Arthroscopic double-button Latarjet osteolysis and remodeling at 1-year follow-up

The aim of this study was to evaluate the osteolysis rate, graft remodeling, and risk factors for osteolysis at the 1-year threshold after an arthroscopic Latarjet procedure with double-button fixation. In this multicenter, retrospective study, postoperative computed tomography scans obtained after...

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Veröffentlicht in:Journal of shoulder and elbow surgery 2022-12, Vol.31 (12), p.e603-e612
Hauptverfasser: Dalmas, Yoann, Thélu, Charles-Edouard, Laumonerie, Pierre, Martinel, Vincent, Robert, Suzanne, Mansat, Pierre, Bonnevialle, Nicolas
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container_end_page e612
container_issue 12
container_start_page e603
container_title Journal of shoulder and elbow surgery
container_volume 31
creator Dalmas, Yoann
Thélu, Charles-Edouard
Laumonerie, Pierre
Martinel, Vincent
Robert, Suzanne
Mansat, Pierre
Bonnevialle, Nicolas
description The aim of this study was to evaluate the osteolysis rate, graft remodeling, and risk factors for osteolysis at the 1-year threshold after an arthroscopic Latarjet procedure with double-button fixation. In this multicenter, retrospective study, postoperative computed tomography scans obtained after an arthroscopic Latarjet procedure with double-button fixation to treat anterior shoulder instability were analyzed at 15 days and at 3, 6, and 12 months. Graft volume, dimensions, and morphologic remodeling were analyzed. Twenty-seven patients were included (mean age, 26 years). At 1 year, osteolysis occurred in 19 of 27 patients (70%). The volume initially decreased until 6 months’ follow-up (−35%; range, −75% to +26%) and then increased until our last follow-up. At 1 year, the graft volume decreased by 17% (range, −61% to +56%) compared with the immediate postoperative volume. In multivariate analysis, the rate of osteolysis was inversely associated with an unhealed graft at 3 months (P = .02; β coefficient = −44.50 [95% confidence interval, −81 to −8]). The maximal height of the graft significantly grew 0.2 cm (range, −55 to +124 mm) (P = .015). In the sagittal plane, osteolysis occurred in the superior part in 100% of patients (27 of 27) whereas bone formation occurred in the inferior part. In the axial plane, osteolysis occurred in the anterior part whereas bone formation occurred in the posterior part. In the articular part, the observed remodeling was aimed to obtain a new anatomic and congruent glenoid. At 1 year after an arthroscopic Latarjet procedure with double-button fixation, osteolysis occurred in 70% of patients. The rate of osteolysis was 17% of the initial volume. Osteolysis occurred mainly during the first 6 months, in the anterior and superior parts. Remodeling led to a circular anatomic glenoid. This osteolysis did not cause any recurrence of instability or require revision surgery.
doi_str_mv 10.1016/j.jse.2022.04.004
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In the sagittal plane, osteolysis occurred in the superior part in 100% of patients (27 of 27) whereas bone formation occurred in the inferior part. In the axial plane, osteolysis occurred in the anterior part whereas bone formation occurred in the posterior part. In the articular part, the observed remodeling was aimed to obtain a new anatomic and congruent glenoid. At 1 year after an arthroscopic Latarjet procedure with double-button fixation, osteolysis occurred in 70% of patients. The rate of osteolysis was 17% of the initial volume. Osteolysis occurred mainly during the first 6 months, in the anterior and superior parts. Remodeling led to a circular anatomic glenoid. 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subjects arthroscopic
bone graft
CT scan
double button
Latarjet
osteolysis
remodeling
shoulder instability
title Arthroscopic double-button Latarjet osteolysis and remodeling at 1-year follow-up
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