title: Arthroscopic Revision Surgery for Failure of Open Latarjet Technique.
abstract: OBJECTIVE
  To evaluate the efficacy in treating pain, limited range of motion, and continued instability of the Latarjet open technique via the use of arthroscopy.
  
  
  METHODS
  A retrospective review of patients who underwent arthroscopic capsule plication after failure of an open Latarjet technique was performed. Revision surgery was indicated in cases of recurrent instability and associated pain. Only patients with a glenoid defect <25% were considered. The Constant and Rowe scores were administered, whereas pain was assessed with a visual analog scale before the reoperation and at 24 months after operation. Radiographs, computed tomography, and CT arthrography scans were performed.
  
  
  RESULTS
  Twelve patients met the inclusion criteria. All patients had capsular distension and consequently were subjected to a capsuloplasty. Shoulder function, stability, and pain had all improved significantly at 24 months after arthroscopic revision (P < .0001). In particular, the Constant score increased from 44.9 (standard deviation [SD] 7.10) to 89.3 (SD 12.6) points, the Rowe score improved from 49.5 (SD 10.1) to 80.9 (SD 10.9), whereas the visual analog scale pain score decreased from 6.75 (SD 1.17) to 1.38 (SD 1.06).
  
  
  CONCLUSIONS
  Primary open Latarjet with a glenoid bone defect <25% that failed due to capsular redundancy is amenable to successful treatment with arthroscopic capsuloplasty.
  
  
  CONCLUSIONS
  Arthroscopic approaches can offer a good solution for treating previously failed open Latarjet procedures.
  
  
  METHODS
  Level IV, therapeutic case series.
authors.affiliation: Deparment of Traumatology and Orthopaedic Surgery of the Galdakao-Usansolo Hospital, Galdácano, Spain. Electronic address: cuellaradrian@hotmail.com.
authors.forename: Adrián
authors.initials: A
authors.lastname: Cuéllar
authors.affiliation: Department of Traumatology and Orthopaedic Surgery of the Donostia Universitary Hospital, San Sebastián, Spain.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Cuéllar
authors.affiliation: Department of Orthopaedic Surgery, Clínic Universitary Hospital of Valladolid, Valladolid, Spain.
authors.forename: Pablo Beltrán
authors.initials: PB
authors.lastname: de Heredia
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011859:Radiography; D012086:Reoperation / Q000379:methods*; D012189:Retrospective Studies; D012540:Scapula / Q000503:physiopathology; D012783:Shoulder Dislocation / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D064232:Visual Analog Scale