This session will include an arthroscopic and an open latarjet technique demonstration performedby pascal boileau, m. Technical guide and tips on the allarthroscopic latarjet procedure. The glenoid bone loss set includes unique instrumentation and implants to make the open latarjet technique more consistent and repeatable. The procedure was first described by french surgeon dr. The indication for revision surgery was recurrent dislocation or subluxation. Mini open latarjet technique 3 1 2 5 4 6 prepare the glenoid neck with a burr make sure, the bone graft is positioned properly on the glenoid rim remove the tcdc and apply the second screw over the guide wire the plate ensures a proper contact area between coracoid and glenoid. However, the arthroscopic technique is relatively complicated with a long learning curve, which leads to. Longterm results of the latarjet procedure for the. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a. Clinical outcomes and radiologic assessment of a modified. Pdf the bristowlatarjet procedure is a wellknown surgical technique designed to treat shoulder instability.
The congruent arc latarjet technique developed by dr. The arthroscopic latarjet procedure, which involves transferring the coracoid bone with its attached conjoint tendon to the glenoid using arthroscopic technique, has been shown as a reliable and safe treatment option for recurrent anterior shoulder instability 16. Jose carlos garcia jr naeonsanta catarina hospital. Congruent arc latarjet through subscapularis split. Open latarjet procedure for failed arthroscopic bankart. Latarjetcoracoid process transfer for glenoid deficiency arthrex.
Patients older than 18 years who had undergone a primary latarjet procedure for shoulder instability with at least 2 years of followup were included. The transfer of the coracoid bone block to the anterior glenoid provides stability via the triple blocking effect. The latarjet procedure 1, first described in 1958 and used to address anteroinferior shoulder instability, involves using coracoid transfer to stabilize the shoulder by the static action of the transferred bone block and by the dynamic action of the attached conjoined tendon sling short head of biceps and coracobrachialis. Despite some limitations in the free edition of this app, including a maximum file size of 2. The bony prominence at the front of the shoulder coracoid is.
The latarjet operation, also known as the latarjetbristow procedure, is a surgical procedure used to treat recurrent shoulder dislocations, typically caused by bone loss or a fracture of the glenoid. Pdf the outcomes and surgical techniques of the latarjet. This is an enhanced pdf from the journal of bone and joint surgery. The glenoid bone loss set helps surgeons address the complex issue of shoulder instability caused by bony pathology such as anterior glenoid bone loss, bony bankart, glenoid fracture or engaging hillsachs lesions.
Glenoid bone loss management cdr provencher mt aossm specialty day 20 naval med center san diego 2. There are a few modifications of the original techniques described by latarjet. This procedure is done for recurrent shoulder instability where the instability is associated with bone loss at the front of the glenoid socket. Current indications and techniques in open latarjet vumedi. I can use my left hand almost as good as my right but i cant cut my food, wash my hair, etc.
The principle of a latarjet procedure is to cut and move the coracoid bone with the conjoined tendon coracobrachialis and short head of biceps to fill in the bony defect in the glenoid to recreate the contour of the golf tee. Bankart versus latarjet operation as a revision procedure. Most of the reported complications associated with this procedure can be avoided with proper patient selection and a systematic surgical technique. Glorion anterior instability of the shoulder longterm results of. The torn tissue is identified then suture anchors or bioabsorbable tacks are used to repair the torn tissue back to its anatomic location figure 4. It is particularly useful for anterior instability with associated glenoid bone loss. Latarjetcoracoid process transfer for glenoid deficiency. For more educational videos from nyu langone orthopedics, visit.
Since december 2003, over 450 arthroscopic latarjet procedures have been performed by the senior author. It can also be used as a salvage procedure in revision cases. This technique eliminates the need for a lateral percutaneous portal, consequently minimizing operative time and postoperative morbidity. An arthroscopic bankart operation is the most common operative procedure to treat shoulder instability. Evaluation of the results and complications of the. Basic functionality is available without a fee, while an adfree experience can be had with inapp purchases. Arthroscopic bristowlatarjet procedure using suture endobutton technique.
Evaluate the results and complications of latarjet procedure in patients with anterior recurrent dislocation of the shoulder. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a coracoid osteotomy. Arthroscopic latarjet procedure shoulder pain exercise. The session moves on to demonstrate how to perform this demanding procedure, how to avoid complications, and how to safely. Surgical technique although the technique does include arthroscopic portions, the majority of the coracoid preparation is done extraar. Pdf to determine the optimal position and orientation of the coracoid bone graft for the latarjet procedure for recurrent instability in patients with.
Technical guide and tips on the allarthroscopic latarjet. A computer search of electronic medical files at our hospital. Ohio states latarjet anterior shoulder stabilization rehabilitation guideline is to be utilized following open anterior shoulder stabilization procedures. The open latarjet procedure has proven to be an effective procedure in the treatment of anterior shoulder instability, particularly in patients with glenoid bone loss andor an engaging hillsachs lesion. Pdf the bristowlatarjet procedure, a historical note on a. Aaos ases reverse total shoulder and latarjet procedures. The increase in bone area by securing the coracoid to the glenoid and resultant soft tissue sling from tendon attachments on the coracoid leads to a stabilized glenohumeral joint. The principle of a latarjet procedure is to cut and move the coracoid bone with. Fiftyone patients 52 shoulders with anterior recurrent dislocation, surgically treated by latarjet procedure, were analyzed retrospectively. Please consult referring surgeon for operative note. Open latarjet technique for anterior bone loss and instability feat. This is an enhanced pdf from the journal of bone and joint surgery j bone joint surg am.
Common reconstructive techniques include the latarjet procedure coracoid transfer or glenoid augmentation using autograft iliac crest. A 5cm skin incision is made, starting at the tip of the coracoid process and extending inferiorly. Arthroscopic doublepulley remplissage using a 2portal. During the procedure the anterior coracoid is harvested and attached. The advantage of the open technique is that it allows for a more rigid. Coracoid graft osteolysis after the latarjet procedure for. This oftenupdated app combines a large number of pdf files from your android device, as well as many other useful features. Laith jazrawi presents his approach to anterior shoulder instability using the latarjet procedure coracoid process transfer.
Thus, a latarjetcoracoid process transfer is performed based on preoperative diagnostic imaging and arthroscopic evaluation of the percentage of bone loss. What is the recovery and rehabilitation after a latarjet procedure. The pdf of the article you requested follows this cover page. The outcomes and surgical techniques of the latarjet. How to combine pdf files into one document lifewire. L hovelius, l korner, b lundberg, c akermark, p herberts, t wredmark and e berg technical aspects of the bristowlatarjet procedure the coracoid transfer for recurrent dislocation of the shoulder. Join us in our new, stateoftheart learning center to gain handson, individualized instruction for these two challenging and controversial procedures. Latarjet technique for treatment of anterior shoulder instability with. Acta of shoulder and elbow surgery volume 1 issue 1 octdec 2016 page 2734 jose carlos garcia jr. The treatment of anterior shoulder instability with transfer of the coracoid and attached conjoint tendon such as the latarjet procedure has provided reliable results. In 19 consecutive patients, a polymethyl methacrylate mold was used to shape a single graft from a freshfrozen femoral head to press.
Current indications and techniques in open latarjet. Clinicians believe that the stabilizing mechanism of this procedure is the sling effect of the subscapularis4,16,17 or conjoint tendon7,11 or the boneblock effect. The coracoid transfer for recurrent dislocation of the. The latarjet procedure is a safe and reliable technique for treating recurrent anterior instability. This analogy is used because the articular surface of the round humeral head upper most part of.
We describe our indications and surgical technique for the. The authors declare that they have no conflicts of interest concerning this article. Rehabilitation guidelines for open latarjet anterior shoulder stabilization the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee. To determine the optimal position and orientation of the coracoid bone graft for the latarjet procedure for recurrent instability in patients with recurrent anterior instability and high degrees of glenoid bone loss. Glenoid bone loss prevalence, etiology, classification, and history burkhart and debeer arthroscopy 20005 o 21 of 194 patients with significant glenoid bone loss.
To evaluate the reproducibility and safety of a novel arthroscopic technique combining a bristowlatarjet procedure with a bankart repair and to report the early clinical and radiologic results. Open latarjet procedure for failed arthroscopic bankart repair. The outcomes and surgical techniques of the latarjet procedure. The arthroscopic latarjet procedure, which involves transferring the coracoid bone with its attached conjoint tendon to the glenoid using arthroscopic technique, has been shown as a reliable and safe treatment option for recurrent anterior shoulder instability 1,2,3,4,5,6.
Latarjet and reverse shoulder replacement from the leading experts in the u. The open technique involves a small incision in the front of the shoulder. Rehabilitation guidelines for open latarjet anterior. Open latarjet surgery is a good option for failed arthroscopic bankart repair. Latarjet french technique there are a few modifications of the original techniques described by latarjet. Coracoid transfer, particularly the latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the. Latarjet procedure surgery shoulder hubby works from home as it is impossible to do things by myself. It also allows the surgeon to deal with other problems in the shoulder through the same keyhole incisions arthroscopic.