Long-term follow-up outcome of arthroscopic Latarjet procedure in uniform agencies officers and civilians

Introduction. Arthroscopic Latarjet has favorable clinical outcomes; however, it is topical to examine its effectiveness for high-risk patients, included uniform agencies officers.The aim is to compare the clinical long-term outcomes of arthroscopic Latarjet, by assessing the number of complications, recurrent instability cases, revisions and the results of functional scales in comparison between civilians and uniform agencies officers.Material. An analysis of 171 surgeries performed by one surgeon from 2013 to 2020 was conducted. The group of patients from security forces included 50 people, civilians - 121. The number of complications, recurrent instability cases and revisions was assessed. The analysis of functional scales included 121 cases, 50 dropped out.Results. 13 episodes of complications were recorded (7.6% of all operations). There were 9 intraoperative complications - conversions (5.3%), 4 cases ofpostoperative complications (2.3%), of which 2 hematomas, 2 episodes of recurrent instability. There were no neurological, vascular, infection complications. 4 revisions were performed (2.3%). In the contingent of high-risk patients, 8 unfavorable cases (16%) were recorded: 5 conversions (10%), 1 complication (2%), 1 recurrent instability (2%), 1 revision (2%). The results of functional scales of both groups showed significant dynamics before and after surgery. No differences in functional scales were found between the groups. Conclusion. Comparable favorable long-term outcomes of arthroscopic Latarjet procedure, which are characterized by a low rate of complications, recurrency, revisions and satisfactory function recovery, were noted in both groups of patients.