AJSM - 2026-08-18 - Journal Article
Minimum 5-Year Follow-up After Arthroscopic Latarjet: Outcomes and Complications.
Berge T, Garratt AM, Moatshe G, Øines AG, Blich I, Støen R, Ludvigsen TC, Vuletić F, Bøe B
Topics
Key Takeaway
Arthroscopic Latarjet with double-screw fixation achieved a 2.4% recurrent dislocation rate and median WOSI improvement from 51% to 79% at minimum 5-year follow-up, with HRQoL equivalent to age- and sex-matched population norms.
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Summary
This study evaluated clinical outcomes, recurrence, and HRQoL after arthroscopic Latarjet with double-screw fixation in a high-risk cohort (42% revision cases, 66% with >10 prior dislocations). WOSI improved from 51% preoperatively to 79% at 5 years (P<0.001), with no significant change between 1-year and 5-year scores (P=0.69). Recurrent dislocation occurred in 2 of 85 patients (2.4%), subluxation in 8 of 85 (9.4%), and 10 patients required reoperation; EQ-5D-5L at 5 years (0.889) was statistically equivalent to population norms (0.896, P=0.77).
Key Limitation
The absence of a comparator group (open Latarjet or arthroscopic Bankart) prevents conclusions about whether the arthroscopic approach offers equivalent or superior outcomes to the open gold standard.
Original Abstract
BACKGROUND
The Latarjet procedure is widely used for recurrent anterior shoulder instability with glenoid bone loss. Arthroscopic techniques are increasing; however, there is limited evidence for mid- to long-term outcomes.
PURPOSE
To evaluate clinical outcomes, recurrence rates, and quality of life at a minimum of 5 years' follow-up after undergoing the arthroscopic Latarjet procedure.
STUDY DESIGN
Cohort study; Level of evidence, 3.
METHODS
Patients who underwent the arthroscopic Latarjet procedure using double-screw fixation at Oslo University Hospital between 2014 and 2019 were prospectively registered. Descriptive data and Western Ontario Shoulder Instability Index (WOSI) scores were recorded preoperatively and at 1 and 5 years postoperatively. At 5 years, complications and health-related quality of life (HRQoL; EQ-5D-5L) were assessed.
RESULTS
Of 107 patients who underwent the arthroscopic Latarjet procedure, 93 cases met the inclusion criteria. After loss to follow-up, 85 cases were included. The median follow-up time was 5.2 years (range, 5.1-9.4 years). The median age at surgery was 27.8 years (range, 15.6-49.8 years), and 78 of 85 (92%) cases were male. Of the 85 cases, 56 (66%) had >10 dislocations before surgery, and 36 (42%) were revision procedures. At the 5-year follow-up, 2 of 85 patients experienced recurrent dislocations, and 8 of 85 reported subluxations. The median WOSI score improved significantly from 51% (IQR, 29.1%-62.4%) preoperatively to 79% (IQR, 62.9%-91.4%) at 5 years ( P < .001). The median WOSI score at 1 year was 80% (IQR, 67%-88.4%), with no significant difference between the 1-year and 5-year scores ( P = .69). The mean EQ-5D-5L index scores at 5 years were 0.889 ± 0.169 compared to 0.896 ± 0.177 for general population norms, with no significant difference ( P = .77). Overall, 87% of patients reported satisfaction with the surgical outcome. Ten patients underwent reoperation due to complications.
CONCLUSION
At a minimum 5-year follow-up, the arthroscopic Latarjet procedure resulted in significant improvement in WOSI score, low rates of recurrent dislocation, and high patient satisfaction. The WOSI score remained stable over 1 to 5 years. HRQoL, assessed using the EQ-5D-5L index, was comparable to age- and sex-matched general population norms at 5 years, supporting a satisfactory long-term impact on HRQoL.