Meeting NewsPerspective

Distal tibia allograft reconstruction yielded outcomes similar to Latarjet

Rachel M. Frank

TORONTO — Patients who underwent distal tibia allograft reconstruction had similar clinical outcomes, complication and recurrence rates compared with patients who underwent the Latarjet procedure, according to a paper that won the Fellows Clinical Science Research Award at the American Orthopaedic Society for Sports Medicine Annual Meeting.

Rachel M. Frank, MD, and colleagues collected intraoperative and postoperative data on patients with recurrent anterior shoulder instability and a minimum 15% glenoid bone loss treated with either a Latarjet procedure (n=50) or a distal tibia allograft (n=50).

Frank noted significant improvements in all clinical outcome scores assessed at a minimum of 2-year follow-up, with the only difference between the two groups identified with the simple shoulder test. One case of traumatic recurrence was identified in the distal tibia group, according to Frank.

“There were 10 total complications, five in each group, and there were no significant differences between the groups with regard to the complications,” Frank said in her presentation. “In the distal tibia group, three patients required reoperation including on revision distal tibia allograft. In the Latarjet group, three patients also required reoperation.” – by Casey Tingle

Reference:

Frank RM, et al. Paper #168. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 20-23, 2017; Toronto.

Disclosure: Frank reports no relevant financial disclosures.

Rachel M. Frank

TORONTO — Patients who underwent distal tibia allograft reconstruction had similar clinical outcomes, complication and recurrence rates compared with patients who underwent the Latarjet procedure, according to a paper that won the Fellows Clinical Science Research Award at the American Orthopaedic Society for Sports Medicine Annual Meeting.

Rachel M. Frank, MD, and colleagues collected intraoperative and postoperative data on patients with recurrent anterior shoulder instability and a minimum 15% glenoid bone loss treated with either a Latarjet procedure (n=50) or a distal tibia allograft (n=50).

Frank noted significant improvements in all clinical outcome scores assessed at a minimum of 2-year follow-up, with the only difference between the two groups identified with the simple shoulder test. One case of traumatic recurrence was identified in the distal tibia group, according to Frank.

“There were 10 total complications, five in each group, and there were no significant differences between the groups with regard to the complications,” Frank said in her presentation. “In the distal tibia group, three patients required reoperation including on revision distal tibia allograft. In the Latarjet group, three patients also required reoperation.” – by Casey Tingle

Reference:

Frank RM, et al. Paper #168. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 20-23, 2017; Toronto.

Disclosure: Frank reports no relevant financial disclosures.

    Perspective
    Paul M. Sethi

    Paul M. Sethi

    Recognition of glenoid bone loss is a critical component of treating shoulder instability. There are limited surgical options for surgical repair of bone loss that exceeds 20% of the glenoid width. This study examines two methods to address glenoid or bipolar bone loss. This is the first report that examines the durability of distal tibial allograft (DTA) procedures and also demonstrates similar validated outcomes when compared to the gold standard for glenoid bone loss, a Latarjet procedure. This data suggest that surgeons may comfortably choose either procedure depending on degree of bone loss, soft tissue integrity and need for a "sling effect."

    • Paul M. Sethi, MD
    • President The ONS Foundation for Clinical Research and Education Clinical instructor in orthopedic surgery Yale University School of Medicine

    Disclosures: Sethi reports no relevant financial disclosures.

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