Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients

Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Dipit Sahu, MS [verfasserIn] Darshil Shah, MS [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder

Übergeordnetes Werk:	In: JSES International - Elsevier, 2021, 7(2023), 2, Seite 230-238
Übergeordnetes Werk:	volume:7 ; year:2023 ; number:2 ; pages:230-238

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.jseint.2022.12.017

Katalog-ID:	DOAJ088391817

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allfields	10.1016/j.jseint.2022.12.017 doi (DE-627)DOAJ088391817 (DE-599)DOAJ32ecc1b670c1498889fc01adecf8953d DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Dipit Sahu, MS verfasserin aut Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered. Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder Orthopedic surgery Diseases of the musculoskeletal system Darshil Shah, MS verfasserin aut In JSES International Elsevier, 2021 7(2023), 2, Seite 230-238 (DE-627)1696050804 26666383 nnns volume:7 year:2023 number:2 pages:230-238 https://doi.org/10.1016/j.jseint.2022.12.017 kostenfrei https://doaj.org/article/32ecc1b670c1498889fc01adecf8953d kostenfrei http://www.sciencedirect.com/science/article/pii/S2666638323000038 kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2023 2 230-238
spelling	10.1016/j.jseint.2022.12.017 doi (DE-627)DOAJ088391817 (DE-599)DOAJ32ecc1b670c1498889fc01adecf8953d DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Dipit Sahu, MS verfasserin aut Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered. Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder Orthopedic surgery Diseases of the musculoskeletal system Darshil Shah, MS verfasserin aut In JSES International Elsevier, 2021 7(2023), 2, Seite 230-238 (DE-627)1696050804 26666383 nnns volume:7 year:2023 number:2 pages:230-238 https://doi.org/10.1016/j.jseint.2022.12.017 kostenfrei https://doaj.org/article/32ecc1b670c1498889fc01adecf8953d kostenfrei http://www.sciencedirect.com/science/article/pii/S2666638323000038 kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2023 2 230-238
allfields_unstemmed	10.1016/j.jseint.2022.12.017 doi (DE-627)DOAJ088391817 (DE-599)DOAJ32ecc1b670c1498889fc01adecf8953d DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Dipit Sahu, MS verfasserin aut Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered. Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder Orthopedic surgery Diseases of the musculoskeletal system Darshil Shah, MS verfasserin aut In JSES International Elsevier, 2021 7(2023), 2, Seite 230-238 (DE-627)1696050804 26666383 nnns volume:7 year:2023 number:2 pages:230-238 https://doi.org/10.1016/j.jseint.2022.12.017 kostenfrei https://doaj.org/article/32ecc1b670c1498889fc01adecf8953d kostenfrei http://www.sciencedirect.com/science/article/pii/S2666638323000038 kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2023 2 230-238
allfieldsGer	10.1016/j.jseint.2022.12.017 doi (DE-627)DOAJ088391817 (DE-599)DOAJ32ecc1b670c1498889fc01adecf8953d DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Dipit Sahu, MS verfasserin aut Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered. Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder Orthopedic surgery Diseases of the musculoskeletal system Darshil Shah, MS verfasserin aut In JSES International Elsevier, 2021 7(2023), 2, Seite 230-238 (DE-627)1696050804 26666383 nnns volume:7 year:2023 number:2 pages:230-238 https://doi.org/10.1016/j.jseint.2022.12.017 kostenfrei https://doaj.org/article/32ecc1b670c1498889fc01adecf8953d kostenfrei http://www.sciencedirect.com/science/article/pii/S2666638323000038 kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2023 2 230-238
allfieldsSound	10.1016/j.jseint.2022.12.017 doi (DE-627)DOAJ088391817 (DE-599)DOAJ32ecc1b670c1498889fc01adecf8953d DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Dipit Sahu, MS verfasserin aut Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered. Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder Orthopedic surgery Diseases of the musculoskeletal system Darshil Shah, MS verfasserin aut In JSES International Elsevier, 2021 7(2023), 2, Seite 230-238 (DE-627)1696050804 26666383 nnns volume:7 year:2023 number:2 pages:230-238 https://doi.org/10.1016/j.jseint.2022.12.017 kostenfrei https://doaj.org/article/32ecc1b670c1498889fc01adecf8953d kostenfrei http://www.sciencedirect.com/science/article/pii/S2666638323000038 kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2023 2 230-238
language	English
source	In JSES International 7(2023), 2, Seite 230-238 volume:7 year:2023 number:2 pages:230-238
sourceStr	In JSES International 7(2023), 2, Seite 230-238 volume:7 year:2023 number:2 pages:230-238
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder Orthopedic surgery Diseases of the musculoskeletal system
isfreeaccess_bool	true
container_title	JSES International
authorswithroles_txt_mv	Dipit Sahu, MS @@aut@@ Darshil Shah, MS @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	1696050804
id	DOAJ088391817
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ088391817</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230410112402.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230410s2023 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1016/j.jseint.2022.12.017</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ088391817</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ32ecc1b670c1498889fc01adecf8953d</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD701-811</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC925-935</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Dipit Sahu, MS</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). 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callnumber-first	R - Medicine
author	Dipit Sahu, MS
spellingShingle	Dipit Sahu, MS misc RD701-811 misc RC925-935 misc Latarjet misc Complications misc Nerve injury misc Musculocutaneous nerve misc Axillary nerve misc Stiff shoulder misc Orthopedic surgery misc Diseases of the musculoskeletal system Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients
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topic_title	RD701-811 RC925-935 Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients Latarjet Complications Nerve injury Musculocutaneous nerve Axillary nerve Stiff shoulder
topic	misc RD701-811 misc RC925-935 misc Latarjet misc Complications misc Nerve injury misc Musculocutaneous nerve misc Axillary nerve misc Stiff shoulder misc Orthopedic surgery misc Diseases of the musculoskeletal system
topic_unstemmed	misc RD701-811 misc RC925-935 misc Latarjet misc Complications misc Nerve injury misc Musculocutaneous nerve misc Axillary nerve misc Stiff shoulder misc Orthopedic surgery misc Diseases of the musculoskeletal system
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title	Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients
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title_full	Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients
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author_browse	Dipit Sahu, MS Darshil Shah, MS
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title_sort	safety-driven master’s technique of the latarjet-walch procedure and its short-term complications: experience in a study of 150 consecutive patients
callnumber	RD701-811
title_auth	Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients
abstract	Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered.
abstractGer	Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered.
abstract_unstemmed	Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered.
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title_short	Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients
url	https://doi.org/10.1016/j.jseint.2022.12.017 https://doaj.org/article/32ecc1b670c1498889fc01adecf8953d http://www.sciencedirect.com/science/article/pii/S2666638323000038 https://doaj.org/toc/2666-6383
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up_date	2024-07-03T17:27:07.278Z
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fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ088391817</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230410112402.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230410s2023 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1016/j.jseint.2022.12.017</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ088391817</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ32ecc1b670c1498889fc01adecf8953d</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD701-811</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC925-935</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Dipit Sahu, MS</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background: Although the classic open Latarjet has a low recurrence rate in unstable shoulders, this advantage may be offset by the higher number of complications. We aimed to report the safety-driven nuanced steps and the resulting short-term complications of the Latarjet-Walch technique. Methods: Between 2016 and 2022, 150 patients who underwent the Latarjet procedure following the key safety-driven technical steps were retrospectively evaluated for intraoperative and short-term (3 months) complications. The complications were divided into 3 types: Any adverse event that did not need a change in the treatment protocol was a type 1 complication. An event that resulted in a prolongation of rehabilitation protocol or an additional medical line of treatment was classified as type 2, and an event that resulted in readmission, a resurgery, or one that affected the outcome was classified as a type 3 complication. Results: There were 12 (8%) short-term complications in 9 patients. Neurological complications were noted in 3 (2%) patients (1 axillary nerve injury, 1 suprascapular nerve injury, and 1 musculocutaneous nerve injury). Type 1 complications were noted in 2 patients: 2 patients had hematoma that was detected as superficial swelling, but no surgical drainage was needed, and both resolved at their 1-month follow-up. Type 2 complications were noted in 4 patients. One patient had surgical site infection and a second patient had superficial wound dehiscence in the lower part of the wound. The third patient had suprascapular nerve paresis and the fourth had musculocutaneous nerve paresis and shoulder stiffness. Both nerve injuries recovered completely after 6 months of rehabilitation. Type 3 complications were noted in 3 patients. One patient had axillary nerve paresis and shoulder stiffness. The axillary nerve palsy had recovered partially by 8 months. One patient had an intraoperative graft fracture and postoperative shoulder stiffness, and the third patient had shoulder stiffness. Conclusion: Following the safety-driven nuanced steps in the Latarjet-Walch procedure, the short-term complication rate was 8%, and the neurological complication was 2% (n = 3). The musculocutaneous and suprascapular nerves completely recovered, and the axillary nerve had partially recovered.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Latarjet</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Complications</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nerve injury</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Musculocutaneous nerve</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Axillary nerve</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stiff shoulder</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Orthopedic surgery</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the musculoskeletal system</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Darshil Shah, 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Safety-driven master’s technique of the Latarjet-Walch procedure and its short-term complications: experience in a study of 150 consecutive patients

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