Bone	Authors (Year)	N	Patient Reported Outcomes	Instability^a	Range of Motion (degrees)^b	Radiographic Findings	Complications^c	Conclusions
Iliac Crest	Moroder (2019)[@140568]	29	RS: change from 49.5 ± 11.5 to 91.0 ± 12.5 (24-mo) (+79.5) (p-value NR) WOSI: Change from 1103.5 ± 390.0 to 254.5 ± 274.0 (24-mo) (-849) (p-value NR)	Redislocation: 0/29 9 (0%) Subluxation: 2/29 (6.9%) Apprehension: 3/29 (10.3%) Revision for instability: 0/29 (0%)	ER: change from 61.0 ± 18.5 to 63.0 ± 16.0 (24-mo) (+2) (p-value NR) Abduction: change from 162.5 ± 27.5 to 178.0 ± 4.5 (24-mo) (-15.5) (p-value NR)	NR	8/29 (26.7%) sensory disturbances around scar of donor site 2/29 (6.7%) superficial wound infection at donor site 1 (3.3%) graft fracture (due to bicycle fall) 1/29 (3.4%) scapular dyskinesis	No difference in Latarjet and ICBGT in clinical/radiologic outcomes, except for significantly better IR w/ ICBGT. Both procedures had complications, w/ donor-site sensory disturbances frequent w/ ICBGT.
	Ortmaier (2019)[@140569]	34	RS: 94.1 ± 11.80 (50 to 100) VAS (shoulder pain during sport): change from 1.7 ± 2 to 0.7 ± 1 (-1) (p=0.003) Return to sport: 34/34 (100%) returned to sport, 14/34 (41%) changed sport Also reported CMS	Redislocation: 2/34 (5.9%) Subluxation: NR Apprehension: 0/34 (0%) Revision for instability: NR	ER1: 57 ± 2.09 (54 to 60) Abduction: 178 ± 7.40 (150 to 180) FF: 178 ± 5.53 (140 to 180)	NR	None	Overall and within the subgroups, return to sport rate after implant-free iliac bone grafting was high, w/ a high sense of well-being. Number of sport disciplines decreased significantly and >⅓ of the patients changed disciplines, of which 15% percent changed due to shoulder-related causes. Sport level remained equal, and no other parameters changed significantly compared with the time before the onset of restrictive shoulder symptoms.
	Abdelshahed (2018)[@140572]	10	WOSI: 315 ± 319 (20–1049) WOSI, %: 15 ± 15% ASES: 92 ± 12 (60–100) Satisfaction: 9/10 (90.0%) extremely satisfied, 1/10 (10.0%) satisfied	Redislocation: 1/10 (10.0%) Subluxation: NR Apprehension: NR Revision for instability: 0/10 (0.0%)	Abduction: 174 ± 19 FF: 168 ± 21 ER1: 62 ± 11 ER2: 75 ± 16, IR: 8/10 (80%) noted IR to mid-back, 2/10 (20.0%) noted IR to lower back	Screw: 10/10 (100%) intact screw in good alignment with bone adjacent to the hardware 10/10 (100%) congruent glenoid surface	NR	At minimum 2-year FU, patients w/ shoulder instability treated w/ glenoid bone grafting w/ cryopreserved tricortical iliac crest allograft had excellent functional outcomes and satisfaction. Cryopreserved allograft may provide low cost and widely available alternative to reconstruct glenoid surface.
	Moroder (2018 AJSM)[@140555]	34 (35 (shoulders)	RS: 94 ± 10 (55-100) WOSI: 295 ±344 (0-1765) SSV: 90% ±15 (20-100) Satisfaction: 33/35 (94.2%) very satisfied, 2/35 (5.7%) satisfied Mean pain score: 0.5 ±1.1 points (0-4)	Redislocation: 1/35 (2.9%) Subluxation: NR Apprehension: 8/35 (2.3%) Revision for instability: 1/35 (2.9%)	Affected vs. unaffected shoulder (N=29): ER1: 62.9 ± 17.5 vs. 66.8 ±1 6.7 (p=0.048) ER2: 76.7 ± 15.7 vs. 82.4 ± 13.6 (p=0.007) IR at 90°: 69.8 ± 17.1 vs. 73.9 ± 14.0 (p=0.026)	Arthropathy^d: 9/35 (25.7%) none, 22/35 (62.9%) mild, 3/35 (8.6%) moderate, 1/35 (2.9%) severe Arthropathy contralateral side: 24/35 (68.6%) none, 8/35 (22.9%) mild, 2/35 (5.7%) moderate, 1/35 (2.9%) severe (p=0.005)	5/35 (14.3%) hypesthesia at iliac crest 2/35 (5.7%) post op hematoma	J-bone graft shows excellent results for stability and function after a mean FU of 18 years. However, the development of instability arthropathy of affected shoulder is not prevented by this procedure.
	Steffen (2013)[@140570]	43	Only reported OSIS	Redislocation: 1/43 (2.3%) Subluxation: 1/43 (2.3%) Apprehension: 3/43 (7.0%) Revision for instability: 1/43 (2.3%)	Affected vs. unaffected shoulder: ER: -4.1 IR: -1 spinal segment (w/ hand behind the back	Arthrosis^d: 19/40 (47.5%) mild, 1/40 (2.5%) moderate; 7/35 (20.0%) arthrosis progressed by 1 grade Screw: 1/40 (2.5%) fatigue fracture Union: 43/43 (100%)	8/43 (18.6%) residual pain 2/43 (4.7%) subscapularis insufficiency	Glenoid rim reconstruction w/ iliac crest graft was equally effective for primary and revision repair. It offered advantage of anatomic reconstruction w/ comparatively good long-term preservation of joint line.
	Auffarth (2011)[@140571]	47	RS (affected vs. unaffected shoulder): 94.3 vs. 96.8 Also reported CS Satisfaction: 47/47 (100%) satisfied	Redislocation: 0/47 (0%) Subluxation: 0/47 (0%) Apprehension: NR Revision for instability: 3/47 (6.4%)	Flexion: -0.85 Abduction: -0.53 Average restriction of ER out of 0 degrees of abduction: 4.36	Arthritis: 19/47 (40.4%) arthritic change; 16/47 (34.0%) mild, 3/47 (6.4%) moderative Arthrosis: 8/47 (22.9%) developed radiographic signs of arthrosis Union: (47/47) 100% Resorption: 0% bone resorption	1/47 graft fracture due to early postoperative trauma Hematoma in 3/47 (6.4%) Subcutaneous wound infections 2/47 (4.2%) Iatrogenic nerve palsy at iliac crest 5/47 (10.6%)	The advantage of the ICBG is it allows anatomical reconstruction of glenoid cavity, does not result in recurrent dislocations w /out repeated trauma, nearly unrestricted ROM post op, minimal post op pain, immobilizaiton for only 3 weeks, long-term arthropathy to only a minor extent, no screw fixation, no evidence of nonunions, and remodeling of the graft.
Tibia	Robinson (2021)[@140576]	12	VAS: change from 4.6 to 1.1 (-3.5) (p=0.003) Also reported DASH, SANE, SST, ASES, and CS	Redislocation: 0/12 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/12 (0%)	FF: 161.4 (135-170) ER: 49.5 (40-65) IR: T12-L1 (T7-L2) vertebral body	Arthritis: 1/12 (8.3%) evidence of early arthritis	None	A lesser tuberosity osteotomy is an effective method for glenoid reconstruction. The functional integrity of the subscapularis is maintained and patient-reported outcomes are positive.
	Provencher (2019)[@140573]	31	WOSI: change from 1300 to 310 (-990) (p=0.001) WOSI (% normal): change from 38.1% ± 11.3 (5-50) to 85.3 ± .3 (70-98) (+47.2%) (p<0.01) ASES and SANE also reported	Redislocation: 0/31 (0.0%) Subluxation: 0/31 (0.0%) Apprehension: 0/31 (0%) Revision for instability: 0/31 (0%)	FF: change from 152 (125-170) to 161 (140-175) (+9) (p<0.01) Abduction: change from 110 (70-160) to 138 (110-160) (+28) (p<0.01) ER1: change from 22.5 (10-50) to 37.6 (25-55) (+15.1) (p<0.01)	Union: 28/31 (90.3%) complete union; 3/31 (9.7%) incomplete union at superior aspect of graft and partial nonunion at glenoid-allograft interface 24/31 (77.5%) some superior graft resorption at periphery	Final FU: None Post op: NR	Majority of failed Latarjet patients had near-complete resorption of coracoid graft and hardware complications. At minimum FU of 36 months, revision for failed Latarjet w/ fresh DTA demonstrated excellent clinical outcomes and near-complete osseous union at glenoid-allograft interface. Fresh DTA augmentation is viable and highly effective revision procedure to treat failed Latarjet.
	Frank (2018)[@140574]	50	WOSI: change from 32.9 ± 13.7 to 89.7 ± 5.5 (+56.8) (p<0.001) VAS: change from 3.1 ± 2.9 to 1.8 ± 2.3 (-1.3) (p<0.05) Also reported ASES, SANE, and SST	Redislocation: 1/50 (2.0%) Subluxation: 0/50 (0.0%) Apprehension: NR Revision for instability: 1/50 (2.0%)	FF: 156.8 ± 27.6 IR at 90°: 53.9 ± 17.8 ER2: 81.5 ± 14.64 Extension: 50.3 ± 23.7 Abduction: 137.6 ± 44.3	NR	1/50 (2.0%) asymptomatic hardware failure 1/50 (2.0%) subscapularis failure; new onset shoulder pain 3.5y 2/50 (4.0%) persistent pain	Distal tibia allograft and Latarjet procedures have similar clinical outcomes and recurrence rates at average FU of nearly four years.
	Provencher (2017)[@140575]	27	WOSI: change from 46% to 11% (-35%) (p=0.003) ASES and SANE also reported	Redislocation: 0/27 (0.0%) Subluxation: NR Apprehension: 0/27 (0.0%) Revision for instability: 0/27 (0.0%)	Affected vs. unaffected shoulder: ER1: 51 vs. 53 (-2) (p=0.83) FF: 177 vs.178 (-1) (p=0.91) Abduction: 86 vs. 90 (-4) (p=0.29)	Among 25 patients: Graft lysis: 3.0% (0.0%-25.0%) Union: 89% (range, 80% to 100%)	1/27 (4.0%) superficial infection	Fresh distal tibia allograft results in clinically stable joint w/ excellent clinical outcomes and minimal graft reabsorption and graft lysis at average FU of 45 months.
Coracoid	Belangero (2021)[@140617]	22 shoulders (Latarjet group)	WOSI: change from 120 to 54 (-66) (p-value NR) ASES and ASORS also reported	Redislocation: 0/22 (0.0%) Subluxation: NR Apprehension: (positive apprehension test: 4/22 (18.2%) Revision for instability: 0/22 (0%)	ER1 (active): change from 62 to 60 (-2) (p-value NR) ER1 (passive): change from 80 to 76 (-4) (p-value NR) Elevation (active): change from 169 to 172 (+3) (p-value NR) Elevation (passive): change from 180 to 177 (-3) (p-value NRP	Graft reabsorption: 1/22 (4.5%)	1/22 (4.5%) screw 2 1/22 (4.5%) axillary nerve palsy	Bristow and Latarjet both produce effective shoulder stabilization, improved function, low rates of complications and recurrence. Latarjet initially gave better ROM but both procedures gave similar results 5 years post-op.
	Belangero (2021)[@140617]	19 shoulders (Bristow group)	WOSI: change from 121 to p 52.6 (-68.4) (p-value NR) ASES and ASORS also reported	Redislocation: 0/19 (0.0%) Subluxation:NR Apprehension (positive apprehension test): 3/19 (15.8%) Revision for instability: 0/22 (0%)	ER1 (active): change from 60.3 to 59 (-1.3) (p-value NR) ER1 (passive): change from 75 to 73 (-2) (p-value NR) Elevation (active): change from 157.7 to 163 (+5.3) (p-value NR) Elevation (passive): change from 170 to 175 (+5) (p-value NR)	Screw: 2/19 (10.5%) malpositioned Graft reabsorption: 1/19 (5.3%)	1/19 (5.3%) screw irritation 1/19 (5.3%) superficial infection
	Chillemi (2021)[@140603]	40	RS: 84.5 (45-100) Rowe result: 28/40 (70.0%) excellent, 3/40 (7.5%) good, 7/40 (17.5%) fair, 2/40 (5.0%) poor WDS: 83.5 (55-100) WDS: 19/40 (47.5%) excellent, 14/40 (35.0%) good, 7/40 (17.5%) fair, 0/40 (0%) poor	Redislocation: 0/40 (0.0%) Subluxation: 2/40 (5.0%) Apprehension (positive apprehension test): 1/40 (2.5%) Revision for instability: 0/40 (0%)	(Affected vs. unaffected shoulder) ER1: 39.4 vs. 57 (-17.6) (p<0.05) ER2: 81.5 vs. 91.6 (+10.1) (p<0.05) Flexion: 170.1 vs. 173.9 (+3.8) (p<0.05) IR: 63.1 vs. 66.3 (+3.2) (p=0.066) Abduction: 166.2 vs. 171.6 (+5.4) (p<0.05)	Graft position: 30/40 (75.0%) flush, 6/40 (15.0%) lateral, 4/40 (10%) medial Graft fracture: 0/40 (0.0%) intra- or -post operative Union: 5/40 (12.5%) non-union/fibrous union Graft resorption: 3/40 (7.5%) partial, 2/40 (5.0%) total Screw: 3/40 (7.5%) breakage Osteoarthritis^d: 21/40 (52.5%) osteoarthritis; 11/40 (27.5%) stage 1, 6/40 (15.0%) stage 2, 4/40 (10.0%) stage 3	0/40 (0%) neurovascular injury 1/40 (2.5%) hematoma	Latarjet is safe and reliable technique to treat recurrent anterior instability w/ good long-term results, although it may lead to slight limitations in ER.
	Marjanovic (2021)[@140616]	139 (140 shoulders)	Among patients w/ complications: RS: 67.0 ASES: 70.3 Among patients w/out complications: RS: 98.3 ASES: 98.8	Redislocation: 3/140 (2.1%) Subluxation: 6/140 (4.3%) Apprehension: 3/140 (2.1%) Revision for instability: 5/140 (3.6%)	NR	Among patients with complications: Osteoarthritis^d: 12/16 (75.0%) Graft position: 11/16 (68.8%) graft malposition Screw: 6/16 (37.5%) irregularity Osteolysis: 1/16 (6.3%)	13/140 (9.3%) persistent pain 10/140 (7.1%) limited range of motion 9/140 (6.4%) recurrent instability 4/140 (2.9%) neurologic injury in immediate postoperative period 3/140 (2.1%) persistent apprehension 3/140 (2.1%) reduced strength 2/140 (1.4%) hematoma in immediate postoperative period 1/140 (0.8%) intraoperative coracoid graft fracture	Latarjet procedure is an effective and safe method for the treatment of recurrent shoulder instability, resulting in good to excellent outcomes in 87.9% of our cases. However, it is related to a higher postop complication rate compared to some other treatment options. Overall, very good results with high level of patient satisfaction have been demonstrated.
	Rai (2021)[@140608]	40	RS: 89.2 ± 16.2 (35-100) ASES: 87.4 ± 10.31 (66-100) Also reported Quick DASH score Satisfaction (functional): 37/40 (92.5%) satisfied, 3/40 (7.5%) dissatisfied Satisfaction (cosmetic): 32/40 (80.0%) satisfied, 8/40 (20.0%) dissatisfied	Redislocation: 0/40 (0.0%) Subluxation: NR Apprehension: 10/40 (25.0%) Revision for instability: 0/40 (0.0%)	ER: 85.88 ± 8.83 (65-90)	NR	2/40 (5.0%) superficial wound infection	Both procedures provided satisfactory clinical outcomes. However, Latarjet had higher rate of functional satisfaction and lower operating cost, and there was a trend toward higher recurrence in arthroscopic Bankart.
	Sinha (2021)[@140646]	49	RS: 96 Rowe results: 44/49 (90%) excellent, 4/49 (8%) good, 1/49 (2%) fair WDS: 88	Redislocation: 1/49 (2.0%) Subluxation: NR Apprehension: NR Revision for instability: NR	ER: 83.6 ± 10.3 IR: 74.1 ± 9.1 FF: 171.2 ± 14.0 Abduction 171.3 ± 11.5	Graft position: 44/49 (89.8%) below the equator, 5/49 (10.2%) level of the equator, 49/49 (100%) the coracoid block was flush w/ the glenoid articular margin w/out overhang Screw: 0/49 (0%) screw related complications	NR	Latarjet results in a restricted ROM of the shoulder, but there is no loss of muscle strength.
	Thon (2021)[@140578]	9 (10 shoulders)	NR	Redislocation: 3/9 (33.3%) Subluxation: NR Apprehension: NR Revision for instability: 2/9 (22.2%)	NR	NR	3/10 (30.0%) screw fracture due to seizure 1/10 (10.0%) screw bending due to seizure	Latarjet is effective in restoring shoulder stability in patients without seizure disorders and in patients with diagnosed seizure disorders who do not currently have seizures. Seizures after Latarjet lead to high rates of redislocation.
	Thon (2021)[@140578]	44	NR	Redislocation: 1/44 (2.3%) Subluxation: NR Apprehension: NR Revision for instability: 1/44 (2.3%)	NR	NR	1/44 (2.3%) post-op axillary nerve palsy
	Ali (2020)[@140610]	15	RS: 78 ± 11 WOSI: 670 ± 372 WOSI %: 21 ± 13 VAS: 2.5 ± 3.3	Redislocation: 1/15 (6.3%) Subluxation: NR Apprehension: (study reported positive apprehension test in 62%) Revision for instability: 1/15 (6.3%)	FF: -17 ± 21 Abduction: -32 ± 24 ER: -16 ± 11 IR: -9 ± 12	Graft resorption: mean 21 ± 23% Osteoarthritis^d: 1/15 (6.3%) mild w/out clinical symptoms Union: 3/15 (20.0%) nonunion Screw: 1/15 (6.3%) fracture	No additional complications besides 1/15 (6.3%) nonunion w/ clinical symptoms	Both open and arthroscopic Latarjet are effective treatments for shoulder instability, w/ similar clinical and radiographic outcomes.
	Cohen (2020)[@140585]	27 shoulders (no or minor resorption)	RS: 88 (45–100)	Redislocation: 0/27 (0%) Subluxation: NR Apprehension: 4/27 (14.8%) Revision for instability: 0/27 (0%)	ER (unspecified): 51° (30–80) IR: T9 (T6-L1) FE: 160° (130–180)	Position: 34/38 (89%) optimal, 3/38 (7.9%) medial, 1/38 (2.6%) lateral Osteolysis: 22/38 (57.8%)	NR	Bone resorption of coracoid graft in at least 50% of patients who underwent Latarjet. Absence of significant preop glenoid bone loss was only risk factor associated w/ severe graft osteolysis, although it did not significantly influence clinical outcome.
	Cohen (2020)[@140585]	11 shoulders (major or total resorption)	RS: 89 (65-100)	Redislocation: 0/11 (0%) Subluxation: NR Apprehension: 0/11 (0%) Revision for instability: 1/11 (0%)	ER (unspecified): 48° (25–70) IR: T10 (T5-L3) FE: 151° (140–160)		NR
	Di Giacomo (2020)[@140650]	344 (358 shoulders)	WOSI: 265 (87.4% of normal) (0-1100) Also reported SANE Based on WOSI and SANE scores: 28/341 (8.2%) shoulders w/out recurrent instability categorized as clinical failures (WOSI score of ≥630 points and/or SANE score of ≤70 points)	Redislocation: 5/344 (1.5%) Subluxation: 12/344 (3.5%) Apprehension: NR Revision for instability: NR	NR	Osteolysis: 57.6% for patients w/out recurrent instability and 52.2% for patients w/ instability	To minimize bias, patients who experienced notable intraoperative complications were excluded from analysis	Outcomes at mean >6 years following primary Latarjet were very good, w/ overall recurrence rate of 4.7%. Additional 8.2% defined as clinical failures. Patients w/ atraumatic mechanism of primary dislocation, bilateral instability, and female sex were at a greater risk of recurrence or clinical failure. Although additional work is necessary, patients w/ capsuloligamentous laxity, relatively atraumatic instability history, bilateral instability, and female sex may be preoperatively identified as having a higher risk of treatment failure after primary Latarjet.
	Domos (2020)[@140581]	45	RS: median 95 (25-100) VAS: median 1 (1-4) WDS: median 85 (25-100) SSV: median 95% (55-100) Also reported CMS 98% were satisfied Return to sport: 40/45 (89%) played sports pre op; post op 30/40 (75.0%) played same level, 4/40 (10.0%) lower level, 6/40 (15.0%) changed sport	Redislocation: 2/45 (4.4%) Subluxation: 0/45 (0.0%) Apprehension: 11/45 (24.4%) Revision for instability: 0/45 (0.0%)	ER1 (active): change from 65 (20-95) to 60 (30-90) (-5) (p=0.660) FE (active): change from 170 (90-180) to 175 (150-180) (+5) (p=0.05)	Osteoarthritis^d: 4/45 (8.9%), all grade I changes	9/45 (20.0%) mild postoperative pain 1/45 (2.2%) persistent stiffness. 2/45 (4.4%) wound problems 1/45 (2.2%) infection Overall reoperation rate 11.1% 4/45 (8.9%) arthroscopic screw removal for persistent pain	Latarjet provides low rate of recurrent instability w/ acceptable complication rates in long term for skeletally immature patients. It is effective and safe w/out any significant glenoid growth disturbance.
	Elamo (2020)[@140595]	15	SSV: 9.0 WOSI (% normal): 245 (11.7%)	Redislocation: 0/15 (0.0%) Subluxation: NR Apprehension: NR Revision for instability: 0/15 (0.0%)	NR	Osteoarthritis^d: 6/15 (40.0%)	NR	Latarjet provides better results than arthroscopic Bankart as a revision procedure following failed arthroscopic Bankart.
	Maman (2020)[@140652]	27	SSV: 81.5% (40-100) Pain level: 1.3 Also reported ASES and Short form health Survey Satisfaction: 8.4 of 10; 17/27 (63.0%) rated satisfaction ≥8 (out of 10), 3/27 (11.1%) rated ≤5 (out of 10)	Redislocation: 1/27 (3.7%) Subluxation: 4/27 (14.8%) Apprehension: 17/27 (63.0%) Revision for instability: 0/27 (0.0%)	NR	NR	1/27 (3.7%) unspecified minor complication	Latarjet has favorable clinical outcomes compared to Bankart repair as a primary option for shoulder instability.
	Rossi (2020)[@140618]	66 classic Latarjet	RS: change from 42.3 ± 9.8 to 94.9 ± 5.7 (+52.6) (p-value NR) VAS: change from 3.2 ± 0.7 to 0.7 ± 0.6 (–2.4) (p-value NR) Return to sport: 59/66 (89.4), 54/59 (91.5) same level	Redislocation: 1/66 (1.5%) Subluxation: 1/66 (1.5%) Apprehension: NR Revision for instability: 1/66 (1.5%)	FF: change from 169.5 ± 2.9 to 169.3 ± 3.2 (–0.1) (p-value NS) ER1: change from 65.2 ± 2.4 to 64.9 ± 2.9 (-0.29) (p-value NS)	Glenohumeral arthritis^d: 6/66 (9.1%) mild, 3/66 (4.5%) moderate, 0/66 (0%) severe Union: 5/66 (7.5%) non-union	1/66 (1.5%) pain 1/66 (1.5%) superficial infection 1/66 (1.5%) musculocutaneous nerve neuropraxia 1/66 (1.5%) wound dehiscence	In athletes, Latarjet produced excellent functional outcomes. Most athletes returned to sports at preinjury level, and rate of recurrence was very low, regardless of whether patients received classic or congruent arc technique.
	Rossi (2020)[@140618]	79 congruent arc Latarjet	RS: change from 43.2 ± 10 to 95.4 ± 5.3 (+52.2) (p-value NR) VAS: change from 3.2 ± 0.6 to 0.8 ± 0.6 (–2.4) (p-value NR) Return to sport: 71/79 (89.9), 64/71 (90.1) same level	Redislocation: 2/79 (2.5%) Subluxation: 1/79 (1.3%) Apprehension: NR Revision for instability: 3/79 (3.8%)	FF: change from 169.6 ± 3.1 to 169.3 ± 3.3 (–0.25) (p-value NS) ER1: change from 65.3 ± 2.3 to 64.8 ± 2.5 (–0.44) (p-value NS)	Glenohumeral arthritis^d: 8/79 (10.1%) mild, 4/79 (5.1%) moderate, 0/79 (0%) severe Union: 6/79 (7.6%) non-union	1/79 (1.3%) intra-articular screw (revision) 1/79 (1.3%) septic arthritis 1/79 (1.3%) musculocutaneous nerve neuropraxia
	Werthel (2020)[@140591]	216 (primary)	VAS: 1.2 ± 1.7 WDS: 72.2 ± 25.0 Also report SST Return to sport: 181/216 (83.8%) same level, same sport	Recurrent instability (unspecified): 5/216 (2.3%) Apprehension: NR Revision for instability: 2/216 (0.9%)	NR	NR	8/216 (3.7%) hardware removal 3/216 (1.4%) arthrolysis 1/216 (0.5%) hematoma	Latarjet is effective in restoring shoulder stability as both a primary procedure and after failed arthroscopic Bankart repair. However, patients w/ prior Bankart repair have worse functional scores and more persistent pain. Thus, Latarjet should be considered for primary repair.
	Werthel (2020)[@140591]	20 (revision)	VAS: 2.6 ± 2.7 WDS: 52.0 ± 25.1 Also report SST Return to sport: 12/20 (60.0%) same level, same sport	Recurrent instability (unspecified): 1/20 (5.0%) Apprehension: NR Revision for instability: 0/20 (0%)	NR	NR	None reported
	Yapp (2020)[@140593]	145 (primary)	WOSI: 339 (IQR=53.0, 0-2003) Also report WOSI physical, sports and recreation, lifestyle, emotions, pain over head, pain at rest, weakness/fatigue, instability/apprehension and DASH	Redislocation: 2/145 (1.4%) Subluxation: NR Apprehension: NR Revision for instability: 1/145 (0.7%)	NR	Union: 60/60 (100%)	1/145 (0.7%) removal of metalwork 1/145 (0.7%) arthrolysis 1/145 (0.7%) wound washout 1/145 (0.7%) excision of scar 1/145 (0.7%) removal of loose body 2/145 (1.4%) superficial infection	Latarjet successfully prevents recurrence and restores shoulder function close to normal.
	Yapp (2020)[@140593]	60 (revision)	WOSI: 390 (63.6, 0–1237) Also report WOSI physical, sports and recreation, lifestyle, emotions, pain over head, pain at rest, weakness/fatigue, instability/apprehension and DASH	Redislocation: 0/60 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/60 (0%)	NR	Union: 1/145 (0.7%) non-union	1/60 (1.7%) RCT repair 2/60 (3.3%) superficial infection
	De Carli (2019)[@140657]	40	RS: 95.6 WOSI: 111 Also reported UCLA Return to sport: 29/40 patients (72.5%) same sports activity at same level, 7/40 (17.5%) changed sports activity, 4/10 (10%) gave up sports activity	Redislocation: 0/40 (0.0%) Subluxation: 0/40 (0.0%) Apprehension:2/40 (5.0%) Revision for instability: 0/40 (0.0%)	Abduction: 40/40 (100%) recovery of abduction complete Flexion: 40/40 (100%) recovery of flexion complete ER (position unspecified): change from 3 to 12 (-4.1) (p-value NR)	Images only	NR	Open capsuloplasty and Bristow-Latarjet are both validated surgical techniques for treatment of recurrent shoulder anterior instability. We found no statistical difference in recurrent dislocations, clinical shoulder stability tests, scoring scales, and return to sport. However, open capsuloplasty reported significantly lower recovery of ER than Latarjet.
	Ernstbrunner (2019)[@140582]	40	WDS: 89 ±12 SSV: Change from 60% ± 20 to 91% ±13 (+31%) (p<0.001) Also reported CS, absolute, relative and pain. Satisfaction: 36/40 (90%) excellent, 3/40 (7.5%) good, 0/40 fair, 0/40 unsatisfactory	Redislocation: 0/40 (0%) Subluxation: 3/40 (7.5%) Apprehension: 5/40 (12.5%) Revision for instability: 0/39 (0%)	ER: change from 54 ± 19 to 35 ± 15 (-19) (p<0.001) Abduction: change from 153 ± 34 to 155 ± 22 (+2) (p=0.518)	Arthropathy^d: 14/38 (36.8%) severe (grade 3 or 4) radiographic signs of dislocation arthropathy at final FU; 17/38 (44.7%) dislocation arthropathy had progressed by ≥2 grades Union: 3/38 (7.9%) nonunion Screw: 2/38 (5.2%) loosening Axial graft positioning: 10/38 (26.3%) lateral, 10/38 (26.3%) medial Graft resorption: 15/38 (39.4%) minor, 6/38 (15.8%) major, 4/38 (10.5%) total	7/40 (17.5%) had complications 5/40 (12.5%) persistent pain 1/40 (2.5%) screw loosening 1/40 (2.5%) graft dislocation	Latarjet in patients ≥40 years reliably restores stability and leads to high patient satisfaction, but also substantial rate of advanced, but clinically mild, symptomatic dislocation arthropathy, which is associated w/ degree of pr eop joint degeneration, older age at surgery, and lateral graft placement.
	Flinkkilä (2019)[@140592]	47 (primary group)	SSV: 88 ±13 WOSI: 85 ±15	Redislocation: 0/47 (0.0%) Subluxation/Apprehension: 4/47 (8.5%) Revision for instability: 0/47 (0.0%)	NR	NR	None	Previous failed arthroscopic Bankart was significant independent risk factor for inferior outcome. Pre-op bony pathology did not explain worse outcome for revision vs. primary Latarjet.
	Flinkkilä (2019)[@140592]	52 (revision group)	SSV: 80 ±18 WOSI: 76 ±22	Redislocation: 0/52 (0.0%) Subluxation/Apprehension: 13/52 (25.0%) Revision for instability: 0/52 (0.0%)	NR	NR	1/52 (1.9%) revision due to pain
	Minkus (2019)[@140597]	29	RS: change from 27 (5–50) to 91 (70–100) (+64) (p<0.05) SSV: Change from 41% (20–65) to 82% (40–100) (p<0.05) WDS: Change from 16 (5–30) to 89 (55–100) (p<0.05) WOSI: Change from 40% (6–76) to 76% (40–99) (+36%) (p<0.05) Also reported CS	Recurrent instability (unspecified): 3/29 (10.3%) Subluxation: 1/29 (3.4%) Apprehension: NR Revision for instability: 1/29 (3.4%)	ER: 65 (50–85) Flexion: 177 (160–180) Abduction: 175 (140–180) IR in 90° abduction: 76 (60–90)	Graft position: 23/29 (79.3%) optimal position of graft, 4/29 (13.8%) medial position in relation to glenoid rim, 2/29 (6.9%) lateral position Union: 1/29 (3.4%) non-union Screws: 1/29 (3.4%) posterior overhang of screws w/ irritation of infraspinatus muscle and suprascapularis nerve Osteoarthritis^d: 10/29 (34.4%) osteoarthritis I° and 2 II° (the osteoarthritis preexisted pre op in 8/29 cases)	5/29 (17.2%) persistent pain (all had arthroscopic implant removal) 1/29 (3.4%) low grade infection	Open coracoid transfer as revision after failed soft tissue stabilization leads to satisfying clinical results. However, complication rate is high, though comparable to primary surgery. Indication for coracoid transfer should be judged carefully, possible alternatives considered.
	Moroder (2019)[@140568]	25	RS: change from 56.5 ± 9.5 to 88.5 ± 10.0 (24-mo) (+32) (p-value NR) WOSI: change from 958.5 ± 356.5 to 234.0 ± 233.5 (-724.5) (p-value NR)	Redislocation: 0/25 (0%) Subluxation: 1/25 (4.0%) Apprehension: 2/25 (8.0%) Revision for instability: 0/25 (0%)	ER (unspecified): change from from 66.0 ± 16.5 to 64.5 ± 14.5 (24-mo) (-1.5) (p-value NR) Abduction: change from 168.5 ± 20.0 to 178.0 ± 4.5 (-9.5) (p-value NR)	Union: 1/25 (3.3%) nonunion of the graft (w/o clinical consequences)	1/25 (3.3%) screw irritation (requiring revision surgery) 1/25 (3/3%) postop hematoma (w/o the need for surgical revision) 4/25 (16.0%) scapular dyskinesis	No difference in Latarjet and ICBGT in clinical/radiologic outcomes, except for significantly better IR w/ ICBGT. Both procedures had complications, w/ donor-site sensory disturbances frequent w/ ICBGT.
	Xu (2019)[@140661]	52	RS: 96.2 ± 2.10 Rowe results: 28/52 (53.8%) excellent, 20/52 (38.5%) good, 2/52 (3.8%) fair, 2/20 (3.8%) poor SSV: 50% (30–100) ASES: 91.5 ± 2.4 Also reported UCLA Satisfaction: 48/52 (92.3%) very satisfied	Redislocation: 0/52 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/52 (0%)	NR	NR	2/52 (3.8%) hematoma	Arthroscopic Bankart repair has advantage of mini-invasion and rapid recovery. Capsular shift offers stabilizing of inferior or multidirectional type, especially for little bone defect. Latarjet was more effective in reducing recurrence with higher stability.
	Bah (2018)[@140586]	43	RS: change from 42.5 ± 8.1 to 92.8 ± 11.3 (+50.3) (p< 0.001) VAS: change from 6.01 ± 0.3 to 2.8 ± 1.1 (-3.21) (p<0.001) WDS: change from 37.2 ± 9.8 to 93.6 ± 13.8 (+56.4) (p<0.001) SSV: change from 26.6 ± 7.4 to 89.5 ± 6.3 (+62.9) (p<0.001) Residual pain: change from 24/43 (55.8%) to 4/43 (9.3%) (-20, 46.5%) (p<0.001)	Recurrent instability (unspecified): 5/43 (11.6%) Apprehension: positive Fowler’s test, 6/43 (14.0%) Revision for instability: 1/43 (2.3%)	Anterior elevation (active): change from 155.6 ± 8.2 to 163.1 ± 17.3 (+7.5) (p=0.18) ER1: change from 60.2 ± 15.6 to 56.5 ± 13.7 (-3.7) (p=0.26) ER2: change from 72.5 ± 10.3 to 72.2 ± 14.6 (-0.3) (p=0.03) IR, hand to back: change from 8.4 ± 0.8 to 8.3 ± 0.8 (-0.1) (p=0.68) IR, in abduction: change from 64.5 ± 16.2 to 61.5 ± 10.8 (-3.0) (p=0.56)	NR	1/43 (2.3%) vascular necrosis of the coracoid bone block 0/43 (0%) infection 0/43 (0%) hematoma 0/43 (0%) neurological complications	Latarjet is comparable to Bankart repair in terms of safety and stability and also less likely to lead to residual pain or loss of ER.
	Baverel (2018)[@140663]	57 (professional athletes)	RS: change from 56.3 ± 13.2 (30-80) to 84.2 ± 16.4 (30-100) (+27.9 ± 21.7) (p-value NR) WOSI: change from 1043 ± 444.9 (270-2090) to 196.4 ±202.5 (0-960) (-846.6) (p-value NR) VAS: change from 0.8 ± 1.4 (0-4) to 0.7 ±0.8 (0-3) (-0.1) (p-value NR) SSV: change from 52.5 ± 8.9 (30-70) to 91.5 ± 8.3 (70-100) (+39.1 ± 10.0) (p-value NR) Also report WOSI A, B, C, D and SPORTS A Satisfaction: 55/57 (97%) excellent or good Return to sport: 45/57 (78.9%) same level, 12/57 (21.1%) lower level	Redislocation: 2/57 (3.5%) Subluxation: 0/49 (0%) Apprehension (persistent apprehension test): 7/57 (12.3%) Revision for instability: 2/57 (3.5%)	NR	Osteolysis:1/57 (1.8%) complete of upper part of graft	0/57 (0.0%) acute complications 0/57 (0.0%) nerve injury 1/57 (1.8%) subscapularis impingement	Latarjet is effective for primary shoulder stabilization in athletes, especially professional athletes.
	Baverel (2018)[@140663]	49 (recreational athletes)	RS: change from 55.0 ± 11.0 (35-80) to 69.5 ± 22.0 (15-100) (+14.5 ± 24.4) (p-value NR) WOSI: change from 1153 ± 500.1 (240-2100) to 357.7 (12-1930) ( -795.0) (p-value NR) VAS: change from 1.8 ± 1.8 (0-6) to 1.1 ± 1.5 (0-8) (-0.7) (p-value NR) SSV: change from 47.1 ± 9.3 (30-65) to 86.1 ± 15.7 (2-100) (+39.0 ± 14.4) (p-value NR) Also report WOSI A, B, C, D and SPORTS Satisfaction: 46/49 (94%) excellent or good Return to sport: 21/49 (42.9%) same level, 13/49 (26.5%) lower level, 11/49 (22.4%) change sport activity, 4/49 (8.2%) stop sport activity	Redislocation: 1/49 (2.0%) Subluxation: 0/49 (0%) Apprehension (persistent apprehension test): 5/49 (10.2%) Revision for instability: 0/49 (0.0%)	NR	Osteolysis: 2/49 (4.1%) complete of upper part of graft Graft fracture: 1/49 (2.0%) Union: 1/49 (2.0%) non-union	0/49 (0.0%) acute complications 0/49 (0.0%) nerve injury 2/49 (4.1%) subscapularis impingement
	de l’Escalopier (2018)[@140580]	20	RS: 91.8 ± 9.9 SSV: 89.2 ± 9.7 Return to sport: 100%	Redislocation: 0/20 (0%) Subluxation: NR Apprehension: NR Revision for instability: NR	NR	Osteoarthritis^d: 3/20 (15%) level 1 or 2	NR	Latarjet is a safe, reliable treatment for anterior shoulder instability and provides good long-term outcomes. It should be considered in soldiers w/ shoulder instability.
	Frank (2018)[@140574]	50	WOSI: change from 32.9 ± 13.7 to 89.69 ± 5.50 (+56.8) (p<0.001) VAS: change from 3.1 ± 2.9 to 1.83 ± 2.31 (-1.3) (p<0.05) Also reported ASES, SANE, and SST	Redislocation: 0/50 (0.0%) Subluxation: 0/50 (0.0%) Apprehension: NR Revision for instability: 0/50 (0.0%)	FF: 156.8 ± 27.6 IR at 90°: 53.9 ± 7.8 ER2: 81.5 ± 14.6 Extension: 50.25 ± 23.7 Abduction: 137.57 ± 44.3	NR	1/50 (2.0%) asymptomatic hardware failure 1/50 (2.0%) subscapularis failure; new onset shoulder pain 3.5y 2/50 (4.0%) persistent pain	Distal tibia allograft and Latarjet procedures have similar clinical outcomes and recurrence rates at average FU of nearly four years.
	Jeon (2018)[@140613]	31	RS: change from 41.0 ± 17.9 to 91.1 ± 16.1 (+ 50.1) (p<0.001) VAS at rest: change from 0.4 ± 0.6 to 0.2 ± 0.5 (-0.2) (p=0.206) VAS with motion: change from 1.8 ± 0.8 to 0.7 ± 0.7 (-1.1) (p<0.001) Also reported UCLA Return to sport: 6/31 (19.4%) at same level, 16/31 (51.6%) at lower level, 8/31 (25.8%) changed sports, 1/31 (3.2%) not participating in sports	Recurrent instability (unspecified): 2/31 (6.5%) Apprehension: NR Revision for instability: 0/31 (0.0%)	FF: change from 166.6 ± 7.3 to 162.9 ± 6.2 (-3.7) (p=0.043) ER1: change from 65.2 ± 11.5 to 57.9 ± 9.7 (-7.3) (p=0.033) ER2: change from 79.2 ± 8.3 to 68.9 ± 7.3 (-10.3) (p<0.001) IR to the posterior: change from T7.1 ± T2.7 to T8.0 ± T2.3 (+T0.9) (p=0.140)	NR	0/31 (0%) infection 0/31 (0%) hematoma 0/31 (0%) hardware-related complications	Latarjet led to satisfactory clinical outcomes and pain improvement. Latarjet had a lower recurrence rate and less ER limitation than Bankart repair.
	Kawasaki (2018)[@140589]	152 (176 shoulders)	RS: change from 40.2 (37.6-42.8) to 87.7 (85.5-89.9) (+47.2) (p<0.01) Also reported RS stability, ROM, function WOSI (max 2100): change from 1155.9 (1092.2-1219.7) to 534.3 (473.4-595.3) (-621.6) (p<0.01) Also reported WOSI, physical symptoms, sports/recreation/work, lifestyle, emotions Return to sport: (167/176) 93.2% preinjury competition level	Redislocation: 0/176 (0%) Subluxations: 6/176 shoulders (3.4%) Apprehension: NR Revision for instability: 4/152 (2.6%)	NR	Union: 19/176 (10.8%) nonunion	3/176 (1.7%) surgical site infections 3/176 (1.7%) severe contracture 4/176 (2.3%) coracoid detachment 1/176 (0.6%) axillary nerve palsy	This study indicates Bristow provides good outcomes for competitive collision athletes, while number of dislocations and subluxations before surgery, postsurgical reinjury, and pre op large bone defects of the glenoid negatively affect post op function of affected shoulder. This information may be important for strategic treatment of shoulder dislocations in collision athletes.
	Kee (2018)[@140669]	27 non-collision athletes	RS: change from 53.8 ± 16.6 to 90.4 ± 7.2 (+36.6) (p<0.001) VAS (motion): change from 3.2 ± 1.6 to 1.3 ± 0.9 (-1.0) (p<0.001) Also reported UCLA and ISIS Return to sport: 10/27 (37.0%) same sport at same level, 16/27 (59.3%) lower level, 1/27 changed sport	Redislocation: NR Subluxation: NR Apprehension: NR Revision for instability: NR	Among all (n=56): ER1 (affected vs. unaffected shoulder): 6.8 ± 4.5 vs.11.3 ± 5.7 (-4.5) (p<0.001) Non-collision group only: FF: 156 ± 15 ER1: 46 ± 15 IR, posterior: T9 ± 4.1	Among all (n=56): Graft position: 52/56 (92.9% bone block flush w/ glenoid joint line, 4/56 (7.1%) overhanging Union: 1/52 (1.9%) fibrous union	NR	Clinical outcomes were not significantly different between collision and non-collision athletes, level of return to sports was significantly higher in non-collision group than in collision group. Result suggests that level of physical demand according to sport type is important prognostic factor which predicts return to sport after Lartarjet in athletes.
	Kee (2018)[@140669]	29 collision athletes	RS: change from 48.4 ± 8.5 to 86.9 ± 9.2 (+38.5) (p<0.001) VAS (motion): change from 3.5 ± 2.1 to 1.4 ± 1.3 (-2.1) (p<0.001) Also reported UCLA and ISIS Return to sport: 3/29 (10.3%) same level, 21/29 (72.4%) lower level, 5/29 (17.2%) changed sport	Redislocation: 1/29 (3.4%) Subluxation: 2/29 (6.8%) Apprehension: NR Revision for instability: NR	Collision group only: FF: 158 ± 25 ER1: 48 ± 16 IR, posterior: T9 ± 4.1		NR
	Lateur (2018)[@140604]	32 (40 shoulders)	Affected vs. unaffected arm: SSV: change from 96.9% (median, 100) to 100 (median, 100) (+3.13) (p= 0.49) WOSI: change from 42.44 to 0 (-42.44) (p=0.13) VAS, at rest: change from 0 to 0 (no change) (p=1.0) VAS with activity: change from 0.65 to 0 (-0.65) (p= 0.2) Also reported ASES and CS	Redislocation: 0/32 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/32 (0%)	Affected vs. unaffected arm: Abduction: 178.9 (median, 180) vs. 179.5 (median, 180) (-0.6) (p= 0.53) ER1: 70.3 (median, 70) vs. 77.8 (median, 80) (-7.5) (p=0.03) ER2: 81.4 (median, 85) vs. 83.1 (median, 80) (-1.7) (p= 0.47)	Union: 29/32 (90.6%) Graft position: 2/32 (6.3%) medial, 24/32 (75.0%) flush, 6/32 (18.8%) lateral Osteoarthritis^d: 2/32 (6.3%) Samilson 1 Lysis: 1/32 (3.1%) < 1/3, 1/32 (3.1%) =1/3	4/40 (10.0%) overall complication rate 1/40 (2.5%) bone block impinging on humeral head 1/40 (2.5%) unreconstructable intraoperative fracture of the bone block 2/40 (5.0%) pseudoarthrosis w/ evidence of metalware backing out	Treatment of recurrent anterior shoulder instability by mini-invasive Latarjet gives excellent medium-term functional results. Rate of recurrent dislocation in this series was zero and IR power was well preserved. This is an excellent alternative to arthroscopic procedures which are yet to demonstrate their superiority over open surgery.
	Moroder (2018 JSES)[@140583]	25	Excluding 8/25 patients who received revision surgery. RS: 77 ± 20 (30-100) Rowe results: 5/17 (29.4%) excellent, 6/17 (35.3%) good, 5/17 (29.4%) fair, 1/17 (5.9%) poor WOSI: 556 ± 298 (210-1150) VAS: 1.4 ± 2.3 (0-6) Also reported CS, SVV, and ASES Among all 25/25 patients: Satisfaction: 15/25 (60.0%) very satisfied, 4/25 (16.0%) satisfied, 3/25 (12.0%) rather satisfied, 2/25 (8.0%) rather unsatisfied, and 1/25 (4.0%) unsatisfied	Recurrent instability (unspecified): 1/25 (4.0%) Apprehension: NR Revision for instability: 9/25 (36.0%)	Affected vs. unaffected arm: Flexion: 126 ± 31 vs. 148 ±20 (-22) (p=0.04) Abduction: 124 ± 31 vs.147 ±24 (-23) (p=0.03)	Arthropathy^d: Pre op collective instability arthropathy score of 0.7 increased to 2.0 (p<0.001) at FU Resorption of bone block: 1/25 (4.0%) grade 0, 8/25 (3.0%%) grade 1, 5/25 (20.0%) grade 2, 2/25 (2.0%) grade 3 Union: 1/25 (4.0%) nonunion	5/25 (20.0%) screw breakage or bone block fracture w/out major traumatic event 2/25 (8.0%) relative screw protrusion into joint due to bone block resorption 1/25 (4.0%) severe pain due to hardware irritation of subscapularis tendon 2/25 (8.0%) severe hardware-related complications	Coracoid transfer represents joint preserving option for patients >40 years w/ glenoid bone defects and/or irreparable, yet functionally compensated, RCT. However, bone graft– and hardware-related complications/revisions more frequent than w/ younger patients. Pre-existing degenerative joint changes in terms of cuff arthropathy associated w/ higher revision rate.
	Privitera (2018)[@140619]	73	WOSI: 557 ± 504 (0-2,016; median, 412) VAS: 1.3 ± 2.1 (median: 0; 0-10) Also reported ASES Return to sport: 36/73 (49.3%) original sport at preinjury level, 10/73 (13.7%) original sport at decreased level, 9/73 (12.3%) changed sports but remained at same level, 18/73 (24.7%) reduced level, changed sport, or stopped participating	Redislocation: 6/73 (8.2%) Subluxation: NR Apprehension: 10/73 (13.7%) Revision for instability: 0/73 (0%)	NR	46/73 had CT available Average percent bone loss 10.6% ± 6.0% (1.6%- 30.3%)	1/73 (1.4%) biceps tenosynovitis 1/73 (1.4%) painful screws 1/73 (1.4%) impingement 1/73 (1.4%) paresthesia in the arm while performing overhead activities	Latarjet in high-risk contact or collision athletes is variable. Patients w/ fewer prior stabilization surgical procedures more likely to successfully return to original sport.
	Ranalletta (2018 JARS)[@140598]	65	RS: change from 37.5 ± 4 to 90 ± 7, (+53) (p<0.001) VAS: change from 3.4 ± 1 to 1.4 ± 1 (-2.0) (p<0.001) Also report ASOSS Return to sport: 62/65 95.4% same sport same level, 3/65 (4.6%) changed sport bc of anxiety of dislocation	Redislocation: 0/65 Subluxation: 0/65 Apprehension: NR Revision for instability: 0/65	FF: change from 170 ± 8 to 175 ± 12 (+5) (p-value NS) ER2: change from 65 ± 6 to 66 ± 8 (+1) (p-value NS) IR in adduction: change from T5 to T6	Union: 60/65 (92.3%) union, 5/65 (7.6%) non-union Graft position (In axial view): 61/65 (93.8%) positioned within target range, 3/65 (4.5%) lateralized, 1/65 (1.5%) medialized Osteoarthritis^d: 6/65 (9.2%) mild (stage 1), 2/65 (3.1%) moderate	1/65 (1.5%) graft fragmented 1/65 (1.5%) pain from intra-articular screw with graft consolidated 1/65 (1.5%) septic arthritis. 1/65 (1.5%) superficial wound infection	Modified Latarjet w/out capsulolabral repair for athletes w/ previous failed operative stabilization produced excellent functional outcomes w/ 95% returning to sport at same level w/out recurrences.
	Ranalletta (2018 AJSM)[@140559]	49	RS: change from 39.5 ± 6 to 94 ± 5 (+54.5) (p=0.01) VAS: change from 3.6 ± 1 to 1.2 ± 1 (-2.4) (p=0.01) Also report ASOSS Return to sport: 49/49 (100.0%), 45/49 (91.8%) return to rugby at pre-injury level	Redislocation: 0/49 (0.0%) Subluxation: 0/49 (0.0%) Apprehension: 1/49 (2.0%) Revision for instability: 0/49 (0.0%)	FF: change from 170 ± 8 to 172 ± 12 (+2) (p-value NS) ER2: change from 66 ± 7 to 62 ± 8 (-4) (p-value NS) IR in adduction: change from T6 to T7	Union: 43/49 (88%) union, 5/49 (10.2%) non-union Graft position^d: 43/49 (87.8%) positioned w/in target range (–5 to 13 mm), 4/49 (8.2%) lateralized, 2/49 (4.1%) medialized Osteoarthritis^d: preop, 4/49 (8.2%) had mild (stage 1) glenohumeral osteoarthritis; final FU, l 7/49 (34.7%) mild (stage 1), 42/49 (85.7%) none (stage 0), 0/49 (0.0%) moderate or severe	1/49 (2.0%) referred pain in ER2 from intra-articular screw w/ graft consolidated 1/49 (2.0%) fractured graft 5/49 (8.2%) no evidence of bone bridge between graft and glenoid	In rugby players w/ recurrent anterior shoulder instability and significant glenoid bone loss, Latarjet procedure without capsulolabral repair produced excellent functional outcomes, w/ most athletes returning to rugby at preinjury level of play w/out recurrences.
	Rossi (2018)[@140674]	100 (primary and revision patients)	RS: change from 43.8 ± 1 to 96.1 ±5 (+52.3) (p<0.001) VAS: change from 3.3 ± 1 to 1.2 ± 1 (-2.1) (p<0.001) Also report ASOSS Return to sport: 96/100 (96.0%) returned, 91/100 (91.0%) at the same level	Redislocation: 0/100 (0.0%) Subluxation: 0/100 (0.0%) Apprehension: NR Revision for instability: 0/100 (0.0%)	FF: change from 169.3 ±3 to 169.2 ± 3 (-0.1) (p-value NS) ER2: change from 66.4 ± 2 to 64.1 ± 3 (-0.3) (p-value NS) IR in adduction: change from T5/T6 to T5/T6	Union: 91/100 (91.0%) union, 8/100 (8.0%) non-union Position: (In the axial view), 91/100 (91.0%) within target range (–5 to +3 mm), 5/100 (5.0%) lateralized, 3/100 (3.0%) medialized Osteoarthritis^d: 11/100 (11.0%) mild (stage 1), 4/100 (4.0%) moderate, 0/100 (0.0%) severe	13/100 (13.0%) complications 1/100 (1.0%) graft fragmented 1/100 (1.0%) pain from loose screw 1/100 (1.0%) symptomatic intra-articular screw 2/100 (2.0%) postoperative infections: 1/2 septic arthritis	In competitive athletes w/ recurrent anterior glenohumeral instability, modified Latarjet produced excellent functional outcomes w/ most athletes returning to sport at same level and w/out recurrence, regardless of whether surgery was primary or revision.
	Yang (2018)[@140605]	91	WOSI: 352 ± 286 VAS pain: 1.6 ± 1.9 Also report SANE	Redislocation: 3/91 (3.3%) Subluxation: 2/91 (2.2%) Apprehension: NR Revision for instability: 2/91 (2.2%)	ER1: 46.1 ± 19.9 ER2: 60.3 ± 13.8 IR in abduction: 53.2 ± 22 FF: 161 ±15.7	Union: 1/91(1.1%) malunion, 1/91 (1.1%) nonunion	4/91 (4.4%) deep wound infections 3/91 (3.3%) painful or loose hardware	For off-track Hill-Sachs lesions w/ subcritical glenoid bone loss, both remplissage and modified Latarjet can achieve satisfactory clinical results in general population w/ higher complication rates w/ Latarjet. Latarjet may be better for patients w/ previous instability surgery, collision and contact athletes, and those w/ >10% glenoid bone loss.
		39 (revision patient)	WOSI: 494 ± 360 VAS: 2.2 ± 1.3	Recurrent instability (unspecified): 4/39 (10.3%) Redislocation: NR Subluxation: NR Apprehension: NR Revision for instability: 4/39 (10.3%)	NR	NR	11/39 (28.2%) complications (unspecified)	In revision patients, remplissage led to higher VAS pain, recurrence rate, and revision rate than Latarjet
		33 (patients w/ >15% glenoid bone loss)	WOSI: 407 ± 105 VAS: 1.4 ± 1.2	Recurrent instability (unspecified): 2/33 (6.1%) Redislocation: NR Subluxation: NR Apprehension: NR Revision for instability: 1/33 (3.0%)	NR	NR	4/33 (12.1%) complications (unspecified)	Patients w/ 0.15% glenoid bone loss had significantly higher recurrence and revision rates with remplissage
		24 (collision and contact athletes)	WOSI: 138 ± 111 VAS: 0.85 ± 0.61	Redislocation: 0/24 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/24 (0%)	NR	NR	0/24 (0.0%) complications	In collision/contact athletes, recurrence rate and WOSI are higher w/ remplissage compared to Latarjet
	Cautiero (2017)[@140558]	25 (26 shoulders)	RS: 94.7 Also reported Quick-Dash Return to sport: n not specified (100%) (all patients involved in sport activities returned, and level of sport according to patients is satisfactory)	Redislocation: 0/48 (0%) Subluxation: NR Apprehension: NR Revision for instability: NR	ER1: limitation of 13 (5-20) ER2: limitation of 12 (5-26) IR: L2-L3 Anterior flexion: 18 (10-25)	Union: 19/22 (86.4%) complete, 3/22 (13.6%) incomplete	NR	CT scan is appropriate to study position and healing of coracoid graft. Correct placement choice for graft together with a wide bone contact and stable synthesis did not cause degenerative changes after 6 years.
	Elganainy (2017)[@140641]	23	RS: change from 45.4 to 91.5 (+46.1) (p value <0.001) Rowe result: 17/23 (73.9%) excellent, 5/23 (21.7%) good, 2/23 (8.7%) fair Return to sport: 7/23 (30.4%) returned to previous sports	Redislocation: 0/23 (0.0%) Subluxation: 0/0 (0.0%) Apprehension: NR Revision for instability: 0/23 (0.0%)	FE: change from 169 ± 6.8 (160-180) to 172 ± 5.9 (160-180) (+3) (p-value NR) ER1: change from 71.3 ± 8.5 (50- 80) to 63.9 ± 6.9 (48-75) (-7.4) (p-value NR)	Union: 1/23 (4.3%) fibrous union Placement: 2/23 (8.7%) lateral w/ mild overhanging Arthrosis: 0/23 (0.0%) glenohumeral arthrosis	1/23 (4.3%) superficial infection	Latarjet provides reliable and effective stabilization w/ significant bone loss and engaging Hill-Sachs lesion.
	Erşen (2017 OTSR)[@140577]	9 (11 shoulders) (w/ epilepsy)	RS: change from 20.4 to 93.6 (+73.2) (p<0.001) ASES and CS also reported.	Redislocation: 1/11 (9.1%) Subluxation: NR Apprehension: NR Revision for instability: 1/11 (9.1%)	NR	Union: 1/11 (9.1%) nonunion	1/11 (9.1%) seizure led to screw breakage	Prevention of seizures is priority in treatment of anterior shoulder instability in patients w/ epilepsy; however, the rate of repeated seizures is high even when patients are followed by neurologists specialized in epilepsy. After Latarjet, functional results similar to those achieved in patients w/out epilepsy, though rate of redislocation is higher in patients w/ epilepsy. After Latarjet, risk of redislocation and graft failure is high if patient has seizure before graft union.The procedure appears to be more reliable once union achieved.
	Erşen (2017 OTSR)[@140577]	53 (54 shoulders) (w/out epilepsy)	RS: change from 25.3 to 94.4 (+69.1) (p<0.001) ASES and CS also reported	Redislocation: 1/54 (1.8%) Subluxation: NR Apprehension: NR Revision for instability: 0/54 (0%)	NR	Union: 2/54 (3.7%) nonunion	NR
	Erşen (2018 KSSTA)[@140666]	20 (36 shoulders) (subscapularis tenotomy)	RS: change from 25.8 ±10.8 to 96.3 ±4.1 (+70.5) (p=0.001) Also reported ASES	Redislocation: 1/20 (5%) Subluxation: NR Apprehension: NR Revision for instability: 1/20 (5%)	NR	NR	NR	The subscapularis split approach had better IR durability compared to the subscapularis tenotomy approach.
	Erşen (2018 KSSTA)[@140666]	28 (37 shoulders) (subscapularis split)	RS: change from 25.8 ±10.5 to 93.2 ±5 (+64.7) (p=0.001) Also reported ASES	Redislocation: 0/28 (0%) Subluxation: NR Apprehension: NR Revision for instability: NR	NR	NR	NR
	Gough (2017)[@140602]	48 (50 shoulders)	RS: change from 34 (0-90) to 88 (40-100) (+54) (p<0.01) SSV: change from 47% (39-55) to 89% (84-93) (+42) (p<0.01) Also reported OISS and ASES	Redislocation: 0/48 (0%) Subluxation: 1/48 (2.1%) Apprehension: 1/48 (2.1%) Revision for instability: 0/48 (0%)	NR	Arthritis^d: 1/48 (2.1%) had Samilson grade 2 arthritis changes Union: 15/48 (31.3%) non-union Lysis: 3/48 (6.3%) coracoid lysis	5/48 (10.4%) transient neurological symptoms	Latarjet is a safe option for treating anterior shoulder instability w/ low long-term complication rate and excellent clinical and functional outcomes.
	Kee (2017)[@140642]	110	RS: change from 36.5 to 87.6 (+51.1) (p <0.001) VAS: change from 3.1 to 1.6 (-1.5) (p=0.008) Also report UCLA	Redislocation: 2/110 (2.1%) Subluxation: 4/110 (3.6%) Apprehension: NR Revision for instability: 0/110 (0%)	FF (active): change from 155 ± 11 to 151 ± 18 (-4) (p=0.697) ER1: change from 60 ± 12 to 52 ± 17 (-8) (p=0.005) IR to back: change from T12 ± 1.2 to L1 ± 2.4 (p=0.353) Abduction: change from 153 ± 13 to 148 ± 15 (-5) (p=0.273)	Graft position: 6/110 (5.4%) underhang, 93/110 (84.5% even-hang, 11/110 (11.0%) lateral overhang Arthritis^d: change from 14/110 (12.7%) to 26 (23.6%); new cases or progression of arthritis: 20/110 (18.1%); 8/20 (40%) Stage I, 10/20 (50%) Stage 2, 1/20 (5%) Stage 3, and 1/20 (5%) Stage IV; At final FU, 14/110 (12.7%) Stage I, 10/110 (9.1%) Stage II, 1/110 (0.9%) Stage III, 1/110 (0.9%) Stage IV Union: 2/110 (1.8%) fibrotic union, 2/110 (1.8%) nonunion Screw: 1/110 (0.9%) screw loosening	3/110 (2.7%) transient musculocutaneous neuropathy	Latarjet yielded satisfactory functional outcomes w/ low recurrent rate at mid-term FU. Development or progression of arthritis in 18.2% of patients. Glenohumeral arthritis after Latarjet had an adverse effect on clinical outcome. Generalized laxity and lateral overhang should be considered risk factors of progression to glenohumeral arthritis after Latarjet
	Kordasiewicz (2017)[@140643]	48	WDS: 83.9 (10-100) RS: 87.8 (25-100) VAS: 0.8 (0-5) Satisfaction: 96.8% (60-100) satisfied	Redislocation: 2/48 (4.2%) Subluxation: 1/48 (2.1%) Apprehension: 13/48 (27.1%) (defined as patient’s subjective perception shoulder instability w/out signs of stability at clinical examination) Revision for instability: 3/48 (6.3%)	FF: 179 (160-180) Abduction: 177 (140-180) ER1: 61.7 (0-85), -7 (-50 to 15) vs. unaffected arm ER2: 79 (60-95), −5.6 (−30 to 10) vs. unaffected arm IR: -1.2 (-10 to 2) compared to unaffected arm	(Note: Radiological evaluation available for 43/48 patients) Union: 5/43 (11.6%) Osteolysis: 5/43 (11.6%) entire graft, 10/43 (23.3%) partial graft osteolysis Screw fracture: 0/48 (0%)	5/48 (10.4%) graft fracture 1/48 (2.1%) conflict of a screw and an overlapping graft with a humeral head	Open and arthroscopic Latarjet produce similar results in terms of complications, patient satisfaction, and functionality. Arthroscopic procedures lead to fewer issues with graft healing, but slightly worse external rotation and subjective apprehension. Patient satisfaction generally improved w/ time since surgery.
	Marion (2017)[@140567]	20	WOSI: Change from 451 ± 158.7 (/2100) to 78.5 ± 7.5 (-372.5) Also reported WOSI physical, emotional, sport, and daily life scores	Redislocation: NR Subluxation: NR Apprehension: NR Revision for instability: 0/20 (0.0%)	NR	Mediolateral position of bone block 9 mm ±5 Position:43.7% had equatorial position below 5 o’clock; convergence angle was 16.5° ±8.9	None	Arthroscopic Latarjet significantly less painful than mini-open during first post op week. Clinical outcomes comparable after at least 2 years FU.
	Vadala (2017)[@140644]	24	RS: change from 75.4 (±3) to 93.8 (±5) (+18.4) (p<0.05) WOSI: change from 65% (±5) to 94% (±5) (+29%) (p<0.05) Also reported CS, UCLA, DASH and OIS Return to sport: 16 /24 (66.7%) same sport at same level, 4/24 (16.7%) same sport at lower level, 4/24(16.7%) changed sport	Redislocation: 0/24 (0%) Subluxation: 0/24 (0%) Apprehension: 0/24 (0%) Revision for instability: 0/24 (0%)	Recovery of ROM complete in 24/24 (100%) in abduction, flexion and IR ER: -7 (0–12)	Position (in axial planes): 20/24 (83.3%) adequate, 4/24 (16.7%) laterally Union (at T1): 18/24 (75.0%) completely integrated, 2/24 (8.3%) partially integrated, 4/24 (16.6%) not integrated and significantly fragmented	5/24 (20.8%) minor complications 1/24 (4.2%) drill breakage 4/24 (16.7%) superficial infections 3/24 (12.5%) occasional pain in the posterior side of the shoulder after intense sports activities	Results confirm that lack of integration or significant reabsorption of graft is present in Latarjet, but they do not significantly affect clinical and functional results.
	Zhang (2017)[@140645]	44 (classic Bristow-Latarjet)	RS: 54.4 ± 4.3 to 95.9 ± 2.8 (+41.5) (p<0.001) Also report CS	Redislocation: 2/44 (4.5%) Subluxation: NR Apprehension: NR Revision for instability: 2/44 (4.5%)	ER: change from 56.2 ± 5.9 to 54.3 ± 7.4 (-1.9) (p=0.185)	Graft position: 7/44 (15.9%) congruent arc, 4/44 (9.1%) lateral, 1/44 (2.3%) medial, 32/44 (72.7%) flush, 5/44 (11.4%) above the equator Osteoarthritis^d: 6/44 (13.6%) mild	NR	The individual procedure achieved 3D congruent arc glenoid reconstruction. The clinical effects in patients w/ medium glenoid defect were good, especially the low incidence of shoulder osteoarthritis in middle-term follow-up.
	Zhang (2017)[@140645]	34 (individualized 3D)	RS: change from 53.1 ± 6.5 to 96.8 ± 2.5 (+43.7) (p<0.001) Also report CS	Redislocation: 0/34 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/34 (0%)	ER: change from 54.9 ± 6.9 to 54.4 ± 6.0 (-0.5) (p=0.757)	Graft position: 4/34 (11.8%) congruent arc, 0/34 (0%) lateral, 0/34 (0%) medial, 0/34 (0%) flush, 0/34 (0%) above the equator Osteoarthritis^d: 0/34 (0%)	NR
	Beranger (2016)[@140647]	47	Return to sports: 47/47 (100%); 37/47 (78.7%) same sport; 30/47 (63.8%) same or higher level WOSI score (higher or same level of play, n=30): 218 ± 233.5 (lower level or stop sports, n=17): 379.4 ±277.2 Satisfaction: 36/47 (76.6%) very satisfied, 10/47 (21.3%) satisfied, 1/47 (2.3%) fairly or not satisfied	NR	NR	Dislocation arthropathy: 0/47 (0%)	NR	All patients returned to sports post-op. Patients who played an overhead sport were more likely to play at a lower level or change sport.
	Blonna (2016)[@140648]	30	WOSI: 82% (37-99) SSV: 86 Also reported OSIS and SPORTS Return to sport: 5/30 (16.6%) not able to return to sport	Redislocation: 0/30 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/30 (0%)	ER1: 56 (30-70) ER2: 79 (50-100)	NR	2/30 (6.6%) hematoma	Arthroscopic stabilization using anchors provided better return to sport and subjective perception of shoulder compared w/ open Bristow-Latarjet. Recurrence may be higher w/ arthroscopic Bankart. The variables statistically related to ability to return to sport were pre op degree of shoulder involvement in sport scale, type of surgery, and recurrent dislocations after surgery
	Chaudhary (2016)[@140594]	24	RS: change from 65 (55-75) to 95 (70-100) (+30) (p-value NR) Rowe results:16/24 (66.67%) excellent (90–100 points), 7/24 (29.17%) good (75–89 points), 1/24 (4.17%) fair (51–74 points), 0/24 (0.0%) poor (p=0.034) WDS result: 13/24 (54.17%) excellent (91–100 points), 9/24 (37.5%) good (76–90 points), 2/24 (8.33%) medium (51–75 points) (p=0.034)	Redislocation: 1/24 (4.2%) Subluxation: NR Apprehension: 1/24 (4.2%) Revision for instability: NR	ER1: change from 45.6 ± 10.48 to 42.5 ± 5.38 (-3.2) (p-value NR) FE: change from 176.5 ± 2.58 to 170.6 ± 4.68 (- 5.98) (p-value NR)	Union: 24/24 (100%) graft union by 7 months FU, 0/24 (0.0%) non-union Osteolysis: 0/24 (0/0%) significant osteolysis	6/24 (25.0%) residual shoulder pain (4/6 mild pain, 2/6 moderate pain) 0/24 (0.0%) neurovascular complication 0/24 (0.0%) hardware related complications 0/24 (0.0%) degenerative arthritis	Recurrent instability in patients w/ previously failed shoulder stabilization can be a significant surgical challenge considering patient's expectations for revision repair. Mini-open Latarjet procedure w/ wedge plate fixation provides satisfactory outcome and stabilization in this extremely challenging category of patients who present w/ dramatic bone loss and failed soft tissue reconstruction. We recommend this treatment for young active patients after failed arthroscopic Bankart which is associated with the inverted-pear configuration of glenoid bone deficiency or engaging Hill Sachs lesion.
	Cho (2016)[@140611]	35 (Latarjet)	RS: change from 41 ± 23 to 91 ± 8 (+50) (p<0.001) VAS at rest: change from 0.2 ± 0.6 to 0.1 ± 0.3 (-0.1) (ns) VAS at motion: 2.7 ± 2.6 to 1.4 ± 1.1 (-1.3) (p=0.005) Also reported UCLA score	Recurrent instability (unspecified): 2/35 (5.7%) Apprehension: NR Revision for instability: NR	FF: change from 160 ± 15 to 154 ± 19 (-6) (n.s.) ER1: change from 67 ± 17 to 57 ± 19 (-10) (p=0.004) ER2: change from 84 ± 10 to 77 ± 17 (-7) (p=0.022) IR at 90°: change from 70 ± 13 to 65 ± 14 (-5) (n.s.) IR to posterior: change from T7.4 ± 2.7 to T9.3 ± 3.7 (p=0.009)	Union: 33/35 (94.3%) complete; 2/35 (5.7%) fibrotic Graft position: (in horizontal plane) 33/35 (94.3%) flush w/ glenoid line, 2/35 (5.7%) lateral, 0/35 (0%) medial Osteoarthritis: 1/35 (2.9%) impingement of screws with severe osteoarthritis change (grade III)	1/35 (2.9%) transient neurological injury (suprascapular nerve irritation) 1/35 (2.9%) postoperative stiffness	For recurrent anterior shoulder instability w/ a large engaging Hill-Sachs lesion, Bankart repair and the Latarjet provide similar safety and reliability. Latarjet had a significantly higher postop complication rate.
Flinkkilä (2015)[@140596]	49	WOSI: 83.9 ±15.6 (40–100) SSV: 84.9 ±14.8 (35–100) Also reported OSIS	Redislocation: 1/49 (2.0%) Subluxation: 6/49 (12.2%) Apprehension: NR Revision for instability: 1/49 (2.0%)	NR	NR	None	Latarjet is a good option for failed arthroscopic Bankart repair. Instability recurrence rate is acceptable and reoperation rate low.
Jamal (2016)[@140649]	73 (77 shoulders)	RS: 93 postoperatively Rowe result: 28/73 (38.4%) excellent, 45/73 (61.6%) good, 4/73 (5.5%) average and poor	Redislocation: 0/77 (0.0%) Subluxation: NR Apprehension: 1/73 (1.4%) Revision for instability: 0/73 (0.0%)	ER (unspecified, affected vs. unaffected arm): -15	Graft position: 59/77 (76.6%) perfect, 14/77 (18.2%) lateral, 4/77 (6.5%) medial Osteoarthritis^d: 3/77 (3.9%) grade 1	1/77 (1.3%) infection	Pre-glenoid coracoid abutment represents the therapeutic method of choice in chronic shoulder anterior instabilities. Result remains good despite complications such as osteoarthritis, lysis or screw mobility. Quick and easy to perform, Latarjet technique is effective on physiopathological factors and should lead to excellent results, especially subjective in terms of stability, but exposes risk of osteoarthritis in long term.
Khater (2016)[@140609]	73 (78 shoulders)	RS: change from 20.3 ±6.2 to 84.0 ±11.1 (+63.7) (p<0.05) Also reported ASES Satisfaction: 95.8% satisfied	Redislocation: 3/73 (4.1%) Subluxation: NR Apprehension: NR Revision for instability: NR	Abduction: change from 143.68 ±6.2 to 169.12 ±5.4 (+25.44) (p<0.05) ER (unspecified): change from 51.58 ±5.2 to 77.63 ±7.6 (+26.05) (p<0.05) IR: change from 50.09 ±4.1 to 67.28 ±5.4 (+17.19) (p<0.05) FF: change from 152.11 ±11.7 to 168.77 ±6.6 (+16.66) (p<0.05)	NR	NR	Anterior shoulder instability w/ tramadol-induced seizure occurs w/ higher levels of addiction and results in significant humeral/glenoid bone defects. Latarjet is recommended for these patients.
Li (2016)[@140587]	25	VAS: change from 5.0 ± 2.4 to 2.3 ± 2.2 (-2.7) (p = 0.02) Also reported CS, ASES, UCLA	Recurrent instability (unspecified): 12/25 (48%) Apprehension: NR Revision for instability: NR	FF: change from 80 ± 30 to 97 ± 46 (+3) (p = 0.001) ER: change from 9 ± 10 to 22 ± 22 (+13) (p = 0.001) Median IR: change from buttock to L3 (p = 0.08)	Osteoarthritis^d: worsened in overall patient population (p = 0.01) at latest FU. Changes: None, change from 11 to 2 (-9); Grade 1, change from 4 to 9 (+5); Grade 2, change from 2 to 5 (+3); Grade 3, change from 3 to 4 (+1) Graft position: 2/20 (10.0%), lateral overhang, 18/20 (90.0%) flush with the glenoid. Union: 1/20 (5.0%) nonunion	NR	Latarjet for treatment of chronic locked anterior shoulder dislocation can be successful if shoulder reduction can be performed w/out requiring a subscapularis tenotomy. If this reduction is not possible, other surgical reconstruction should be considered.
Ropars (2016)[@140651]	75 (77 shoulders)	RS: 85.2 ± 17.2 (35-100) WDS: 81.7 ± 17.2 (15-100) WDS results: 20/77 (26.0%) excellent, 37/77 (48.1%) good, 13/77 (16.9%) fair, 7/77 (9.1%) bad Also report CMS Return to sport: 49/77 (63.6%) same level, 12/77 (15.6%) loss of level, 5/77 (6.5%) change of sport, 11/77 (14.3%) stop sport Satisfaction: 74/77 (96.1%) satisfied, 3/77 (3.9%) dissatisfied	Redislocation: 4/77 (5.2%) Subluxation: 4/77 (5.2%) Apprehension: 13/77 (16.9%) persistent apprehension sign Revision for instability: 0/77 90%)	ER: -13º IR: 10/77 (13.0%) loss of >3 vertebral levels	Lysis: 9/77 (11.7%) Fracture of the graft: 1/77 (1.3%) Arthritis^d: 77/77 (100.0%) none, 6/77 (7.8%) grade 1, 3/77 (3.9%) change from grade 1 pre op to grade 2 post op Graft position: 72/77 (93.5%) horizontal and flush, 5/77 (6.5%) lateral, 5/77 (6.5%) too lateral in vertical position Union: 61/77 (79.2%)	1/77 (1.3%) hematoma	Latarjet is effective for treating shoulder instability and may reduce rates of post-op apprehension compared to arthroscopic or open capsular shift.
Venkatachalam (2016)[@140653]	84	Only reported OSIS	Redislocation: 1/75 (1.3%) Subluxation: NR Apprehension: NR Revision for instability: 0/75 (0.0%)	NR	No non-union or hardware failure	No neurovascular complications or infections 1/75 (1.3%) superficial infection 2/75 (2.7%) required removal of metalware bc of discomfort in front of shoulder but no evidence of instability	Sheffield bone block provides reliable and satisfactory results for recurrent instability w/ glenoid bone loss and/or large Hill-Sachs lesion w/ minimal complications and excellent chance of returning to original sport and occupation.
Yang (2016)[@140659]	52 (54 shoulders)	WOSI: 384 ±348 Satisfaction: 86.6 ±10.9 Also report SANE	Redislocation: 1/52 (1.9%) Subluxations: 5/52 (9.6%) Apprehension: NR Revision for instability: 4/52 (7.7%)	ER1: 40.3 ± 19.2 ER2: 75.9 ± 19.4 IR in abduction: 51.3 ±19.8 FF: 156 ±11.3 Abduction: 161 ±13.2 Affected vs. unaffected arm: ER1: –10.7 ± 5.4 ER2: –12.8 ± 5.82	Resorption: 17/52 (32.7%) graft resorption Arthrosis: change from 13/52 (25.0%) to 14/52 (26.9%) Arthritis^d: change on latest radiograph: 5/52 (9.61%) Union: 1/52 (1.9%) malunion, 2/52 (3.8%) nonunion	3/52 (5.8%) deep wound infections 2/52 (3.8%) graft fracture 5/52 (9.6%) painful or loose hardware	Modified Latarje provides satisfactory outcomes for patients with combined bone loss, which is known to have high recurrence rates w/ traditional arthroscopic stabilization. Previous surgical stabilization procedures and Beighton score adversely affect outcome after modified Latarjet. Furthermore, the number of previous surgeries and Beighton score can be used to predict WOSI score.
Zimmermann (2016)[@140660]	93	SSV: Change from 50.9% ± 21.2 to 88.8% ± 14.6	Redislocation: 1/93 (1.1%) Subluxation: 2/93 (2.2%) Apprehension: 8/93 (8.6%) Revision for instability: (1/93 (1.1%)	NR	NR	1/93 (1.1%) hematoma 1/93 (1.1%) hardware removal 1/93 (1.1%) screws irritated the infraspinatus 1/93 (1.1%) superior labral anterior-posterior tear	Bankart was inferior to Latarjet for recurrent anterior shoulder dislocation. Difference between procedures w/ respect to quality of outcomes significantly increased w/ follow-up time.
Abelhady (2015)[@140654]	13	RS: change from 47.5 to 91.1 (+43.6) (p<0.001). Rowe results: 12/13 (85.7%) excellent, 1/13 (7.1%) fair, 1/13 (7.1%) bad	Redislocation: 1/13 (7.7%) Subluxation: NR Apprehension: NR Revision for instability: NR	ER (arm position unspecified): 69.3	NR	None	Latarjet provides higher success rate in such patients with multiple recurrences regarding both shoulder stability and function compared to capsulolabral repair procedures.
Arianjam (2015)[@140655]	34	RS: Change from 32.4 to 77.2 (+44.8) (p<0.001) Also reported OSIS and ASES Return to sport: 17/34 (50.0%) w/ no restrictions, 9/34 (26.5%) same level w/ decreased performance, 6/34 (17.6%) changed to lower risk sport, 2/34 (5.9%) chose not to return to sport for reasons other than shoulder	Redislocation: 2/34 (5.9%) Subluxation: 2/34 (5.9%) Apprehension: NR Revision for instability: 0/34 (0.0%)	82% had minimum of 75% of combined normal IR and ER	Union: 22/28 (78.6%) solid union, 3/28 (10.7%) non-union Graft resorption: 1/28 (3.6%) complete resorption of graft, 3/28 (10.7%) slight resorption	None	High rate of success w/ open stabilization and bone grafting in glenoid bone loss in young contact athletes w/ recurrent instability.
Balestro (2015)[@140560]	11 (12 shoulders)	WDS: 3/12 shoulders (25.0%) excellent, 4/12 (33.3%) good, 2/12 (16.7%) poor Satisfaction: 3/11 patients (27.3%) disappointed or unhappy, 8/11 (72.7%) satisfied or very satisfied	Redislocation: 1/12 (8.3%) Subluxations: 3/12 (16.7%) (Note: 1/3 patients had congenital hyperlaxity) Revision for instability: 1/12 (8.3%)	NR	Screw: 12/12 (100%) screw resorption complete Osteolysis: some degree of osteolysis and remodeling of the graft in all cases, 8/12 (66.7%) severe osteolysis w/ almost complete disappearance of graft	None	Coracoid graft osteolysis after Latarjet is exacerbated, w/ risk of complete graft disappearance, when bioabsorbable screws are used.
Dos Santos (2015)[@140656]	38	RS: 89.4 (45-100) WDS, total: 84.7 (60-100) WDS: 31/38 (81.6%) excellent or good results Also reported RS for stability, mobility, function and WDS for activities of daily living, stability, pain, mobility	Redislocation: 1/38 (2.6%) Subluxation: NR Apprehension: 3/38 (7.9%) Revision for instability: NR	Affected vs. unaffected arm: ER1: median 53.2 (10˚-80˚) vs. 63.4 (-10) (45-90) (p<0.0001) ER2: median, 82.1 (60-100) vs. 92.2 (-10) (80-120) (p<0.0001) IR: T4: 26/38 (68.4%) vs. 3/38 (81.6%), T6: 1/38 (2.6%) vs. 1/38 (2.6%), T7: 10/38 (26.3%) vs. 6/38 (15.8%), T9: 1/38 (2.6%) vs. 0/38 (0%)	Graft location: 3/38(7.9%) bone misplaced (above equator of glenoid)	NR	This study confirms need for integrity of subscapularis tendon to maintain medial rotation strength and shoulder function. Despite good and excellent results in Rowe and WDS, it is necessary to consider possibility of partial loss of subscapularis muscle strength and function in patients undergoing Latarjet-Patte surgery, even if using longitudinal divulsion of its fibers.
Gordins (2015)[@140588]	31	WOSI: 86%, 20/31 (64.5%) excellent, 5/31 (16.1%) good (80%-60%), 2/31 (6.5%) poor (60%) SSV: 79%; SSV: 14/31 (45.2%) excellent (80 units), 11/3135.5%) good (60-80 units), 4/31 (12.9%) poor (50 units) Also reported SASF, recovery, ache, pain by shoulder movement, disorders by activities of daily living, willingness to have same repair again, throwing ability, avoid movement bc/ of fear of dislocation, shoulder function after 33-35 years compared to 2-4 years Satisfaction: 18/31 (58%) very satisfied, 13/31 (42%) satisfied, 0/31 (0%) not completely satisfied/dissatisfied	Redislocation: 1/31 (3.2%) Subluxation: 6/31 (19.4%) Apprehension: 1/29 (3.4%) Revision for instability: 1/31 (3.2%)	ER: -16 (0-60)	Union: 4/31 (12.9%) fibrous union Screw: 1/31 3.2%) bent screw, 1/312 (3.2%) fractured screw, 25/31 (80.6%) screw position unchanged since surgery Arthropathy: 12/31 (38.7%) normal, 8.5/31 (27.4%) mild, 7/31 (22.6%) moderate, 3.5/31 (11.2%) severe	NR	Degree of arthropathy 33-35 years after Bristow-Latarjet seems to follow natural history of shoulder dislocation w/ respect to arthropathic joint degeneration. Post op restriction of ER does not increase later arthropathy.
Moon (2015)[@140658]	44	RS: change from 38 (30-50) to 90 (+52) (30-95), p<0.001 VAS (at rest): change from 0.2 ± 0.6 to 0.1 ± 0.3 (-0.1 ±0.7) (p=0.230) VAS (during motion): change from 3.0 ± 2.6 to 1.6 ± 1.1 (-1.4 ± 2.6) (p=0.005) UCLA and VAS apprehension score also reported	Redislocation: 1/44 (2.3%) Subluxation: NR Apprehension: 1/44 (2.3%) Revision for instability: NR	FF: change from 163 ± 15 to 156 ± 19 (-7 ± 23) (p=0.129) ER1: change from 66 ± 17 to 56 ± 19 (-10 ± 20) (p=0.004) ER2: change from 81 ± 10 to 74 ± 17 (-7 ± 16) (p=0.022) IR in abduction: change from 66 ± 13 to 61 ± 14 (-5 ± 17) (p=0.119) IR to the posterior: change from T7.4 ± 2.7 to T9.3 ± 3.7 (+1.9 ± 4) (p=0.009)	Arthritis: Progression of osteoarthritis in 1/44 (2.3%) Screw: 1/44 (2.3%) impingement (same patient with osteoarthritis change) Union: fibrotic union in 2/44 (4.5%)	1/44 (2.3%) transient neurologic injury (suprascapular nerve irritation)	Latarjet has good outcomes, low recurrence rate, and reliable functional recovery.
Ruci (2015)[@140607]	42 (45 shoulders)	RS: 88 (95% CI, 78-100) Rowe result: 27/42 (64.3%) excellent, 9/42 (21.4%) good, 4/42 (9.5%) fair, and 2/42 (4.8%) poor	Redislocation: 0/42 (0.0%) Subluxation: 0/42 (0.0%) Apprehension: 0/42 (0.0%) Revision for instability: NR	ER (affected vs. unaffected arm): 32 (95% CI, 19–45) vs. 43 (95% CI, 32–53) (-10) (p=NA)	Union: 4/45 (8.8%) fibrous union, 41/45 (9.1%) complete union	2/45 (2.2%) clinical sign of pain and discomfort 1/45 (2.2%) aseptic necrosis of the transplant with a permanent fistula within 6 months of surgery 1/45 (2.2%) screw removed 1/45 (2.2%) screw loosening	Bristow-Latarjet is a very good surgical treatment for recurrent anterior-inferior instability of glenohumeral joint. It must not be used for multidirectional instability or psychogenic habitual dislocations.
Tasaki (2015)[@140606]	38 (40 shoulders)	RS: change from 65 (55-75) to 97.5 (95-100) (+32.5) (p<0.001) Return to sport: 38/38 (100%) returned to preoperative athletic level	Redislocation: 0/38 (0%) Subluxation: 0/38 (0%) Apprehension: 0/38 (0%) Revision for instability: 0/38 (0%)	ER1: change from 62 ± 4 to 56 ± 4 (-6) (p<0.001) ER2: change from 91 ± 2 to 90 ± 4 (-1) (p>0.99) FF: change from 175 ± 1 to 170 ± 3 (-5) (p<0.001)	Union: 3/38 (7.9%) nonunion Screw: 2/38 (5.3%) dislodged	1/38 (2.6%) superficial wound infection 2/38 (5.3%) transient axillary nerve palsy	Bristow combined with arthroscopic Bankart repair clearly is effective in preventing recurrent dislocation in rugby players; however, some players complained of insufficiency in quality of their play when they were tackling or performing other rugby-specific movements.
Zhu (2015)[@140554]	57	RS: change from 40.0 ± 12.3 to 96.9 ± 2.5 (+56.9) (p<0.001) VAS: change from 1.7 ± 3.1 to 0.6 ± 1.5 (-1.1) (p=0.181) Also report ASES, CMS	Redislocation: 0/57 (0.0%) Subluxation: 0/57 (0.0%) Apprehension: 0/57 (0%) Revision for instability:	ER1: change from 58 ± 10 to 58 ± 15 (+0) (p=0.931) IR: change from T10 (T3-L3) to T11 (T3-LS) (p=0.143) FE: change from 159 ± 30 to 170 ± 7 (+11) (p=0.106)	Graft position: 6/63 (9.5%) medial, 8/63 (12.7%) lateral, 49/63 (77.8%) flush Resorption: 57/63 (90.5%) graft resorption; resorption grade: 6/63 (9.5%) grade 0, 26/63 (41.3%) grade I, 25/63 (39.7%) grade II, 6/63 (9.5%) grade III)	NR	Latarjet successfully treats shoulder instability, but leads to high incidence of bone graft resorption. Higher levels of bone graft resorption have no significant impact on functional outcomes after 2 years.
Bessière (2014)[@140662]	93	RS: 78 (10–100) Rowe results: 48/93 (51.6%) excellent (90–100), 16/93 (17.2%) good (75-89), 18/93 (19.4%) Fair (40–74), 11/93 (11.8%) Poor (0–39) SSV: 90% (30–100) SVV Sport: 83% (0–100) Satisfaction: 85/93 (91.3%) very satisfied/satisfied	Redislocation: 9/93 (9.6%) Subluxation: 2/93 (2.2%) Apprehension: 17/84 (20.0%) Revision for instability: 2/93 (2.2%)	NR	NR	1/93 (1.1%) evacuation of an acute hematoma 1/93 (1.1%) infection 3/93 (3.2%) pain	Latarjet had less recurrent instability and better Rowe scores over mean 6-year FU. Authors now perform isolated Bankart repair for carefully selected patients, including patients w/ Instability Severity Index Score of ≤3. Regardless of procedure, patients <20 years at surgery were at higher risk of recurrence (p = 0.019)
Mizuno (2014)[@140665]	60 patients (68 shoulders)	RS: change from 37.9 to 89.6 (+51.7) (p <0 .001) SSV: 90.9% (40-100) Satisfaction: 55/68 (80.9%) very satisfied, 10/68 (14.7%) satisfied, 3/68 (4.4%) disappointed Return to sport: 57/68 (93.4%) returned at same level, 5/68 (8.2%) switched to another type of sport or participated at lower level because of shoulder	Redislocation: 2/68 (2.9%) Subluxation: 2/68 (2.9%) Apprehension: NR Revision for instability: 1/68 (1.5%)	NR	Graft position: 5/68 (7.4%) medially, 54/68 (79.4%) flush with the glenoid, 9/68 (13.2%) lateral overhang Screw: 2/68 (2.9%) screw loosening Arthritis^d: 4/8 (50.0%) shoulders with pre op arthritis had progression: 2/4 stage 2, 2/4 stage 3, Post op arthritis in patients without pre op arthritis: 12/60 (20.0%): 6/60 (10.0%) stage 1, 2/68 (3.3%) stage 2, 4/68 (6.7%) stage 3, 0/68 (0.0%) stage 4	18/68 (26.5%) pain during athletic activities 9/68 (13.2%) pain during activities of daily living 2/68 (2.9%) screw loosening	Latarje provides excellent long-term outcomes in recurrent anterior glenohumeral instability.20 years after Latarjet, arthritis may develop or progress in 23.5% of cases, but the majority of arthritis is mild. Older age at FU, high-demand sports, and lateral overhang of the coracoid graft were significantly associated with post op arthritis
Atalar (2013)[@140601]	35	RS: change from 47.9 ± 21.5 to 89.1 ± 9.2 (+41.2) (p<0.05) ASES: change from 49.6 ± 10.6 to 91.3 ± 11 (+41.7) (p<0.05) VAS: change from 6.2 ± 2.4 to 1.8 ± 0.6 (-4.4) (p<0.05)	NR	FF: 165 ± 20 ER: 59 ± 30 IR: 62.6 ± 24 Extension: 38 ± 13	Union: 35/35 (100%) Arthritis: 0/35 (0%)	None	Shoulder function and activity can be obtained through modified Latarjet in treatment of glenoid bone defect and anterior shoulder instability.
Bessière (2013)[@140667]	51	(Note: only reported for patients w/out revision for instability [50/51]) VAS: 1.6 (0-5) SSV daily life: 90.9 (30-100) SSV sport: 83.3 (20-100) Also reported SST, SF-12, ASES Satisfaction: 45/50 (90.0%) very satisfied or satisfied, 38/50 (76.0%) very satisfied; 45/50 (90.0%) results considered excellent or good, 49/50 (98.0%) would be operated again Return to sport: 18/50 (36.0%) post-op practice of competitive sport, 41/50 (82.0%) return to same level, 44/50 (88.0%) practice of sports never or slightly limited by shoulder, 10/50 (20.0%) change in main sport due to instability	Redislocation: 5/51 (9.8%) Subluxation: 1/51 (2.0%) Apprehension: 16/50 (32%) (excluding patient who had revision for instability) Revision for instability: 1/51 (2.0%)	NR	Graft position: 2/51 bone block too medial Screw: 1/51 both screws unicortical (non-union), 1/51 inferior screw unicortical and superior screw poorly positioned (non-union) Union: 2/51 (3.9%) non-union	1/51 (2.0%) pain 1/51 (2.0%) superficial staphylococcus epidermis infection	Latarjet has similar rate of recurrence to arthroscopic Bankart repair and may provide better outcomes for patients at risk for recurrent instability.
Di Giacomo (2013)[@140668]	26	Rowe result: 16/26 (61.5%) excellent (90-100), 9/26 (34.6%) good (75-89), 1/26 (3.8%) fair (51-74), 0/26 (0%) poor (<50). WDS: 13/26 (50%) excellent (91-100), 11/26 (42.3%) good (76-90), 2/26 (7.7%) medium result (51-75), 0/26 poor (≤50) Also reported SST	Redislocation: 0/26 (0%) Subluxation: 0/26 (0%) Apprehension: NR Revision for instability: 0/26 (0%)	FE: 174.7 ± 5.2 (-3.4) ER1: 45.6 ± 10.3 (-1.8)	Osteolysis: mean coracoid graft osteolysis: 63.9%	NR	There is a significant difference only for the deep part of distal coracoid for osteolysis. This difference did not correspond with any clinical findings.
Holzer (2013)[@140612]	148	WDS: 148/148 (100%) excellent or good Reported pain: 78/148 (52.7%) pain-free, 50/148 (34.0%) occasional pain, 13/148 (9.0%) pain during strenuous exercise, 6/148 (4.0%) pain during activities of daily living Satisfaction: 117/148 (79.1%) very satisfied, 26/148 (17.6%) satisfied, 4/148 (2.7%) dissatisfied Return to sports activities: 126/148 (85.1%)	Redislocation or subluxation: 3/148 (2.0%) Apprehension: NR Revision for instability: 0/148 (0.0%)	NR	Lysis: 4/148 (2.6%) Arthropathy^d: 44/148 (29.7%) signs of dislocation arthropathy (24.0% Samilson 1, 4.0% Samilson 2, 2.0% Samilson 3) Graft position: 19/148 (12.8%) coracoid positioned lateral to the glenoid	1/148 (0.7%) infection 1/148 (0.7%) transitory lesion of musculocutaneous nerve 1/148 (0.7%) superficial vein thrombosis	Modification of Latarjet according to Patte results in good clinical outcomes w/ respect to function and patient satisfaction and the modification may lower the recurrence rate.
Lädermann (2013)[@140614]	110	WDS: 92.8 ± 10.3 (25-100) WDS results: 113/117 (97.4%) good or excellent Pain: 70/117 (60%) pain-free, 43/117 (37%) occasional pain, 4/117 (3%) pain during activities of daily living Satisfaction: 91/117 (78%) very satisfied, 21/117 (18%) satisfied, 4/117 (3%) dissatisfied Return to sports activities: 97/117 (83%)	Recurrent instability (unspecified): 2/117 (1.7%) Persistent apprehension: 4/117 (3.4%) Revision for instability: 0/117 (0%)	NR	Osteolysis: 4/117 (3.4%) Dislocation arthropathy^d: 42/110 (38.2%); 35/117 (30%) grade 1 30.0%, 4/117 (3%) grade 2, 4/117 (3%) grade 3 Graft position: 17/110 (15.5%) lateral overhanging of the graft relative to the glenoid	1/117 (0.9%) postoperative infection 1/117 (0.9%) transient lesion of the musculocutaneous nerve 1/117 (0.9%) superficial vein thrombosis	Latarjet produces favorable long-term results in stability, pain, return to sports, and satisfaction. Development of dislocation arthropathy after Latarjet is a long-term concern, especially for patients >40 years.
Aydin (2012)[@140632]	13	RS: 81.9 Rowe results: 6/13 (46.2%) excellent, 5/13 (38.5%) good, 2/13 (15.4%) fair, 0/13 (0%) poor	NR	ER (unspecified): -14.3 (p<0.05) IR: -12.5 (p<0.05)	NR	None	Proper patient selection for the open Bankart repair and modified Bristow operation is crucial. When proper patients selected for procedures, both produce satisfactory results.
Cerciello (2012)[@140584]	26 (28 shoulders)	General Population (18 shoulders) Duplay: 89.3 ± 17.0 Satisfaction: 24/28 (85.7%) very happy, 2/28 (7.1%) happy, 1/28 (3.6%) disappointed, 1/28 (3.6 %) unhappy Return to sport: 20/28 shoulders (71.4%) returned to soccer at same level, 7/28 shoulders (25.0%) played soccer at lower level (in 2 cases due to age- or job-related), 1/28 (3.6%) changed sport Goalkeepers (8 shoulders) Duplay: 91.2 Satisfaction: 5/7 (71.4 %) very happy, 1/7 (14.3 %) happy, 1/7 (14.3 %) unhappy Return to sport: 7/7 (100.0%) returned to soccer at same level	General Population (28 shoulders) Redislocation: 0/28 (0.0%) Subluxation: NR Apprehension: 7/28 (25.0%) Revision for instability: NR Goalkeepers (8 shoulders) Redislocation: 1/8 (12.5%) Subluxation: NR Apprehension: 1/8 (12.5%) Revision for instability: NR	NR	Arthritis: no signs of arthritis detected at last X-ray FU	4/28 shoulders (14.3%) discomfort when throwing ball	Latarjet seems to be gold standard in treatment of chronic anterior instability in patients w/ large bone defects and in sportsmen playing contact sport. All patients in this group showed a rapid return (five months) to the same sporting performance level and role after surgery.
Neyton (2012)[@140670]	34 (37 shoulders)	RS: 93 (60-100) VAS: 1.6 (0-5.5) SSV: 90% (60%- 100%) Also reported RS stability, mobility and function and WDS sport, stability, pain, and mobility Return to sport: 22/34 (64.7%) returned to rugby: 19/34 (55.9%) same level, 3/34 (8.8%) less competitive level; return to all sporting activities w/out limitations bc of shoulders: 31/24 (91.2%) Satisfaction: 33/35 (94.3%) satisfied, 2/35 (5.7%) unsatisfied	Redislocation: 0/34 (0%) Subluxation: 0/34 (0%) Apprehension: 5/34 (14.7%) Revision for instability: 0/34 (0%)	NR	Arthritis^d: Stage 0: change from 34/34 (100%) to 26/34 (76.5%), Stage 1: change from 3/34 (8.8%) to 11/34 (32.4%, Stage 2, change from 0 to 0, Stage 3 change from 0 to 0	3/35 (8.6%) fracture of the bone block observed 1/35 (2.9%) pseudarthrosis 1/35 (2.9%) post op hematoma	Latarjet-Patte provides reliable method for stabilizing the shoulder, resulting in a return to playing rugby in a high number of cases w/out increasing risk of long-term arthritic degradation.
Paladini (2012)[@140671]	376	RS: change from 45.5 ± 7.8 to 90.2 ± 9.8 (+44.7) (p<0.001) Also reported CMS	NR	NR	NR	NR	L-shaped tenotomy in Bristow-Latarjet has weakening effect on subscapularis and for these reasons, we strongly recommend muscle split approach for optimal subscapularis function recovery.
Raiss (2012)[@140579]	12 (14 shoulders)	RS: 76 (35-100)	Redislocation: 6/14 (42.9%) Subluxation: NR Apprehension: 5/14 (35.7%) (positive apprehension test) Revision for instability: 5/14 (35.7%)	ER1: change from 54 (10-90) to 43 (5-75) (-9) (p = 0.058) FE: change from 165 (100-180) to 160 (90-180) (p = 0.5)	Osteoarthritis^d: preop, 4/14 (28.6%) had mild, 1/14 (7.1%) moderate according to Samilson and Prieto; postop, 4/14 (28.6%) mild, 4/14 (28.6%) moderate Screw: 4/14 (28.6%) bending or breakage	1/14 fractured of tip of coracoid	Due to unacceptably high rate of re-dislocation after surgery in epileptic patients, most important means of reducing further dislocations is medical management of seizures. Latarjet should be reserved for the well-controlled patient w/ epilepsy who has recurrent anterior dislocation of the shoulder during activities of daily living.
Schmid (2012)[@140599]	49	SSV (% of normal): Change from 53.4 % (0-100) to 78.5 (0-100) (+25.1) (p<0.001) Also report CMS Activity level, average working capacity, unscaled VAS, and subjective ratings of shoulder	Redislocation: 1/49 (2.0%) Subluxation: 2/49 (4.0%) Apprehension: 5/49 (10.2%) Revision for instability: 0/49 (0.0%)	Flexion (points): change from 9.1 (4-10) to 9.6 (4-10) (+0.5) (p=0.151) Abduction, arm at 90° (points): change from 9 (2-10) to 9.4 (4-10) (+0.2) (p=0.21) ER (unspecified): change from 55.4 (10-95) to 49.1 (10-80) (-6.3) (p=0.047)	Union: 1/49(2.0%) malunion Arthritis^d: 11/41 (26.8%) glenohumeral arthritis (9/41 [22.0%] had pre op osteoarthritis [-4.8%]), (p=NS); Level of osteoarthritis: 5/41 (12.2%), 4/41 (9.8%) moderate, 2/41 (4.9%) severe (according to Samilson and Prieto classification) Progression of severity of osteoarthritis was significant (p = 0.005) Graft position: 30/41 (73.2%) flush with glenoid plane, 6/41 (14.6%) (15%) medial to the joint line, 5/41 (12.2%) overriding laterally	3/49 (6.1%) continued pain 4/49 (8.2%) delayed wound-healing 1/49 (2.0%) frozen shoulder	Latarjet can effectively restore anterior glenohumeral stability if previous operation(s) have failed. If recurrence is associated w/ chronic pain, pain is likely to persist and compromise subjective outcome. Patients w/pre op pain had a twenty fold higher probability of having post op pain.
Shah (2012)[@140672]	47 (48 shoulders)	Rowe result: 26/44 (59.0%) excellent, 8/44 (18.2%) good, 9/44 (20.5%) fair, 1/442.3%) poor SSV: change from 35.9% ± 19.0 to 81.5% ± 20.4 (+45.6%) (p=0.0001) Also report ASES	Redislocation: 2/48 (4.2%) Subluxation: NR Apprehension: NR Revision for instability: 3/48 (6.3%)	FE: change from 148.9 ±22.9 to 148.5 ±17.8 (-0.4) (p=0.942) ER (unspecified): change from 48.4 ±18.9 to 38.1 ±16.9 (-10.3) (p=0.0374)	Union: 21/29 (72.4%) union, 3/29 (10.3%) nonunion of the graft w/ issues requiring additional surgery, 5/29 (17.2%) nonunion w/out issues Screw: 2/29 (6.9%) loose screws	4/48 (10.4%) instability and pain 3/48 (6.3%) infections 5/48 (10.4%) neurological injury	Overall complication rate of 25% is higher than that reported in the literature. Although most complications resolved completely, two patients continued to have residual neurologic symptoms. Patients should be informed of risk of complications associated w/ Latarjet, although most potential complications will resolve. Age, Workers’ Compensation claim and the use of 4.0 or 4.5-mm cannulated screws were predictors of complications.
Emami (2011)[@140673]	30	RS: 77.7 Rowe results: 7/30 (23.33%) excellent, 15/30 (50.0%) good, 8/30 (26.7%) fair, 0/30 (0%) poor	Redislocation: 0/30 (0%) Subluxation: 0/30 (0%) Apprehension: 11/30 (36.7%) Revision for instability: NR	ER1 (passive): -8.7 ER2 (passive): -18.3 FF: all “full” IR: 10/30 (33.3%) had limitation, as measured by distance of thumb into tip of scapula	Screw: 0/30 (0%) breakage, loosening, or displacement Union: 30/30 (100%) Arthropathy^d:9/30 (30.00%) mild, 0/30 (0%) moderate or severe arthropathy	NR	Study shows acceptable outcomes for Bristow-Latarjet in all non-athletic patients w/ anterior traumatic shoulder instabilities, even in shoulders with Bankart lesion.
Hovelius (2011)[@140675]	96	RS: 87.5 (median, 95) SSV: 84.2% (median, 87.0) WOSI: 87.8 (median 93.0) Satisfaction: 76/96 (79.2%) very satisfied, 19/96 (19.8%) somewhat, 1/96 (1.0%) not completely, 1/96 (1.0%) not satisfied Return to sport: 60/96 (62.5%) unchanged, 11/96 (11.5%) lower activity, 8/96 (8.3%) quit bc of shoulder Also reported SASF, DASH, ache, disorders by activities of daily living, same repair again, throwing ability, avoid shoulder movement bc of fear	Redislocation: 4/96 (4.2%) Subluxation: 5/96 (5.2%) Apprehension: NR Revision for instability: 1/96 (1.0%)	ER (unspecified): -11	NR	1/96 (1.0%) infection 1/96 (1.0%) hematoma 1/96 (1.0%) reoperation w/ screw tightening bc transplant not flat against scapular neck 3/96 (3.1%) revisions for screw removal	Long-term FU showed Bristow-Latarjet had better subjective scores and stability than open Bankart with suture anchors.
	Ikemoto (2011)[@140590]	26	RS: change from 36 to 93 (+57) (p<0.001) Rowe result: 25/26 (96.2%) classified as excellent, 1/26 (3.8%) good result	Redislocation: 0/26 (0%) Subluxation: NR Apprehension: NR Revision for instability: 0/26 (0%)	Medial rotation (IR): 7.73 ± 2.03 vs. contralateral arm 6.35 ± 0.99 (p=0.004) Lateral rotation (ER): 50.19 ± 14.03 vs. contralateral arm 71.92 ± 10.96 (p<0.001) Lateral rotation abduction (abduction): 89.81 ± 11.87 vs. contralateral arm 112.31 ± 12.10 (p<0.001)	Arthrosis: 15/26 (57.7%) Osteolysis on the screws: 4/26 (15.4%) Screws: 4/26 (15.4%) incorrectly positioned	NR	The UCLA and Rowe scores improved postoperatively. There was an association between number of episodes of dislocation and presence of arthrosis. Latarjet is a viable option for those with severe erosion of the glenoid margin.