The Latarjet Procedure for the Treatment of Recurrence of Anterior Instability of the Shoulder After Operative Repair

Abstract

Coracoid transfer as described by Latarjet can effectively restore anterior glenohumeral shoulder stability if previous operation(s) have failed to do so. If recurrence is associated with chronic pain, the pain is likely to persist and compromise the subjective outcome.

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

“…Furthermore the graft may be kept extra-articular by repair of the capsule to the native glenoid, which helps to stop the graft abrading the humeral surface [61] . Several studies have reported good outcomes with the Latarjet procedure, with low rates of recurrent instability, high patient satisfaction and return to sports [60,62] .…”

BESS/BOA Patient Care Pathways

“…Recurrent instability rates following the Latarjet procedure range from 2.9% to 8%. [47][48][49][50][51] . Reported complication rate though is high (25% to 30%) with non/fibrous union, neurological injury, recurrence and infection accounting for the majority.…”

What’s New in Sports Medicine

“…When bone loss is more than 6 mm measured arthroscopically or loss of the glenoid circle is more than 20% compared with the uninvolved shoulder on preoperative computed tomography scan, a bony procedure, such as the Latarjet, is indicated. 10 Early results of this open procedure are encouraging for these complex cases.…”