According to a study published online in The American Journal of Sports Medicine, fresh distal tibia allograft (DTA) reconstruction and the Latarjet procedure may offer similar outcomes for recurrent anterior shoulder instability. 

The researchers conducted a prospective, matched cohort study of 100 patients who underwent shoulder stabilization, 50 of whom were treated with DTA and 50 of whom were treated with Latarjet. At minimum 2-year follow-up (range 24 to 111 months), they found that patients in both cohorts experienced significant improvement in all outcome scores after surgery. The researchers found no significant differences across cohort in postoperative visual analog scale, American Shoulder and Elbow Surgeons, Western Ontario Shoulder Instability Index, or Single Assessment Numeric Evaluation scores. They note, however, that patients in the Latarjet group had superior Simple Shoulder Test outcomes. There were five complications, 3 of which required reoperation, in each cohort. Learn more...

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