Over 89% of Patients Return to Work After Undergoing Arthroscopic or Open Latarjet Procedure for Anterior Shoulder Instability: A Systematic Review.

IF 4.4 1区医学 Q1 ORTHOPEDICS Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2024-10-09 DOI:10.1016/j.arthro.2024.09.056

Michael S Lee, Seema M Patel, Trevan Klug, Jay Moran, Nancy Park, Ronak J Mahatme, Scott Fong, Stephen M Gillinov, Alexander Dawes, Serkan Surucu, Alexander Graf, Andrew E Jimenez

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Abstract

Purpose: To better define the rate of return to work in patients undergoing Latarjet surgery for anterior shoulder instability.

Methods: A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Cochrane Center Register of Controlled Trials, and Scopus were queried in October 2023 with the following keywords: ((latarjet) OR (anterior shoulder instability)) AND ((work) or (compensation)). Articles were included if they reported return to work in patients (including military members) undergoing Latarjet surgery for traumatic anterior shoulder instability with bone loss and were written in English. This study was registered in Prospero (ID blinded).

Results: Six studies reporting on 419 shoulders were included in the review. Five studies reported on patients in the general population, and 1 reported on military members. Mean age ± standard deviation of patients ranged from 23.1 ± 5.8 to 32.0 ± 12.3 years. Moreover, there were 286 primary Latarjet procedures, 131 revision Latarjet procedures, and 2 unspecified as primary or revision surgery. Mean glenoid bone loss ranged from 14.5% to 22.9%. Return-to-work rates ranged from 89.1% to 100%, with 2 studies reporting all patients were able to return to work. Among military members, 89.1% were able to return to duty. Mean time to return to work ranged from 8.69 to 34.8 weeks after surgery. Four studies also reported return to sport, which ranged from 60.9% to 100%. Mean time for returning to sport varied between 10.0 and 35.2 weeks after the Latarjet procedure.

Conclusions: Patients with anterior shoulder instability who undergo an arthroscopic or open Latarjet procedure can expect high rates of return to work and sport. All studies reported return-to-work rates over 89%, with 89.1% of military members able to return to duty.

Level of evidence: Level IV, systematic review of Level III and Level IV studies.

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超过 89% 的患者在接受关节镜或开放式 Latarjet 手术治疗肩关节前方失稳后重返工作岗位：系统回顾

目的：更好地界定因肩前不稳而接受 Latarjet 手术的患者重返工作岗位的比率方法：根据《系统综述和元分析首选报告项目》（PRISMA）指南进行了系统综述。在 2023 年 10 月对 PubMed、Cochrane 中心对照试验注册中心 (CENTRAL) 和 Scopus 进行了查询，关键词如下：（（latarjet）或（肩关节前方不稳定））和（（工作）或（补偿））。如果文章报道了因外伤性肩关节前侧不稳伴有骨质流失而接受 Latarjet 手术的患者（包括军人）重返工作的情况，且以英语撰写，则被纳入研究范围。本研究已在 Prospero 上注册（ID 为盲文）：六项研究共报告了 419 例肩关节病例。五项研究报告的患者为普通人群，一项研究报告的患者为军人。患者的平均年龄为（23.1 ± 5.8 - 32.0 ± 12.3）岁，标准差（SD）为（23.1 ± 5.8 - 32.0 ± 12.3）岁。此外，共有 286 例初次 Latarjet 手术，131 例翻修 Latarjet 手术，2 例未指明是初次手术还是翻修手术。平均盂骨损失率从14.5%到22.9%不等。重返工作岗位率从89.1%到100%不等，其中有两项研究报告称所有患者都能重返工作岗位。在军人中，89.1%的人能够重返工作岗位。术后恢复工作的平均时间从 8.69 周到 34.8 周不等。四项研究还报告了重返体育运动的情况，比例从 60.9% 到 100% 不等。Latarjet手术后恢复运动的平均时间为10.0-35.2周：结论：接受关节镜或开放式Latarjet手术的肩关节前部不稳定患者重返工作和运动岗位的几率很高。所有研究报告的重返工作率均超过89%，其中89.1%的军人能够重返岗位：IV级，对III级和IV级研究的系统回顾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.