Outcomes of the Latarjet procedure in female patients: A case series and matched-pair analysis

Alexander N. Berk, A. M. Ifarraguerri, Allison J Rao, Aseel G. Dib, Alexander A. Hysong, Joshua D. Meade, David P. Trofa, J. Fleischli, Shadley C. Schiffern, Nady Hamid, Bryan M Saltzman
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Abstract

The objective of this study was to retrospectively report on the outcomes of female patients undergoing the Latarjet procedure. Female patients undergoing the Latarjet procedure with minimum 1 year follow-up were identified and contacted to obtain Numeric Pain Rating Scale (NPRS), Subjective Shoulder Value (SSV), and return to sport (RTS) data. Eligible females were then matched 1:1 with a male counterpart based on laterality and age (± 3 years), and outcomes compared. A total of 20 female patients with a mean follow-up of 73.8 months reported postoperative NPRS and SSV scores of 2.2  ±  2.3 and 69.3  ±  22.0, respectively. Of the nine athletes, 3 (33%) reported a successful RTS at a mean of 9 months. Four patients (20.0%) required reoperation at a mean of 27.1 months. The matched analysis demonstrated similar NPRS scores between male and female patients and a trend towards lower SSV scores and rates of RTS. At mid-term follow-up female patients reported pain levels similar to female-specific literature reports, but overall low subjective shoulder function and RTS. Compared to propensity-matched males, females reported similar levels of pain, lower shoulder function, and lower rates of RTS, however, differences did not reach statistical significance. IV, retrospective case series.
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女性患者接受 Latarjet 手术的结果:病例系列和配对分析
本研究的目的是回顾性地报告接受 Latarjet 手术的女性患者的治疗效果。研究人员对接受过Latarjet手术且随访至少1年的女性患者进行了识别和联系,以获得数字疼痛评分量表(NPRS)、肩部主观值(SSV)和恢复运动(RTS)数据。然后根据侧位和年龄(± 3 岁),将符合条件的女性患者与男性患者进行 1:1 配对,并对结果进行比较。共有 20 名女性患者接受了术后 NPRS 和 SSV 评分,平均随访时间为 73.8 个月,分别为 2.2 ± 2.3 分和 69.3 ± 22.0 分。在 9 名运动员中,有 3 人(33%)在平均 9 个月后成功完成了 RTS。四名患者(20.0%)需要再次手术,平均手术时间为 27.1 个月。配对分析表明,男女患者的 NPRS 评分相似,SSV 评分和 RTS 发生率呈下降趋势。在中期随访中,女性患者的疼痛程度与特定女性的文献报道相似,但肩关节主观功能和RTS总体较低。与倾向匹配的男性患者相比,女性患者的疼痛程度相似,肩关节功能较低,RTS发生率也较低,但差异未达到统计学意义。四、回顾性病例系列。
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