Evidence map›Paper›PMID 39035664›Full record

ArticleJSES international2024

An assessment of the clinical relevance of coracoid graft osteolysis following the Latarjet procedure: a clinical and radiological review.

Ryan S Ting, Bob Jang, Nicholas Murray, Tiffany G Williams, Isabella L Kang, Yon Su, Tam Anh Nguyen, William E Ridley, Blake R Manowski, Michelle Caudwell and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JSES international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ryan S TingOrthocentre Orthopaedic Research Institute, Sydney, NSW, Australia.
Bob JangOrthocentre Orthopaedic Research Institute, Sydney, NSW, Australia.
Nicholas MurrayOrthocentre Orthopaedic Research Institute, Sydney, NSW, Australia.
Tiffany G WilliamsFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Isabella L KangFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Yon SuFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Tam Anh NguyenFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
William E RidleyDepartment of Orthopaedic Surgery, Concord Repatriation General Hospital, Sydney, NSW, Australia.
Blake R ManowskiDepartment of Orthopaedic Surgery, Concord Repatriation General Hospital, Sydney, NSW, Australia.
Michelle CaudwellOrthocentre Orthopaedic Research Institute, Sydney, NSW, Australia.
Linda MartinOrthocentre Orthopaedic Research Institute, Sydney, NSW, Australia.
John N TrantalisOrthocentre Orthopaedic Research Institute, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Latarjet procedure was developed for the treatment of anterior shoulder instability in young, high-demand patients with attritional glenoid bone loss, whose risk of redislocation following primary dislocation may exceed 90%. Coracoid graft osteolysis and prominent screws are commonly observed in late computed tomography (CT) scans of patients who re-present following the procedure, but the clinical relevance of osteolysis in the overall Latarjet cohort is undetermined. We aimed to evaluate clinical and radiological outcomes in patients who underwent the Latarjet procedure, and to determine if severe coracoid graft osteolysis compromised clinical outcomes. Methods: This was a retrospective analysis of patients who underwent the open Latarjet procedure. Patients were invited via an e-questionnaire that contained a Western Ontario Shoulder Instability Index (WOSI), and queried about redislocation and reoperation since index surgery. Preoperative glenoid bone loss was calculated on CT using the best-fit circle method. Osteolysis was graded (0, screw head buried in graft; 1, screw head exposed; 2, threads exposed; 3, complete resorption/severe osteolysis) at the level of the proximal and distal screws respectively, on axial CT scans performed ≥ 12 months postoperatively. Results: Between 2011 and 2022, a single surgeon performed 442 Latarjet procedures. One hundred fifty eight patients responded to the questionnaire at median (interquartile range [IQR]) 44 (27-70) months postoperatively, among whom the median (IQR) WOSI score was 352 (142-666) points (0 = best, 2100 = worst). Recurrent anterior instability occurred in 3/158 (2%) patients. One patient required reoperation for this indication. Among patients who had CT scans ≥ 12 months postoperatively (median [IQR] 40 [29-69] months), 1 patient developed severe osteolysis around both screws (WOSI = 90), 17/62 (27%) patients developed severe osteolysis around 1 screw, all of which were proximal (median [IQR] WOSI = 235 [135-644]), and 44/62 (71%) patients did not develop severe osteolysis around either screw (median [IQR] WOSI = 487 [177-815]). There were no statistically significant differences in WOSI scores between groups based on the presence of severe osteolysis. Conclusion: The Latarjet is reliable procedure that has a low rate of redislocation and reoperation. Severe coracoid graft osteolysis occurs with time, and always affects the proximal graft first. The presence of severe osteolysis did not compromise clinical outcomes.

Indexed as

Bone blockCoracoidDislocationInstabilityLatarjetOsteolysisResorptionShoulder

Identifiers

PMID39035664
PMCPMC11258820

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.