Results of Modified Mini-Open Arthroscopically Assisted Bristow - Latarjet - Bankart Procedure

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Abstract

The aim of the study — to evaluate clinical outcomes, complications, bone-block healing, positioning and subscapularis muscle insufficiency after modified mini-open arthroscopically assisted Bristow - Latarjet - Bankart procedure.

Materials and Methods. The study included 133 patients who underwent modified mini-open arthroscopically assisted Bristow - Latarjet - Bankart procedure, assessed the functional outcome using the Rowe and Walch-Duplay scales, the range of motion and stability of the joint, and the function of the subscapularis muscle. All patients underwent CT, 82 patients were assessed for MR-signs of subscapularis muscle atrophy.

Results. All patients were satisfied with the treatment results. The mean value on the Rowe scale increased from 35.7 [31,2; 41,0] to 91.3 [82,1; 96,8] (38 to 100 Me 90) (p<0.001) and on the Walch-Duplay scale from 41.5 [34,2; 44,5] to 88.9 [80,4; 97,2] (32 to 100, Me 88) (p<0.001). In 2 (1.5%) patients, shoulder dislocation recurred, in 9 (6.8%) patients, a positive test of premonition of dislocation or periodic feelings of instability were observed. There were no persistent contractures. In 6 (4.5%) cases, the graft was located medially and in 3 (2.3%) cases — laterally. The average α-angle was 14° [5°; 24°] (2° to 39°, Me 15). The proportion of the graft area lost due to resorbtion was 19% [9%; 30%] (from 6 to 58%, Me 20). Nonunion of the graft was observed in 4 (3.0%) patients, 2 (1.5%) of whom had a fracture and bone block migration. A significant (p = 0.021) decrease in the intensity of the MR-signal of the subscapularis muscle was observed, most pronounced in the lower portion. In 9 patients with a positive test of anticipation of dislocation or sensations of instability, the degree of bone block resorption (p = 0.038) and MR-signs of atrophy of the upper and lower portions of the subscapularis muscle were significantly higher (p = 0.031 and p<0.001), and the results of stress testing significantly worse (p<0.001) than in 122 patients without signs of instability.

Conclusion. The results of this study show the efficacy of the modified arthroscopically-assisted Bristow - Latarjet - Bankart procedure in patients with large bone defects, when the soft tissue technique is not a reasonable option.

About the authors

R. V. Gladkov

Kirov Military Medical Academy

Author for correspondence.
Email: dr.gladkov@gmail.com
ORCID iD: 0000-0001-9152-7024

Roman V. Gladkov — Cand. Sci. (Med.), Lecturer, Department and Clinic of Traumatology and Orthopedics

St. Petersburg

Russian Federation

V. V. Khominets

Kirov Military Medical Academy

Email: vkhominets@yandex.ru
ORCID iD: 0000-0001-9391-3316

Vladimir V. Khominets — Dr. Sci. (Med.), Head of Department and Clinic of Traumatology and Orthopedics

St. Petersburg

Russian Federation

References

  1. Longo U.G., Loppini M., Rizzello G., Ciuffreda M., Maffulli N., Denaro V. Latarjet, Bristow, and Eden- Hybinette procedures for anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy. 2014;30(9):1184-1211. doi: 10.1016/j.arthro.2014.04.005.
  2. Доколин С.Ю. Комментарий к статье «Алгоритм оценки величины биполярных дефектов при передней нестабильности плечевого сустава». Травматология и ортопедия России. 2019;25(1):65-67. doi: 10.21823/2311-2905-2019-25-1-65-67.
  3. Patte D., Bernageau J., Bancel P. The anteroinferior vulnerable point of the glenoid rim. In: Bateman J.E., Welch R.P. (eds.) Surgery of the Shoulder. Philadelphia : Decker ; Saint Louis: Mosby; 1984. p. 94-99.
  4. Garcia J.C. Jr., do Amaral F.M., Belchior R.J., de Carvalho L.Q., Markarian G.G., Montero E.F.S. Comparative Systematic Review of Fixation Methods of the Coracoid and Conjoined Tendon in the Anterior Glenoid to Treat Anterior Shoulder Instability. Orthop J Sports Med. 2019;7(1):2325967118820539. doi: 10.1177/2325967118820539.
  5. Panchal A.P., Osbahr D.C., Douoguih W., Parks B.G. Conjoined tendon transfer vs modified Bristow in a glenoid bone loss model: a biomechanical study. Orthop J Sports Med. 2013;1(4 Suppl):2325967113S00012. doi: 10.1177/2325967113S00012.
  6. Nourissat G., Nedellec G., O’Sullivan N.A., Debet- Mejean A., Dumontier C., Sautet A. et al. Mini-open arthroscopically assisted Bristow-Latarjet procedure for the treatment of patients with anterior shoulder instability: a cadaver study. Arthroscopy. 2006;22(10):1113-1118. doi: 10.1016/j.arthro.2006.06.016.
  7. Boileau P., Bicknell R.T., El Fegoun A.B., Chuinard C. Arthroscopic Bristow procedure for anterior instability in shoulders with a stretched or deficient capsule: the “belt-and-suspenders” operative technique and preliminary results. Arthroscopy. 2007;23(6):593-601. doi: 10.1016/j.arthro.2007.03.096.
  8. Lafosse L., Lejeune E., Bouchard A., Kakuda C., Gobezie R., Kochhar T. The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy. 2007;23(11):1242.e1-5. doi: 10.1016/j.arthro.2007.06.008.
  9. Degen R.M., Camp C.L., Werner B.C., Dines D.M., Dines J.S. Trends in Bone-Block Augmentation Among Recently Trained Orthopaedic Surgeons Treating Anterior Shoulder Instability. J Bone Joint Surg Am. 2016;98(13):e56. doi: 10.2106/JBJS.15.01478.
  10. Athwal G.S., Meislin R., Getz C., Weinstein D., Favorito P. Short-term complications of the arthroscopic Latarjet procedure: A North American experience. Arthroscopy. 2016;32(10):1965-1970. doi: 10.1016/j.arthro.2016.02.022.
  11. Butt U., Charalambous C.P. Complications associated with open coracoid transfer procedures for shoulder instability. J Shoulder Elbow Surg. 2012;21(8):1110-1119. doi: 10.1016/j.jse.2012.02.008.
  12. Boileau P., Saliken D., Gendre P., Seeto B.L., d’Ollonne T., Gonzalez J.F. et al. Arthroscopic Latarjet: Suture-Button Fixation Is a Safe and Reliable Alternative to Screw Fixation. Arthroscopy. 2019;35(4):1050-1061. doi: 10.1016/j.arthro.2018.11.012.
  13. Dumont G.D., Fogerty S., Rosso C., Lafosse L. The arthroscopic Latarjet procedure for anterior shoulder instability: 5-year minimum followup. Am J Sports Med. 2014;42(11):2560-2566. doi: 10.1177/0363546514544682.
  14. Hovelius L., Sandström B., Olofsson A., Svensson O., Rahme H. The effect of capsular repair, bone block healing, and position on the results of the Bristow- Latarjet procedure (study III): long-term follow-up in 319 shoulders. J Shoulder Elbow Surg. 2012;21(5):647-660. doi: 10.1016/j.jse.2011.03.020.
  15. Mizuno N., Denard P.J., Raiss P., Melis B., Walch G. Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg. 2014;23(11):1691-1699. doi: 10.1016/j.jse.2014.02.015.
  16. Kany J., Flamand O., Gri mberg J., Guinand R., Croutzet P., Amaravathi R., Sekaran P. Arthroscopic Latarjet procedure: is optimal positioning of the bone block and screws possible? A prospective computed tomography scan analysis. J Shoulder Elbow Surg. 2016;25(1):69-77. doi: 10.1016/j.jse.2015.06.010.
  17. Hovelius L., Korner L., Lundberg B., Akermark C., Herberts P., Wredmark T., Berg E. The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow-Latarjet procedure. J Bone Joint Surg Am. 1983;65(7):926-934.
  18. Guity M.R., Roques B., Mansat P., Bellumore Y., Mansat M. [Painful or unstable shoulder after coracoid transfer: result of surgical treatment]. Rev Chir Orthop Reparatrice Appar Mot. 2002;88(4):349-358. (In French).
  19. Wymenga A.B., Morshuis W.J. Factors influencing the early results of the Bristow-Latarjet technique. Acta Orthop Belg. 1988;54:76-82.
  20. Zimmermann S.M., Scheyerer M.J., Farshad M., Catanzaro S., Rahm S., Gerber C. Long-Term Restoration of Anterior Shoulder Stability: A Retrospective Analysis of Arthroscopic Bankart Repair Versus Open Latarjet Procedure. J Bone Joint Surg Am. 2016;98(23):1954-1961. doi: 10.2106/JBJS.15.01398.
  21. Di Giacomo G., Costantini A., de Gasperis N., De Vita A., Lin B.K., Francone M. et al.]Coracoid graft osteolysis after the Latarjet procedure for anteroinferior shoulder instability: a computed tomography scan study of twentysix patients. J Shoulder Elbow Surg. 2011;20(6):989-995. doi: 10.1016/j.jse.2010.11.016.
  22. Haeni D.L., Opsomer G., Sood A., Munji J., Sanchez M., Villain B. [et al.]. Société Française d’Arthroscopie. Three-dimensional volume measurement of coracoid graft osteolysis after arthroscopic Latarjet procedure. J Shoulder Elbow Surg. 2017;26(3):484-489. doi: 10.1016/j.jse.2016.08.007.
  23. Burkhart S.S., De Beer J.F., Barth J.R., Cresswell T., Roberts C., Richards D.P. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy. 2007;23(10):033-1041. doi: 10.1016/j.arthro.2007.08.009.
  24. Scheibel M., Tsynman A., Magosch P., Schroeder R.J., Habermeyer P. Postoperative subscapularis muscle insufficiency after primary and revision open shoulder stabilization. Am J Sports Med. 2006;34(10):1586-1593. doi: 10.1177/0363546506288852.
  25. Collin P., Rochcongar P., Thomazeau H. [Treatment of chronic anterior shoulder instability using a coracoid bone block (Latarjet procedure): 74 cases]. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(2):126-132. (In French). doi: 10.1016/s0035-1040(07)90215-9.
  26. Balg F., Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopicor open shoulder stabilisation. J Bone Joint Surg Br. 2007;89:1470-1477.
  27. Yamamoto N., Itoi E., Abe H., Minagawa H., Seki N., Shimada Y., Okada K. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg. 2007;16(5):649-56. doi: 10.1016/j.jse.2006.12.012.
  28. Хоминец В.В., Гладков Р.В., Железняк И.С., Гранкин А.С., Волов Д.А., Емельянцев А.А. Алгоритм оценки величины биполярных дефектов при передней нестабильности плечевого сустава. Травматология и ортопедия России. 2019;25(1):52-64. doi: 10.21823/2311-2905-2019-25-1-52-64.
  29. Hendrick R.E., Russ P.D., Simon J.H. (eds.) MRI: Principles and Artifacts. New York: Raven Press; 1993. p. 304.
  30. Гладков Р.В., Рикун О.В., Аверкиев Д.В., Гранкин А.С. Результаты стабилизации плечевого сустава по модифицированной методике Bristow-Latarjet с артроскопическим сопровождением. Травматология и ортопедия России. 2014:(2);85-92.
  31. Tokish J.M., Decker M.J., Ellis H.B., Torry M.R., Hawkins R.J. The belly-press test for the physical examination of the subscapularis muscle: electromyographic validation and comparison to the lift-off test. J Shoulder Elbow Surg. 2003;12(5):427-430. doi: 10.1016/s1058-2746(03)00047-8.
  32. Rowe C., Patel D., Southmayd W.W. The Bankart procedure. Along term end-result study. J Bone Joint Surg Am. 1978;60(1):1-16.
  33. Walch G. The Walch-Duplay Score for Instability of the Shoulder. Directions for the use of the quotation of anterior instabilities of the shoulder. Abstracts of the First Open Congress of the European Society of Surgery of the Shoulder and Elbow. Paris; 1987. p. 51-55.
  34. Kraus T., Graveeau N., Bohu Y., Pansard E., Klouche S., Hardy P. Coracoid graft positioning in the Latarjet procedure. Knee Surg Sports Traumatol Arthrosc. 2013;24(2):496-501. doi: 10.1007/s00167-013-2651-4.
  35. Hantes M.E., Venouziou A., Bargiotas K.A., Metafratzi Z., Karantanas A., Malizos K.N. Repair of an anteroinferior glenoid defect by the Latarjet procedure: quantitative assessment of the repair by computed tomography. Arthroscopy. 2010;26(8):1021-1026. doi: 10.1016/j.arthro.2010.05.016.
  36. Samilson R.L., Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am. 1983;65(4):456-460.
  37. Shah A.A., Butler R.B., Romanowski J., Goel D., Karadagli D., Warner J.J. Short-term complications of the Latarjet procedure. J Bone Joint Surg Am. 2012;94(6):495-501. doi: 10.2106/JBJS.J.01830.
  38. Boileau P., Mercier N., Roussanne Y., Thélu C.É., Old J. Arthroscopic Bankart-Bristow-Latarjet procedure: the development and early results of a safe and reproducible technique. Arthroscopy. 2010;26(11):1434-1450. doi: 10.1016/j.arthro.2010.07.011.
  39. Meyer D.C., Moor B.K., Gerber C., Ek E.T.H. Accurate coracoids graft placement through use of a drill guide for the Latarjet procedure. J Shoulder Elbow Surg. 2013;22(5):701-708. doi: 10.1016/j.jse.2012.06.012.
  40. Wolf J.H. [Julius Wolff and his «law of bone remodeling»]. Orthopade. 1995;24(5):378-386. [In German].
  41. Liu J., Hughes R.E., Smutz W.P., Niebur G., Nan-An K. Roles of deltoid and rotator cuff muscles in shoulder elevation. Clin Biomech (Bristol, Avon). 1997;12(1):32-38. doi: 10.1016/s0268-0033(96)00047-2.

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