title: The arthroscopic latarjet procedure for anterior shoulder instability: 5-year minimum follow-up.
abstract: BACKGROUND
  The arthroscopic Latarjet procedure combines the benefits of arthroscopic surgery with the low rate of recurrent instability associated with the Latarjet procedure. Only short-term outcomes after arthroscopic Latarjet procedure have been reported.
  
  
  OBJECTIVE
  To evaluate the rate of recurrent instability and patient outcomes a minimum of 5 years after stabilization performed with the arthroscopic Latarjet procedure.
  
  
  METHODS
  Case series; Level of evidence, 4.
  
  
  METHODS
  Patients who underwent the arthroscopic Latarjet procedure before June 2008 completed a questionnaire to determine whether they had experienced a dislocation, subluxation, or further surgery. The patients also completed the Western Ontario Shoulder Instability Index (WOSI).
  
  
  RESULTS
  A total of 62 of 87 patients (64/89 shoulders) were contacted for follow-up. Mean follow-up time was 76.4 months (range, 61.2-100.7 months). No patients had reported a dislocation since their surgery. One patient reported having subluxations since the surgery. Thus, 1 patient (1.59%) had recurrent instability after the procedure. The mean ± standard deviation aggregate WOSI score was 90.6% ± 9.4%. Mean WOSI domain scores were as follows: Physical Symptoms, 90.1% ± 8.7%; Sports/Recreation/Work, 90.3% ± 12.9%; Lifestyle, 93.7% ± 9.8%; and Emotions, 88.7% ± 17.3%.
  
  
  CONCLUSIONS
  The rate of recurrent instability after arthroscopic Latarjet procedure is low in this series of patients with a minimum 5-year follow-up. Patient outcomes as measured by the WOSI are good.
authors.affiliation: Department of Orthopaedic Surgery & Sports Medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USA gddumont@gmail.com.
authors.forename: Guillaume D
authors.initials: GD
authors.lastname: Dumont
authors.affiliation: Calderdale and Huddersfield NHS Foundation Trust, Huddersfield Royal Infirmary, Huddersfield, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Fogerty
authors.affiliation: Orthopaedic Department, University Hospital Basel and University of Basel, Basel, Switzerland.
authors.forename: Claudio
authors.initials: C
authors.lastname: Rosso
authors.affiliation: Alps Surgery Institute, Clinique Générale, Annecy, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Lafosse
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012783:Shoulder Dislocation; D012785:Shoulder Joint / Q000601:surgery*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Bankart; Latarjet; arthroscopic Latarjet procedure; shoulder dislocation; shoulder instability