D. Zúñiga, Camila Ordóñez, Felipe Valbuena, Mauricio Largacha
{"title":"开缝开缝术的并发症与学习曲线无关:11年经验分析","authors":"D. Zúñiga, Camila Ordóñez, Felipe Valbuena, Mauricio Largacha","doi":"10.4103/jajs.jajs_95_22","DOIUrl":null,"url":null,"abstract":"Introduction: The purpose of this study is to determine a relationship between complications of the open Latarjet procedure with the surgeon's learning curve during an 11-year experience in shoulder surgery. Methods: We conducted a retrospective descriptive observational case series of all open Latarjet procedures performed by a single shoulder surgeon between June 2011 and September 2021. Latarjet procedure was indicated in patients with glenoid bone defects of more than 15% or revision after a failed Bankart repair. Complications were recorded as well as patients' demographic data. We described the time between surgery and complication and correlated complication presentation with the surgeon's surgical curve. Results: Sixty-two consecutive patients were included (96, 8% male patients with an average age of 30 years). Eight patients presented with a complication (12, 5% of all patients). These complications were classified as graft related (n = 3), hardware related (n = 3), wound related (n = 1), and other (n = 1). There were no instability recurrences and no neurologic injuries. Complications were present in all periods of the surgeon's learning curve. Conclusions: The Latarjet procedure is technically demanding and complications can be present regardless of the surgeon's learning curve. Nevertheless, it is a successful procedure in most patients, with a low recurrence rate of instability.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Complications of the open latarjet procedure are not related to the learning curve: Analysis after 11 years of experience\",\"authors\":\"D. Zúñiga, Camila Ordóñez, Felipe Valbuena, Mauricio Largacha\",\"doi\":\"10.4103/jajs.jajs_95_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: The purpose of this study is to determine a relationship between complications of the open Latarjet procedure with the surgeon's learning curve during an 11-year experience in shoulder surgery. Methods: We conducted a retrospective descriptive observational case series of all open Latarjet procedures performed by a single shoulder surgeon between June 2011 and September 2021. Latarjet procedure was indicated in patients with glenoid bone defects of more than 15% or revision after a failed Bankart repair. Complications were recorded as well as patients' demographic data. We described the time between surgery and complication and correlated complication presentation with the surgeon's surgical curve. Results: Sixty-two consecutive patients were included (96, 8% male patients with an average age of 30 years). Eight patients presented with a complication (12, 5% of all patients). These complications were classified as graft related (n = 3), hardware related (n = 3), wound related (n = 1), and other (n = 1). There were no instability recurrences and no neurologic injuries. Complications were present in all periods of the surgeon's learning curve. Conclusions: The Latarjet procedure is technically demanding and complications can be present regardless of the surgeon's learning curve. Nevertheless, it is a successful procedure in most patients, with a low recurrence rate of instability.\",\"PeriodicalId\":38088,\"journal\":{\"name\":\"Journal of Arthroscopy and Joint Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Arthroscopy and Joint Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jajs.jajs_95_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Arthroscopy and Joint Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jajs.jajs_95_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Complications of the open latarjet procedure are not related to the learning curve: Analysis after 11 years of experience
Introduction: The purpose of this study is to determine a relationship between complications of the open Latarjet procedure with the surgeon's learning curve during an 11-year experience in shoulder surgery. Methods: We conducted a retrospective descriptive observational case series of all open Latarjet procedures performed by a single shoulder surgeon between June 2011 and September 2021. Latarjet procedure was indicated in patients with glenoid bone defects of more than 15% or revision after a failed Bankart repair. Complications were recorded as well as patients' demographic data. We described the time between surgery and complication and correlated complication presentation with the surgeon's surgical curve. Results: Sixty-two consecutive patients were included (96, 8% male patients with an average age of 30 years). Eight patients presented with a complication (12, 5% of all patients). These complications were classified as graft related (n = 3), hardware related (n = 3), wound related (n = 1), and other (n = 1). There were no instability recurrences and no neurologic injuries. Complications were present in all periods of the surgeon's learning curve. Conclusions: The Latarjet procedure is technically demanding and complications can be present regardless of the surgeon's learning curve. Nevertheless, it is a successful procedure in most patients, with a low recurrence rate of instability.
期刊介绍:
Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.