{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T19:19:53Z","timestamp":1793992793882,"version":"4.8.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T00:00:00Z","timestamp":1191196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T00:00:00Z","timestamp":1191196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to analyze the results of the modified Latarjet procedure for shoulder instability associated with an inverted\u2010pear glenoid (bone loss of at least 25% of the width of the inferior glenoid) or an engaging Hill\u2010Sachs lesion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From March 1996 to December 2002, 102 patients underwent an open Latarjet procedure for shoulder instability with an inverted\u2010pear glenoid, with or without an associated engaging Hill\u2010Sachs lesion, by the 2 senior authors (S.S.B. and J.F.D.), and 47 of them were available for follow\u2010up physical examination. The remaining 55 patients were contacted by telephone or letter to see if they had had recurrent dislocation or subluxation. The mean age of the patients was 26.5 \u00b1 6.6 years (range, 16 to 41 years). There were 46 male patients and 1 female patient. Preoperatively, mean forward elevation was 177.2\u00b0 \u00b1 13.6\u00b0 (range, 90\u00b0 to 180\u00b0) and mean external rotation with the arm at the side was 55.3\u00b0 \u00b1 16.1\u00b0 (range, 0\u00b0 to 80\u00b0). All patients had a positive apprehension sign preoperatively. The median number of dislocations before surgery was 6, with 20 patients having had more than 15 dislocations preoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow\u2010up time for the 47 patients who were personally examined was 59.0 \u00b1 18.5 months (range, 32 to 108 months). Postoperatively, mean forward elevation was 179.6\u00b0 \u00b1 2.0\u00b0 (range, 170\u00b0 to 180\u00b0; gain of 2.4\u00b0) and external rotation with the arm at the side was 50.2\u00b0 \u00b1 12.6\u00b0 (range, 22\u00b0 to 78\u00b0; loss of 5.1\u00b0). As for postoperative functional scores, the mean Constant score was 94.4 and the mean Walch\u2010Duplay score was 91.7. None of these 47 patients showed any further dislocation, and 1 of them still had a positive apprehension sign (2.2%) indicating subluxation. However, 4 patients out of the total 102 who underwent the modified Latarjet procedure had a recurrence. With 4 recurrent dislocations and 1 recurrent subluxation, there was a 4.9% recurrence rate. The 4 patients with recurrent dislocations were not among the 47 who returned for personal follow\u2010up evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The 2 senior authors (S.S.B. and J.F.D.) have previously reported an unacceptably high recurrence rate (67%) for arthroscopic Bankart repair in the presence of an inverted\u2010pear glenoid with or without an engaging Hill\u2010Sachs lesion. They have recommended an open modified Latarjet procedure in such patients. The present study confirms the validity of that recommendation, because the same 2 surgeons have had only a 4.9% recurrence rate in that same category of patient at a mean follow\u2010up of 59 months. Furthermore, the results of this study show the efficacy of the modified Latarjet procedure in the extremely challenging category of patients who present with such dramatic bone loss that soft\u2010tissue reconstruction, either open or arthroscopic, is not a reasonable option.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2007.08.009","type":"journal-article","created":{"date-parts":[[2007,10,2]],"date-time":"2007-10-02T07:31:00Z","timestamp":1191310260000},"page":"1033-1041","source":"Crossref","is-referenced-by-count":524,"title":["Results of Modified Latarjet Reconstruction in Patients With Anteroinferior Instability and Significant Bone Loss"],"prefix":"10.1002","volume":"23","author":[{"given":"Stephen S.","family":"Burkhart","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Texas Health Science Center at San Antonio San Antonio Texas U.S.A."},{"name":"The San Antonio Orthopaedic Group San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe F.","family":"De Beer","sequence":"additional","affiliation":[{"name":"Cape Shoulder Institute and Department of Anatomy and Histology Faculty of Health Sciences University of Stellenbosch Western Cape South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes R.H.","family":"Barth","sequence":"additional","affiliation":[{"name":"The San Antonio Orthopaedic Group San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Criswell","sequence":"additional","affiliation":[{"name":"Cape Shoulder Institute and Department of Anatomy and Histology Faculty of Health Sciences University of Stellenbosch Western Cape South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Roberts","sequence":"additional","affiliation":[{"name":"Cape Shoulder Institute and Department of Anatomy and Histology Faculty of Health Sciences University of Stellenbosch Western Cape South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"Richards","sequence":"additional","affiliation":[{"name":"Scott and White Clinic Temple Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.17715"},{"key":"e_1_2_3_3_1","first-page":"994","article-title":"Treatment of recurrent dislocation of the shoulder","volume":"49","author":"Latarjet M.","year":"1954","journal-title":"Lyon 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