022-1049.R1 [doi]
PST - epublish
SO  - Bone Joint J. 2023 Mar 15;105-B(4):389-399. doi: 
      10.1302/0301-620X.105B4.BJJ-2022-1049.R1.