{"id":11609,"date":"2025-04-30T23:19:42","date_gmt":"2025-04-30T21:19:42","guid":{"rendered":"https:\/\/cepco-ch-123278.hostingersite.com\/publications\/comparison-of-arthroscopic-and-open-latarjet-with-a-learning-curve-analysis\/"},"modified":"2026-04-25T19:59:21","modified_gmt":"2026-04-25T17:59:21","slug":"comparison-of-arthroscopic-and-open-latarjet-with-a-learning-curve-analysis","status":"publish","type":"publications","link":"https:\/\/cepco.ch\/fr\/publications\/comparison-of-arthroscopic-and-open-latarjet-with-a-learning-curve-analysis\/","title":{"rendered":"Comparison of arthroscopic and open Latarjet with a learning curve analysis"},"content":{"rendered":"\n

Publication :<\/strong> Knee Surg Sports Traumatol Arthrosc. 2016 Feb;24(2):540-5. doi : 10.1007\/s00167-015-3910-3. Epub 2015 Dec 12. <\/a><\/p>\n\n

<\/p>\n\n

Co-auteurs :<\/strong> Cunningham G<\/a>, Benchouk S, Kherad O, L\u00e4dermann A.<\/p>\n\n

R\u00e9sum\u00e9 :<\/h2>\n\n

Objectif : <\/strong>Comparer le Latarjet arthroscopique et ouvert r\u00e9alis\u00e9 par un seul chirurgien de l’\u00e9paule avec l’analyse de la courbe d’apprentissage.<\/p>\n\n

M\u00e9thodes : <\/strong>Une analyse comparative et de la courbe d’apprentissage a \u00e9t\u00e9 r\u00e9alis\u00e9e sur une base de donn\u00e9es prospectivement rassembl\u00e9e de 2 s\u00e9ries cons\u00e9cutives de patients trait\u00e9s par des proc\u00e9dures de Latarjet arthroscopiques et ouvertes r\u00e9alis\u00e9es par un seul chirurgien de l’\u00e9paule entre 2008 et 2014. La base de donn\u00e9es comprenait les caract\u00e9ristiques des patients, les scores ISIS, le temps op\u00e9ratoire, les complications intra- et postop\u00e9ratoires, le positionnement du greffon et des vis, ainsi que les scores de Walch-Duplay pr\u00e9- et postop\u00e9ratoires. <\/p>\n\n

R\u00e9sultats : <\/strong>Soixante-quatre patients ont \u00e9t\u00e9 inclus dans l’\u00e9tude, 28 dans le groupe arthroscopique et 36 dans le groupe ouvert, avec un \u00e2ge, un sexe ratio et un score ISIS pr\u00e9op\u00e9ratoire similaires. Le temps op\u00e9ratoire \u00e9tait significativement plus \u00e9lev\u00e9 dans le groupe arthroscopique (146 versus 81 min, p = 0.001), et bien qu’aucune complication per-op\u00e9ratoire n’ait \u00e9t\u00e9 enregistr\u00e9e dans les deux groupes, il y avait significativement plus de complications postop\u00e9ratoires dans le groupe arthroscopique (29 vs. 11 %, p = 0.03). Le placement des vis a \u00e9t\u00e9 plus pr\u00e9cis dans le groupe ouvert et le score postop\u00e9ratoire de Walch-Duplay n’a pas montr\u00e9 de diff\u00e9rence significative entre les groupes (88 points dans le groupe arthroscopique et 91 points dans le groupe ouvert). L’analyse de la courbe d’apprentissage de Latarjet arthroscopique a montr\u00e9 que le besoin de conversion a cess\u00e9 apr\u00e8s les 10 premiers patients et que le temps chirurgical s’est rapproch\u00e9 de celui de la proc\u00e9dure ouverte apr\u00e8s 20 proc\u00e9dures. <\/p>\n\n

Conclusions : <\/strong>Dans cette \u00e9tude, 10 proc\u00e9dures arthroscopiques de Latarjet ont \u00e9t\u00e9 n\u00e9cessaires pour surmonter le besoin de conversion, et 20 proc\u00e9dures pour obtenir un temps d’op\u00e9ration \u00e9gal \u00e0 celui de la technique ouverte. Bien que les r\u00e9sultats fonctionnels et la satisfaction des patients soient similaires dans les deux techniques, les complications, l’impr\u00e9cision du placement des vis, l’appr\u00e9hension persistante et les r\u00e9cidives restent plus \u00e9lev\u00e9es avec la technique arthroscopique. <\/p>\n\n

Niveau de preuve : <\/strong>Analyse comparative r\u00e9trospective, Niveau III.<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}}},"publication_categories":[151,176],"class_list":["post-11609","publications","type-publications","status-publish","hentry","publication_categories-publications-scientifiques","publication_categories-scientific-publications"],"acf":[],"yoast_head":"\nComparison of arthroscopic and open Latarjet with a learning curve analysis - 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