Evidence map›Paper›PMID 41179435›Full record

ArticleJSES reviews, reports, and techniques2025

Patient specific instrumentation for open Latarjet procedure. Technique, accuracy, and short-term outcome. A prospective case series.

Emmie A M van den Elzen, Kshitij Gupta, Esther Janssen, Berend Geelen, Maichel Gommans, Bruno Gobbato, Okke Lambers Heerspink, Freek Hollman

Abstract read
In one paragraph

Article in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

8 authors.

Emmie A M van den ElzenPhysician Clinical Investigator, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Limburg, the Netherlands.
Kshitij GuptaDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Esther JanssenDepartment of Orthopaedic Surgery, VieCuri Medical Centre, Venlo, Limburg, the Netherlands.
Berend GeelenTechnical Medical Department, VieCuri Medical Centre, Venlo, Limburg, the Netherlands.
Maichel GommansTechnical Medical Department, VieCuri Medical Centre, Venlo, Limburg, the Netherlands.
Bruno GobbatoIDOMED Jaraguá Medical University, Jaraguá do Sul, Santa Catarina, Brazil.
Okke Lambers HeerspinkDepartment of Orthopaedic Surgery, VieCuri Medical Centre, Venlo, Limburg, the Netherlands.
Freek HollmanDepartment of Orthopaedic Surgery, VieCuri Medical Centre, Venlo, Limburg, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Latarjet procedure is a common technique to address anteroinferior shoulder instability. However, inadequate positioning of the coracoid bone graft may lead to persistent instability or early arthritis, with complication rates described up to 15% in open procedures. Adequate bone-block positioning tailored to patients' scapular morphology may reduce these complications. This study aims to optimize the Patient-Specific Instrumentation (PSI) Latarjet procedure by detailing the technique and assessing the accuracy of graft positioning through a comparison of the digitally planned and actual surgical outcomes. It is hypothesized that patient-specific, 3D-printed guides will enhance coracoid graft accuracy in the open Latarjet procedure. Methods: Between January and May 2024, 5 patients underwent the open PSI Latarjet procedure. Using computer aided design software, the procedure was digitally planned, followed by the design and production of PSI drill guides utilized in a standard double screw technique. Patients were immobilized for three weeks with radiological evaluations at 6 weeks postoperatively. Results: All patients were included in the analysis. Compared to digitally planning, the median mediolateral displacement was 0.01 mm medially (range 1.8 mm medially-1.7 mm laterally), and the median craniocaudal displacement was 0.97 mm caudally (range 5.16 mm caudally-5.58 mm cranially), from what was digitally planned. Modifications to the PSI guides were made over time to improve accuracy, though one screw was malpositioned in a single case. However, all grafts showed evidence of graft healing within 6 weeks. Conclusion: The open PSI Latarjet procedure is safe and reliable, showing accurate graft positioning at six weeks postsurgery. We believe that 3D printing marks a significant advancement for surgeons, allowing a shift from conventional instruments to innovative, customized solutions.

Indexed as

3D technologyCoracoid graft positioningGraft consolidationLatarjet procedurePatient-specific instrumentation (PSI)Shoulder instability

Identifiers

PMID41179435
PMCPMC12573450

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