Retorno al deporte luego de una cirugía de Latarjet: revisión sistemática de la bibliografía

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