دورية أكاديمية
Postoperative Radiographic Outcomes Following Primary Open Coracoid Transfer (Bristow-Latarjet) Vary in Definition, Classification, and Imaging Modality: A Systematic Review.
العنوان: | Postoperative Radiographic Outcomes Following Primary Open Coracoid Transfer (Bristow-Latarjet) Vary in Definition, Classification, and Imaging Modality: A Systematic Review. |
---|---|
المؤلفون: | DeClercq MG; Steadman Philippon Research Institute, Vail, Colorado., Martin MD; Steadman Philippon Research Institute, Vail, Colorado., Whalen RJ; Steadman Philippon Research Institute, Vail, Colorado., Cote MP; Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut, U.S.A., Midtgaard KS; Steadman Philippon Research Institute, Vail, Colorado; Steadman Clinic, Vail, Colorado; Norwegian Armed Forces Joint Medical Services, Oslo, Norway; Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway., Peebles LA; Steadman Philippon Research Institute, Vail, Colorado., Di Giacomo G; Concordia Hospital for Special Surgery of Rome, Rome, Italy., Provencher MT; Steadman Philippon Research Institute, Vail, Colorado; Steadman Clinic, Vail, Colorado. Electronic address: mprovencher@thesteadmanclinic.com. |
المصدر: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2024 Apr; Vol. 40 (4), pp. 1311-1324.e1. Date of Electronic Publication: 2023 Oct 11. |
نوع المنشور: | Systematic Review; Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: W.B. Saunders Co Country of Publication: United States NLM ID: 8506498 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-3231 (Electronic) Linking ISSN: 07498063 NLM ISO Abbreviation: Arthroscopy Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Philadelphia, PA : W.B. Saunders Co. Original Publication: [New York, N.Y.] : Raven Press, [c1985- |
مواضيع طبية MeSH: | Shoulder Joint*/surgery , Osteolysis* , Joint Instability*/surgery , Shoulder Dislocation*/surgery , Osteoarthritis*/diagnostic imaging , Osteoarthritis*/surgery , Osteoarthritis*/complications , Fractures, Bone*/complications, Humans ; Shoulder/surgery ; Coracoid Process/surgery ; Coracoid Process/transplantation |
مستخلص: | Purpose: To analyze radiographic outcomes by conventional radiography, computed tomography (CT), or both and complication rates of open coracoid transfer at a minimum of 12-months follow-up. Methods: A literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, using PubMed, Medline (Ovid), and EMBASE library databases. Inclusion criteria were clinical studies reporting on open Latarjet as the primary surgical procedure(revision coracoid transfer after failed prior stabilization excluded) with postoperative radiographic outcomes at a minimum mean 1-year follow-up. Patient demographics, type of postoperative imaging modality, and radiographic outcomes and complications including graft union, osteoarthritis, and osteolysis were systematically reviewed. Data were summarized as ranges of reported values for each outcome metric. Each radiographic outcome was graphically represented in a Forest plot with point estimates of the incidence of radiographic outcomes with corresponding 95% confidence intervals and I 2 . Results: Thirty-three studies met inclusion criteria, with a total of 1,456 shoulders. The most common postoperative imaging modality was plain radiography only (n = 848 [58.2%]), both CT and radiography (n = 287 [19.7%]), and CT only (n = 321 [22.1%]). Overall, the reported graft union rate ranged from 75% to 100%, of which 79.8% (n = 395) were detected on plain radiography. The most common reported postoperative radiographic complications after the open coracoid transfer were osteoarthritis (range, 0%-100%, pooled mean 28%), graft osteolysis (range, 0%-100%, pooled mean 30%), nonunion (range, 0%-32%, pooled mean 5.1%), malpositioned graft (range, 0%-75%, pooled mean 14.75%), hardware issues (range, 0%-9.1%, pooled mean 5%), and bone block fracture (range, 0%-8%, pooled mean 2.1%). Graft healing was achieved in a majority of cases (range, 75%-100%). Conclusion: Postoperative radiographic outcomes after open coracoid transfer vary greatly in definition, classification, and imaging modality of choice. Greater consistency in postoperative radiographic outcomes is essential to evaluate graft healing, osteolysis, and nonunion. Level of Evidence: Level IV, systematic review of Level III-IV studies. (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.) |
تواريخ الأحداث: | Date Created: 20231012 Date Completed: 20240319 Latest Revision: 20240319 |
رمز التحديث: | 20240319 |
DOI: | 10.1016/j.arthro.2023.09.032 |
PMID: | 37827435 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1526-3231 |
---|---|
DOI: | 10.1016/j.arthro.2023.09.032 |