Modified Latarjet With or Without Remplissage for Recurrent Anterior Shoulder Instability: A Prospective Randomized Trial

Q: What does this research mean for the field?

The modified Latarjet procedure provides comparable clinical outcomes to the modified Latarjet with remplissage for recurrent anterior shoulder instability, despite the latter being associated with greater loss of external rotation and longer operative times. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

Hosam Elsayed Abd-Elzaher; Hatem G. Said; Maher A. Elassal; Mohamed M. Abdel Hamid; Mohamed Kamal El Gafary; Moustafa Kamal El Gafary

doi:10.1016/j.jseint.2026.101696

March 1, 2026JSES InternationalOpen Access

Modified Latarjet With or Without Remplissage for Recurrent Anterior Shoulder Instability: A Prospective Randomized Trial

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Key Points

The study aims to compare the clinical outcomes of two surgical techniques for recurrent shoulder instability.
Prospective randomized, single-blinded trial conducted from 2016 to 2019 with 60 patients.
Patients randomized to modified Latarjet alone or Latarjet plus remplissage.
Outcomes assessed included range of motion, Rowe, Oxford, Constant scores, VAS pain, and return to activity.
Both groups showed significant improvement in clinical outcomes after 2 years (p<0.01).
No significant differences in Rowe, VAS, Constant, and Oxford scores between groups.
Return to pre-injury activity was similar in both groups (25/30 vs 26/30).
Greater loss of external rotation was noted in the remplissage group (p<0.01).
Operative time was longer for the remplissage procedure (p<0.001).

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Implication

A randomized trial compares clinical outcomes of modified Latarjet with and without remplissage in patients with shoulder instability, suggesting no significant advantage of addition.

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Cite This Study

Abd-Elzaher et al. (2026) studied this question.

synapsesocial.com/papers/69b79e398166e15b153ab3aa https://doi.org/10.1016/j.jseint.2026.101696

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Modified Latarjet With or Without Remplissage for Recurrent Anterior Shoulder Instability: A Prospective Randomized Trial

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Modified Latarjet With or Without Remplissage for Recurrent Anterior Shoulder Instability: A Prospective Randomized Trial

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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