The Latarjet Procedure Without Remplissage is Effective to Restore stability in Athletes With Glenoid Bone Defects > 25% and Off-Track Hill Sachs Lesions.

Abstract Purpose There were two main purposes in this study: (1) To report on clinical outcomes of the Latarjet procedure without remplissage in athletes with a glenoid bone defects > 25% and off-track hill sachs lesions and (2) To determine if the isolated Latarjet procedure converted off-track Hill Sachs lesions to on-track Hill Sachs lesions as measured on CT. Methods During the study period, a total of 29 athletes with anterior glenohumeral instability with a glenoid bone defect> 25% and Off-Track Hill Sachs lesions who underwent a Latarjet surgery, with a minimum follow-up of 24 months were included in this study. Glenoid tracking was analyzed before and at 3 months after the procedure using a three dimensional computed tomography (3DCT) . Return to sport, range of motion (ROM), the Rowe score, a visual analog scale (VAS) for pain in sport activity, and the Athletic Shoulder Outcome Scoring System (ASOSS) were used to assess functional outcomes. Recurrences were also evaluated. Results The mean follow-up period was 35 months (SD ±6) and the mean age was 30 years (SD+ -2). Twenty-seven patients (93%) were able to return to sports and 25 (86%) returned to the same level they had before the injury. No significant difference in shoulder ROM was found between preoperative and postoperative results. The Rowe, VAS, and ASOSS scores showed statistically significant improvements after surgery (P Conclusion The Latarjet was effective to restore stability in athletes with recurrent glenohumeral instability, with glenoid bone defects > 25% and Off-Track Hill-Sachs lesion, avoiding recurrences in all patients after an average follow-up of 35 months. Moreover, the Latarjet procedure converted all off-track Hill Sachs lesions to on-track Hill Sachs lesions as measured on CT.