Results and return to sports at 5 years after Latarjet for anterior instability with or without pre-operative glenoid bone loss - 25/09/26

Doi : 10.1016/j.otsr.2026.104898

Anselme Billaud ^a,⁎ , Louis Lajoinie ^b, Philippe Collotte ^c, Lara Moscato ^d, Joris Tiercelin ^e , Clara Sos ^f, Lisa Peduzzi ^g, François Loisel ^h, Julien Berhouet ⁱ, Kenza Limam ^e , Lionel Neyton ^c, Xavier Ohl ^j

^a Clinique du Sport, 6 rue Georges Negrevergne, 33700 Mérignac, France

^b Centre Chirurgical Emile Gallé, Centre Hospitalo-Universitaire de Nancy, 49 rue Hermite, 54000 Nancy, France

^c Ramsay Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, Lyon, France

^d Service de Chirurgie du Membre Supérieur et des Nerfs Périphériques, Hôpital Lapeyronie, CHU de Montpellier, Montpellier, France

^e Hôpital Pierre Paul Riquet - CHU de Toulouse, Toulouse, France

^f Institut de la Main Nantes-Atlantique, Clinique Santé Atlantique, Avenue Claude Bernard, 44800 Saint-Herblain, France

^g CHRU de Nancy, Centre Chirurgical Emile Galle, Nancy, France; Centre for Chirurgie des Articulations et du Sport (ARTICS), Essey-les-Nancy, France; Clinique Louis Pasteur, Essey-les-Nancy, France

^h Service de Chirurgie Orthopédique et Traumatologique, Plastique et Reconstructrice, SOS Mains, Hôpital Universitaire de Besançon, Université de Marie et Louis Pasteur, SINERGIES, F-25000 Besançon, France

ⁱ Service de Chirurgie Orthopédique et Traumatologie, Hôpital Trousseau, CHRU TOURS, France

^j Service de Chirurgie Orthopédique, CHU de Reims, Hôpital Christian Cabrol, 51 Rue du Général Koenig, 51100 Reims, France

^⁎ Corresponding author.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Friday 25 September 2026

Abstract

Introduction

The Latarjet procedure provides reliable functional outcomes and a high rate of return to sport in the treatment of anterior shoulder instability.

While traditionally indicated in cases of significant glenoid bone loss (GBL) or engaging Hill-Sachs lesions, its use has progressively expanded to a broader range of clinical situations.

However, few studies have specifically evaluated outcomes of the Latarjet procedure according to the degree of preoperative GBL.

Hypothesis

We hypothesized that preoperative glenoid bone loss does not significantly influence clinical outcomes or return to sport following the open Latarjet procedure.

Method

This multicenter retrospective study included patients who underwent open Latarjet as a primary procedure before June 2017, with a minimum follow-up of 5 years. Preoperative CT or CTA was required for inclusion. Patients were divided into three groups according to preoperative GBL (<5%, 5–15%, and >15%), based on commonly used but arbitrary thresholds in the literature. Clinical outcomes were assessed using Rowe, Walch-Duplay, Simple Shoulder Value (SSV), and Shoulder Instability–Return to Sport after Injury (SIRSI) scores. Return to sport, complications, and radiographic outcomes were also analyzed.

Results

Return to sport was 80% at 1 year and 85% at final follow-up, with 48% returning to the same level. The recurrence rate was 6%, and subjective apprehension persisted in 17% of patients. The overall complication rate was 8%, including hardware-related complications, with a screw removal rate of 2%. Preoperative GBL did not significantly influence clinical outcomes or return to sport. Osteoarthritis was observed in 25% of cases (13% for GBL <5%, 29% for GBL 5–15%, and 34% for GBL >15%). Radiographic osteoarthritis increased with preoperative GBL (13%, 29%, and 34% respectively; p = 0.03).

Discussion

At medium-term follow-up, the Latarjet procedure provides reliable clinical outcomes, a low recurrence rate, and a high rate of return to sport, regardless of preoperative GBL.

These findings support the use of the Latarjet procedure across a wide spectrum of anterior shoulder instability, although a proportion of patients continue to experience apprehension and do not return to their previous level of sport.