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Table 2 Main characteristics of the studies of the current review

From: Iliac Crest Bone Grafting for the Management of Anterior Shoulder Instability in Patients with Glenoid Bone Loss: a Systematic Review of Contemporary Literature

Study

Type

LOE

MCS

Risk of bias

COI

Number of patients

Mean age (y)

Sex

Mean FU (m)

Type of graft

Type of fixation

Mean clinical scores

Taverna et al. [21]

Retrospective

Non-comparative

IV

56

Selection, detection, and performance

Yes

26

25.5

20M

6F

29.6

Iliac crest allograft

Two coupled pairs of arthroscopic round endobuttons

Walch-Duplay score: 93.2 (post-operatively)

Rowe score: 96.4 (post-operatively)

SSV: 87.4 (post-operatively)

Kraus et al. [23]

Retrospective

Non-comparative

IV

39

Selection, detection, and performance

Yes

15

31.4

14M

1F

20.6

Autologous tricortical iliac crest bone graft

Two bio-compression screws

Constant score (affected side): 85.8 points

Constant score (contra-lateral side): 89.6 points

Rowe score: from 37.5 (pre-operatively)

to 88.0 points (post-operatively)

(significant difference)

SSV: from 41.5 (pre-operatively) to 84.5% (post-operatively) (significant difference)

WOSI: from 19.2% (pre-operatively) to 76.7% (post-operatively) (significant difference)

Anderl et al. [28]

Prospective

Non-comparative

IV

53

Selection, detection, and performance

Yes

14 (15 shoulders)

30

12M

2F

25.9

Implant-free bi-cortical iliac crest bone grafting (autologous)

 

Rowe score: from 57.6 (pre-operatively) to 98.6 (post-operatively) (significant difference)

Constant score from 70.9 (pre-operatively) to 96.3 (post-operatively) (significant difference)

VAS score: 4.4 (pre-operatively) to 0.2 (post-operatively) (significant difference)

SSV for sports: 31.4% (pre-operatively) to 95.6% (post-operatively) (significant difference)

Bock-mann et al. [25]

Retrospective

Non-comparative

IV

40

Selection, detection, and performance

Not rep.

32

31

24M

7F

42

Iliac crest bone graft (autologous)

Two screws

WOSI: 71%

Adapted constant score: 87

VAS score: 2.1

Zhao et al. [27]

Retrospective

Non-comparative

IV

65

Selection, detection, and performance

No

52

26.3

39M

13F

38.8

Allogenic iliac bone graft

Sutures

Oxford shoulder score: from 29.7 pre-operatively to 42.4 post-operatively

Rowe score: from 34.7 pre-operatively to 91.8 post-operatively

Gian-nakos et al. [22]

Retrospective

Non-comparative

IV

43

Selection, detection, and performance

Yes

12

37.5

9M

3F

28.8

Re-vision setting, autologous bi-cortical iliac crest graft

2 cannulated titanium lag screws

Rowe score: from 16.25 points pre-operatively to 69.58 points post-operatively (significant difference)

Walch-Duplay score: from 11.76 points pre-operatively to 76.67 points post-operatively (significant difference)

WOSI (only post-operatively): 28.71%

Ernst-Brunner et al. [26]

Retrospective

Comparative

III

37

Selection, detection, and performance

Yes

40 (20 open and 20 arthroscopic procedures)

30.9

35M

5F

Autologous iliac crest bone graft

No clinical outcomes.

Moroder et al. [24]

Prospective

Randomized

I

57

No

60 (30 open Latarjet, 30 open iliac crest graft procedures)

31 (Latar-jet)

29 (iliac crest graft)

56M

4F

24

Autologous iliac crest bone graft

Two screws (Latarjet group)

Implant-free press-fit insertion of J-shaped iliac crest bone graft

WOSI, Rowe, SSV, ASOSS score: insignificant difference between the 2 groups post-operatively

(only preoperative Rowe score significantly better in Latarjet group)

Scheibel et al. [29]

Retrospective

Non-comparative

IV

47

Selection, detection, and performance

No

10

28.7

8M

2F

37.9

Tri-cortical autogenous iliac crest bone graft

Two cannulated screws

Constant score: 88.3, Rowe score: 89.5, Walch-Duplay score: 83.5

MISS: 80.6, WOSI: 82.6% (only post-operative values)