11% complications rate after Latarjet procedure at up to 14 years follow-up



Evaluate complications in correlation with radiological findings after an open Latarjet procedure performed on 140 shoulders with recurrent anterior instability with follow-up from 8 to 174 months.


Retrospectively, 140 shoulders, diagnosed with recurrent anterior glenohumeral instability, which were surgically treated with the open Latarjet procedure in our hospital, between January 2004 and November 2017, had been analysed. Mean age of operated patients was 29.5 years. One hundred and twenty-three patients were male (88.5%) and 16 were female (11.5%). Average length of follow-up was 110 months. Radiographs and CT scans of 16 patients with complications had been evaluated and correlations between radiological findings and observed complications had been analysed.


Complications occurred in 16 shoulders (11%). Rates of individual complications were: 1. persistent pain (9%), 2. limited ROM (7%), 3. recurrent instability (6%), 4. neurologic injury (2%), 5. persistent apprehension (2%), 6. reduced strength (2%), 7. hematoma (1%) and 8. intraoperative coracoid graft fracture (0.8%). Mean postoperative ASES score and ROWE score were statistically significantly lower in the group with complications, compared to the group without complications. Good or excellent results were reported by 87.9% patients.


Open Latarjet procedure is an effective and safe method for the treatment of recurrent shoulder instability, resulting in good to excellent outcomes in 87.9% of our cases. However, it is related to a higher postoperative complication rate compared to some other treatment options. Overall, very good results with high level of patient satisfaction have been demonstrated.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4


  1. 1.

    van der Linde JA, van Wijngaarden R, Somford MP, van Deurzen DFP, van den Bekerom MPJ (2016) The Bristow–Latarjet procedure, a historical note on a technique in comeback. Knee Surg Sport Traumatol Arthrosc 24(2):470–478

    Article  Google Scholar 

  2. 2.

    Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill–Sachs lesion. Arthroscopy 16(7):677–694

    CAS  Article  Google Scholar 

  3. 3.

    Patte D, Bernageau J, Rodineau J, Gardes JC (1980) Unstable painful shoulders (author’s transl). Rev Chir Orthop Reparatrice Appar Mot 66(3):157–165

    CAS  PubMed  Google Scholar 

  4. 4.

    Shaha JS, Cook JB, Song DJ, Rowles DJ, Bottoni CR, Shaha SH et al (2015) Redefining “critical” bone loss in shoulder instability. Am J Sports Med 43(7):1719–1725

    Article  Google Scholar 

  5. 5.

    Dickens JF, Owens BD, Cameron KL, DeBerardino TM, Masini BD, Peck KY et al (2017) The effect of subcritical bone loss and exposure on recurrent instability after arthroscopic bankart repair in intercollegiate American football. Am J Sports Med 45(8):1769–1775

    Article  Google Scholar 

  6. 6.

    Rollick NC, Ono Y, Kurji HM, Nelson AA, Boorman RS, Thornton GM et al (2017) Long-term outcomes of the Bankart and Latarjet repairs: a systematic review. Open access J Sport Med 8:97–105

    Article  Google Scholar 

  7. 7.

    Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY et al (2013) Complications and re-operations after Bristow–Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg 22(2):286–292

    Article  Google Scholar 

  8. 8.

    Gordins V, Hovelius L, Sandström B, Rahme H, Bergström U (2015) Risk of arthropathy after the Bristow–Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders. J Shoulder Elbow Surg 24(5):691–699

    Article  Google Scholar 

  9. 9.

    da Silva LA, da Costa Lima ÁG, Kautsky RM, Santos PD, do Val SG, Checchia SL (2015) Evaluation of the results and complications of the Latarjet procedure for recurrent anterior dislocation of the shoulder. Rev Bras Ortop (Engl Ed) 50(6):652–659

    Article  Google Scholar 

  10. 10.

    Bouju Y, Gadéa F, Stanovici J, Moubarak H, Favard L (2014) Shoulder stabilization by modified Latarjet–Patte procedure: results at a minimum 10 years’ follow-up, and role in the prevention of osteoarthritis. Orthop Traumatol Surg Res 100(4S):S213

    CAS  Article  Google Scholar 

  11. 11.

    Allain J, Goutallier D, Glorion C (1998) Long-term results of the latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Jt Surg Ser A 80(6):841–852

    CAS  Article  Google Scholar 

  12. 12.

    Sugaya H, Moriishi J, Dohi M, Kon Y, Tsuchiya A (2003) Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Jt Surg Ser A 85(5):878–884

    Article  Google Scholar 

  13. 13.

    de Beer J, Burkhart SS, Roberts CP, van Rooyen K, Cresswell T, du Toit DF (2009) The congruent-arc Latarjet. Tech Shoulder Elbow Surg 10(2):62–67

    Article  Google Scholar 

  14. 14.

    Roberts SB, Beattie N, McNiven ND, Robinson CM (2015) The natural history of primary anterior dislocation of the glenohumeral joint in adolescence. Bone Jt J 97-B(4):520–526

    CAS  Article  Google Scholar 

  15. 15.

    Samilson R, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Jt Surg Am 65(4):456–460

    CAS  Article  Google Scholar 

  16. 16.

    Zhu W, Lu W, Zhang L, Han Y, Ou Y, Peng L et al (2014) Arthroscopic findings in the recurrent anterior instability of the shoulder. Eur J Orthop Surg Traumatol 24(5):699–705

    Article  Google Scholar 

  17. 17.

    Mizuno N, Denard PJ, Raiss P, Melis B, Walch G (2014) Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg 23(11):1691–1699

    Article  Google Scholar 

  18. 18.

    Saccomanno MF, Fodale M, Capasso L, Cazzato G, Milano G (2013) Generalized joint laxity and multidirectional instability of the shoulder. Joints 1:171–179

    Article  Google Scholar 

  19. 19.

    Hovelius L, Sandström B, Olofsson A, Svensson O, Rahme H (2012) The effect of capsular repair, bone block healing, and position on the results of the Bristow–Latarjet procedure (study III): long-term follow-up in 319 shoulders. J Shoulder Elbow Surg 21(5):647–660

    Article  Google Scholar 

  20. 20.

    Lunn JV, Castellano-Rosa J, Walch G (2008) Recurrent anterior dislocation after the Latarjet procedure: outcome after revision using a modified Eden–Hybinette operation. J Shoulder Elbow Surg 17(5):744–750

    Article  Google Scholar 

  21. 21.

    Raiss P, Lin A, Mizuno N, Melis B, Walch G (2012) Results of the Latarjet procedure for recurrent anterior dislocation of the shoulder in patients with epilepsy. J Bone Jt Surg Ser B 94B(9):1260–1264

    Article  Google Scholar 

  22. 22.

    Hovelius L, Sandström B, Sundgren K, Saebö M (2004) One hundred eighteen Bristow–Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study I—clinical results. J Shoulder Elbow Surg 13(5):509–516

    Article  Google Scholar 

  23. 23.

    Ikemoto RY, Murachovisky J, Nascimento LGP, Bueno RS, Almeida LHO, Strose E et al (2011) Results from Latarjet surgery for treating traumatic anterior shoulder instability associated with bone erosion in the glenoid cavity, after minimum follow up of one year. Rev Bras Ortop (Engl Ed) 46(5):553–560

    Article  Google Scholar 

  24. 24.

    Lädermann A, Lubbeke A, Stern R, Cunningham G, Bellotti V, Gazielly DF (2013) Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study. Int Orthop 37(6):1093–1098

    Article  Google Scholar 

  25. 25.

    Frank RM, Gregory B, O’Brien M, Bernardoni E, Verma NN, Cole BJ et al (2018) Ninety-day complications following the Latarjet procedure. J Shoulder Elbow Surg 28(1):88–94

    Article  Google Scholar 

  26. 26.

    Schmid SL, Farshad M, Catanzaro S, Gerber C (2012) The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair: a retrospective case series of forty-nine consecutive patients. J Bone Jt Surg Ser A 94(11):e75(1)

    Google Scholar 

  27. 27.

    Russo A, Grasso A, Arrighi A, Pistorio A, Molfetta L (2017) Accuracy of coracoid bone graft placement: open versus arthroscopic latarjet. Joints 5(2):85–88

    Article  Google Scholar 

  28. 28.

    Domos P, Lunini E, Walch G (2018) Contraindications and complications of the Latarjet procedure. Shoulder Elbow 10(1):15–24

    Article  Google Scholar 

  29. 29.

    Hovelius L, Korner L, Lundberg B, Akermark C, Herberts P, Wredmark T et al (1983) The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow–Latarjet procedure—PubMed. J Bone Jt Surg Am 65(7):926–934

    CAS  Article  Google Scholar 

  30. 30.

    Ropars M, Cretual A, Kaila R, Bonan I, Hervé A, Thomazeau H (2016) Diagnosis and treatment of anteroinferior capsular redundancy associated with anterior shoulder instability using an open Latarjet procedure and capsulorrhaphy. Knee Surg Sport Traumatol Arthrosc 24(12):3756–3764

    Article  Google Scholar 

  31. 31.

    Walch G, Boileau P (2000) Latarjet–Bristow procedure for recurrent anterior instability. Tech Shoulder Elbow Surg 1(4):256–261

    Article  Google Scholar 

  32. 32.

    Doursounian L, Debet-Mejean A, Chetboun A, Nourissat G (2009) Bristow–Latarjet procedure with specific instrumentation: study of 34 cases. Int Orthop 33(4):1031–1036

    CAS  Article  Google Scholar 

  33. 33.

    Cassagnaud X, Maynou C, Mestdagh H (2003) Clinical and computed tomography results of 106 Latarjet–Patte procedures at mean 7.5 year follow-up. Rev Chir Orthop Reparatrice Appar Mot 89(8):683–692

    CAS  PubMed  Google Scholar 

  34. 34.

    Hovelius LK, Sandström BC, Rösmark DL, Saebö M, Sundgren KH, Malmqvist BG (2001) Long-term results with the Bankart and Bristow–Latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elbow Surg 10(5):445–452

    CAS  Article  Google Scholar 

  35. 35.

    Guity M, Roques B, Mansat P, Bellumore Y, Mansat M (2002) Painful or unstable shoulder afte coracoid transfer: result of surgical treatment. Rev Chir Orthop Reparatrice Appar Mot 88(4):349–358

    CAS  PubMed  Google Scholar 

  36. 36.

    Wymenga A, Morshuis W (1988) Latarjet–Bristow procedure for recurrent anterior instability. Acta Orthop Belg 54(1):76–82

    CAS  PubMed  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to B. Marjanovic.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Marjanovic, B., Poberaj, B., Kolar, M. et al. 11% complications rate after Latarjet procedure at up to 14 years follow-up. Musculoskelet Surg (2021). https://doi.org/10.1007/s12306-021-00697-9

Download citation


  • Latarjet
  • Recurrent shoulder instability
  • Glenohumeral joint
  • Complications
  • Shoulder osteoarthritis
  • Epilepsy
  • Coracoid transfer