AB116. SOH24AB_254. Open Latarjet procedure in athletes with a minimum of 5 years follow up: an analysis of factors associated with success

Background: The open Latarjet (OL) is a procedure used in the treatment of anterior shoulder instability. OL has shown excellent return-to-play (RTP) and low recurrence in athletes. There is limited published evidence for long term outcomes.

Methods: A retrospective review of athletes who underwent OL with a minimum 5-year follow-up. Recurrence, Visual Analogue Scale (VAS) for pain and satisfaction, subjective shoulder value (SSV), Rowe score, Shoulder Instability-Return to Sport after Injury (SIRSI) score, and rate, level and timing of RTP, were evaluated. Multi-linear regression was used to evaluate factors affecting postoperative satisfaction.

Results: Of 132 athletes who underwent OL, mean age was 22.9±5.8 years and mean follow-up was 71.5±10.3 months. At final follow up, 93.7% were satisfied/very satisfied, and mean SSV was 85.5±14.9. RTP was 91.3%, with 80.8% returning to the same/higher level at a mean of 7.3±2.9 months. Further dislocation occurred in 6.4% during collision sports. Further operations were required in 7.1%, with 2.4% of these for recurrent instability. The mean SIRSI score was 82.1±27.3, the mean Rowe score was 85.4±16.6, while the mean VAS score was 2.1±1.9. Linear regression revealed that the SIRSI score (P<0.001), SSV (P=0.003), and RTP (P=0.049) were associated with satisfaction. While the SIRSI score (P=0.023), VAS score (P<0.001), Rowe score (P=0.028) and RTP (P=0.013), were associated with SSV score.

Conclusions: At minimum 5-year follow-up, there was a high rate of satisfaction and RTP among athletes and low rates of recurrent instability. The SIRSI, VAS and Rowe scores and RTP were associated with satisfaction and SSV score.

Keywords: Athlete; instability; Latarjet; satisfaction; shoulder