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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\u2010year follow\u2010up. 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\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010three studies met inclusion criteria, with a total of 1,456 shoulders. The most common postoperative imaging modality was plain radiography only (n\u00a0= 848 [58.2%]), both CT and radiography (n\u00a0= 287 [19.7%]), and CT only (n\u00a0= 321 [22.1%]). Overall, the reported graft union rate ranged from 75% to 100%, of which 79.8% (n\u00a0= 395) were detected on plain radiography. The most common reported postoperative radiographic complications after the open coracoid transfer were osteoarthritis (range, 0%\u2010100%, pooled mean 28%), graft osteolysis (range, 0%\u2010100%, pooled mean 30%), nonunion (range, 0%\u201032%, pooled mean 5.1%), malpositioned graft (range, 0%\u201075%, pooled mean 14.75%), hardware issues (range, 0%\u20109.1%, pooled mean 5%), and bone block fracture (range, 0%\u20108%, pooled mean 2.1%). Graft healing was achieved in a majority of cases (range, 75%\u2010100%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level III\u2010IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.09.032","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T01:03:27Z","timestamp":1696986207000},"page":"1311","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Postoperative Radiographic Outcomes Following Primary Open Coracoid Transfer (Bristow\u2010Latarjet) Vary in Definition, Classification, and Imaging Modality: A Systematic Review"],"prefix":"10.1002","volume":"40","author":[{"given":"Madeleine G.","family":"DeClercq","sequence":"first","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maitland D.","family":"Martin","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Whalen","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P.","family":"Cote","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaare S.","family":"Midtgaard","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado"},{"name":"Steadman Clinic Vail Colorado"},{"name":"Norwegian Armed Forces Joint Medical Services Oslo Norway"},{"name":"Division of Orthopaedic Surgery Oslo University Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam A.","family":"Peebles","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Di Giacomo","sequence":"additional","affiliation":[{"name":"Concordia Hospital for Special Surgery of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T.","family":"Provencher","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado"},{"name":"Steadman Clinic Vail Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"e_1_2_2_2_2","volume-title":"Anterior shoulder instability. 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