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Apr 30, 2025Keywords:
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Outcomes and Efficacy of the Bristow-Latarjet Technique in Shoulder Instability: A Case Series
Karrar KH
Abstract
Objective: The glenohumeral joint is the most mobile in the human body because of its structural anatomy. This mobility renders the joint susceptible to dislocation, most commonly anterior dislocation. Various surgical options exist to address this condition, including open and arthroscopic procedures. The Bristow-Latarjet procedure is an open, non-anatomical repair technique used for anterior shoulder instability. This case series aimed to evaluate the clinical outcomes of the Bristow-Latarjet procedure in patients with anterior shoulder instability.
Methods: In this case series, sixteen patients with anterior shoulder instability underwent the Bristow-Latarjet operation between January 2016 and November 2017. The follow-up period was 11.5 ± (range: 9–15) months. Clinical outcomes were evaluated using the Rowe score and the Western Ontario Shoulder Instability Index (WOSI), with complications recorded.
Results: There was significant improvement in both outcome measures postoperatively. The preoperative Rowe score was 35.5 ± 12.26, which increased to 86.93 ± 4.67 postoperatively. Similarly, the WOSI score decreased from 62.95 ± 6.62 preoperatively to 17.43 ± 4.91 postoperatively. Three-fourths of the patients achieved an excellent Rowe score, 18.75% had a good score, and 6.25% had a poor score. Two patients experienced unexplained pain during activity, four patients exhibited a limitation in external rotation (without affecting daily activities), and one patient experienced re-dislocation.
Conclusion: The Bristow-Latarjet procedure provides a viable treatment option for anterior shoulder instability, offering significant improvements in clinical outcome measures with a low rate of complications.
