BACKGROUND This study aimed to investigate the short-term complications (minimum 1-year follow-up) after either an arthroscopic Bristow or Latarjet procedure for anterior shoulder instability utilizing screw or suture-button fixation. METHODS Patients undergoing arthroscopic Bristow or Latarjet procedures between November 2016 and April 2021 were enrolled. Data were collected at baseline, 3 months, 6 months, and every year after surgery. Risks of postoperative complications and unplanned reoperations were assessed. A multivariable regression model was used to identify risk factors for complications and to determine the association of complications with patient-reported outcomes. RESULTS A total of 412 patients (425 shoulders) undergoing arthroscopic Bristow or Latarjet procedures performed by a single surgeon between November 2016 and April 2021 were reviewed. Two hundred and ninety-nine patients (308 shoulders, 76.2% of 404 eligible) with a mean follow-up of 22.3 ± 4.2 months were included for analysis. Two hundred and sixty-nine shoulders (87.3%) underwent a Bristow procedure (165 with screw and 104 with suture-button fixation), while 39 (12.7%) underwent a Latarjet procedure (18 with screw and 21 with suture-button fixation). Eighty-two patients (83 shoulders) reported a total of 85 complications within 2 years after surgery, with an overall complication rate of 26.9%. The rates of recurrent dislocation or subluxation and infection were 1.9% and 0.6%, respectively, while a total of 4 (1.3%) of the shoulders had unplanned reoperations. The most common complications were graft-related (11.7%), followed by complications involving neurologic symptoms (10.7%). The overall, graft, and neurologic complication rates following Bristow or Latarjet procedures were 27.1% versus 25.6%, 12.3% versus 7.7%, and 10.0% versus 15.4%, respectively. Compared with the Bristow technique with screw fixation, Bristow with suture-button fixation yielded a lower risk of any complications (odds ratio [OR], 0.55; p = 0.04). Paying with rural insurance and poor sleep quality prior to surgery were associated with increased risk of any complications. CONCLUSIONS Compared with arthroscopic Bristow procedures with screw fixation, Bristow procedures with suture-button fixation resulted in a lower overall complication risk. Both patient demographic and implant-specific factors were associated with the development of a complication. LEVEL OF EVIDENCE Therapeutic Level II . See Instructions for Authors for a complete description of levels of evidence.

中文翻译：

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关节镜 Bristow 或 Latarjet 手术与螺钉与缝合纽扣固定的短期并发症：由一名外科医生对 308 例连续病例进行的前瞻性研究。


背景 本研究旨在调查使用螺钉或缝合纽扣固定治疗肩前不稳定的关节镜 Bristow 或 Latarjet 手术后的短期并发症（至少 1 年随访）。方法 纳入了 2016 年 11 月至 2021 年 4 月期间接受关节镜 Bristow 或 Latarjet 手术的患者。在基线、 3 个月、 6 个月和术后每年收集数据。评估术后并发症和计划外再次手术的风险。采用多变量回归模型确定并发症的危险因素，并确定并发症与患者报告结局的关联。结果 共回顾了 2016 年 11 月至 2021年4月期间由一名外科医生进行的 412 例关节镜 Bristow 或 Latarjet 手术的患者 （425 个肩关节）。纳入 299 名患者 （308 名肩部，404 名受试者中的 76.2%） 平均随访 22.3 ± 4.2 个月进行分析。269 个肩膀 （87.3%） 接受了 Bristow 手术 （165 个使用螺钉，104 个使用缝合扣固定），而 39 个 （12.7%） 接受了 Latarjet 手术 （18 个使用螺钉，21 个使用缝合扣固定）。82 例患者 （83 例肩关节） 术后 2 年内共报告了 85 例并发症，总并发症发生率为 26.9%。复发性脱位或半脱位和感染的发生率分别为 1.9% 和 0.6%，而共有 4 例 （1.3%） 肩关节进行了计划外的再次手术。最常见的并发症是移植物相关并发症 （11.7%），其次是涉及神经系统症状的并发症 （10.7%）。Bristow 或 Latarjet 手术后的总体、移植物和神经系统并发症发生率为 27。分别为 1% 对 25.6%、12.3% 对 7.7% 和 10.0% 对 15.4%。与螺钉固定的 Bristow 技术相比，缝合纽扣固定的 Bristow 产生任何并发症的风险较低 （比值比 [OR]，0.55;p = 0.04）。使用农村保险付款和手术前睡眠质量差与任何并发症的风险增加有关。结论 与关节镜下螺钉固定的 Bristow 手术相比，缝合纽扣固定的 Bristow 手术导致总体并发症风险降低。患者人口统计学和植入物特异性因素都与并发症的发生相关。证据级别 治疗级别 II .有关证据级别的完整描述，请参阅作者说明。