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Patients were assessed preoperatively and at a minimum 3 years of follow\u2010up using the Rowe score, the University of California at Los Angeles Shoulder Score and Simple Shoulder Test score; the range of motion, satisfaction rate, return to work and sport, perception of discomfort during sporting and daily activities, and complications and recurrence after surgery were also evaluated. The integration of the coracoid graft and the position of the screws were examined by computed tomography scan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At a mean follow\u2010up time of 6 \u00b1 2 years, 93 patients (95 shoulders) showed significant improvement of all scale scores (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), 97.8% of the patients had returned to the same working condition as before surgery, and all the patients who practiced sports preoperatively (85; 91.4%) returned to sport after surgery; 97.9% of patients were satisfied with surgery. The complication rate was 5.4%, and 2 cases (2.1%) of recurrence occurred, both after high\u2010energy trauma. At an average of 17 \u00b1 13 months postoperatively, computed tomography scans showed 4 (6.6%) stable nonunions, 9 (14.8%) superior, and 1 (1.6%) inferior lyses of the graft; a correct positioning of the graft was observed in 86.9% of the cases. Greater satisfaction, fewer complications, less pain during daily activities, and a lower number of reoperations were associated with a shorter time between the first dislocation episode and surgery (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .019,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .014, and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.005, respectively). Complications were directly associated with older patient age at operation (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001). A greater number of nonunions was found in patients with increased angle between the line linking the posterior and anterior glenoid rim and the screw axis (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .040) and a medial axial position or a lower coronal position of the graft (both\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.010). A lower age at the time of surgery predicted better Rowe scores at follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and a lower age at the time of the first episode of dislocation predicted better postoperative Simple Shoulder Test scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .026).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At a mean 6\u2010year follow\u2010up time, excellent clinical outcomes, and radiological results, with few complications, high rates of satisfaction and return to work and sport and low sports anxiety can be expected after arthroscopic Latarjet procedure. A shorter time between the first dislocation episode and surgery was associated with higher satisfaction, fewer complications, less pain during daily activities and lower reoperations; a lower age at the operation was associated with lower complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.04.004","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T12:26:34Z","timestamp":1650630394000},"page":"2809","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Arthroscopic Latarjet for Primary Shoulder Instability With Off\u2010Track Lesions or Revision Surgery Yields Satisfactory Clinical Results and Reliable Return to Sport and Work at Minimum 3\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"38","author":[{"given":"Roberto","family":"Castricini","sequence":"first","affiliation":[{"name":"Division of Orthopaedic and Trauma Surgery \u201cVilla Verde\u201d Hospital Fermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Castioni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery \u201cMagna Graecia\u201d University \u201cMater Domini\u201d University Hospital Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"De Benedetto","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic and Trauma Surgery \u201cVilla Verde\u201d Hospital Fermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Cimino","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery \u201cMagna Graecia\u201d University \u201cMater Domini\u201d University Hospital Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Massarini","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic and Trauma Surgery \u201cVilla Verde\u201d Hospital Fermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olimpio","family":"Galasso","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery \u201cMagna Graecia\u201d University \u201cMater Domini\u201d University Hospital Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Gasparini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery \u201cMagna Graecia\u201d University \u201cMater Domini\u201d University Hospital Catanzaro 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