{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:29:33Z","timestamp":1789961373733,"version":"4.0.1"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T00:00:00Z","timestamp":1618531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T00:00:00Z","timestamp":1618531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T00:00:00Z","timestamp":1618531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T00:00:00Z","timestamp":1618531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the outcomes of open Latarjet (OL) in competitive athletes with primary shoulder instability versus those with recurrent instability versus those undergoing OL for failed prior instability surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of patients who underwent OL with a minimum of 24\u2010month follow\u2010up was performed. Additionally, these were pair\u2010matched in a 1:2:1 ratio for age, gender, sport, level of preoperative play, and follow\u2010up length for primary instability, recurrent instability and failed prior instability surgery. Return to sport, the level of return and the timing of return were assessed. Additionally, recurrence, Visual Analogue Scale for pain (VAS), Subjective Shoulder Value (SSV), Rowe score, Shoulder Instability\u2010Return to Sport after Injury (SIRSI) score, satisfaction, and whether they would undergo the same surgery again were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After pair\u2010matching, a total of 200 patients were included, with a mean age of 22.7 years and a mean follow\u2010up of 38.8 months. Overall, there was no significant difference in any of the clinical outcome scores (VAS, Rowe, SIRSI, SSV) used for the 3 groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; 0.05 for all). However, there was a significantly lower rate of return to play for those undergoing OL because of failed prior instability surgery (88% vs 91% vs 64%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.0001) and for return at the same or a higher level (66% vs 78% vs 56%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= 0.02). There was no significant difference in the rate of recurrent instability among the 3 groups (6% vs 5% vs 6%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= 0.95).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>OL results in excellent clinical outcomes and low recurrence rates for those with primary shoulder instability, those with recurrent instability and those undergoing OL for failed prior instability surgery. However, in those undergoing OL for failed prior stabilization surgery, there was a lower rate of return to play.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III: Retrospective Comparative Study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.03.062","type":"journal-article","created":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T22:45:33Z","timestamp":1618699533000},"page":"2412-2417","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":37,"title":["Open Latarjet Procedure in Athletes Following Failed Prior Instability Surgery Results in Lower Rates of Return to Play"],"prefix":"10.1002","volume":"37","author":[{"given":"Martin S.","family":"Davey","sequence":"first","affiliation":[{"name":"Sports Surgery Clinic Dublin Ireland"},{"name":"Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eoghan T.","family":"Hurley","sequence":"additional","affiliation":[{"name":"Sports Surgery Clinic Dublin Ireland"},{"name":"Royal College of Surgeons in Ireland Dublin Ireland"},{"name":"National University of Ireland Galway Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"O\u2019Doherty","sequence":"additional","affiliation":[{"name":"Sports Surgery Clinic Dublin Ireland"},{"name":"Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Padraic","family":"Stafford","sequence":"additional","affiliation":[{"name":"Sports Surgery Clinic Dublin Ireland"},{"name":"Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Delahunt","sequence":"additional","affiliation":[{"name":"Sports Surgery Clinic Dublin 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