Resumo

TANOIRA, Ignacio et al. Retorno al deporte luego de una cirugía de Latarjet: revisión sistemática de la bibliografía. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.2, pp.263-280. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.2.1068.

Background: The purpose of this study was to describe rates of return to sports and the level achieved by patients after a Latarjet procedure. Methods: We followed a protocol registered in PROSPERO (registration number CRD42018107606). A literature search was performed in May 2019 in MEDLINE, EMBASE, CENTRAL and clinical trials records. We used the GRADE approach for the assessment of the overall quality of the evidence per outcome. We included studies (evidence level I to IV) evaluating return to sports following shoulder stabilization with the Latarjet procedure with a minimum of 2-year follow-up. Results: We included 24 studies, including 1436 athletes, all treated surgically after an average follow-up of 57 months (range 24 to 240). The overall rate of return to sport ranged from 65% to 100%, including 23% to 100% at an equivalent level of play. The average time for return to sport was 6 months (range, 1 - 36 months). Competitive athletes appeared to return to the same level of competition and this difference was not statistically significant (p = 0.32). The quality of the evidence was very low due to study design (evidence level IV), study limitations and inconsistency. Conclusion: Most athletes with glenohumeral instability returned to sport, however the level maintained after shoulder stabilization with the Latarjet procedure varied substantially. The average time to return to sports was 6 months and results were equally favorable in competitive and recreational athletes.

Palavras-chave : Glenohumeral instability; return to sports; Latarjet.

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