ArticleJSES international2026
Shoulder arthroplasty following a previous Latarjet procedure.
Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Shoulder arthroplasty in patients with prior Latarjet procedures is technically challenging due to altered anatomy and soft tissue changes. This study aimed to compare clinical outcome measures, complications, and implant survival in primary hemiarthroplasty (HA), anatomic total shoulder arthroplasty (aTSA), and reverse total shoulder arthroplasty (rTSA) in patients with previous Latarjet surgery vs. matched cohorts. Methods: A retrospective analysis was conducted including a total of 69 patients, comparing 23 post-Latarjet patients (4 HA, 6 aTSA, 13 rTSA) with a 2:1 matched control group. Outcomes included range of motion, functional scores (absolute and relative Constant-Murley Score [aCS and rCS], Subjective Shoulder Value), complications, revisions, and radiographic findings. Kaplan-Meier survival analysis evaluated reintervention-free survival. Results: Demographics were not significantly different between the post-Latarjet and matched cohorts. Patients who underwent HA following a Latarjet demonstrated significantly less improvement in flexion (Δ -10° vs. 50°), abduction (Δ 5° vs. 70°), and external rotation (Δ -15° vs. 30°) compared to their matched controls (all Conclusion: While clinical outcomes were largely comparable between post-Latarjet patients and matched cohorts, rTSA may offer the most reliable results with lower complication and revision rates than aTSA and HA. It appears to be the preferred option in this complex setting, although post-Latarjet patients showed reduced range of motion.
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