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Related Experiment Video

Updated: Jun 13, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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[Modified Latarjet procedure for recurrent shoulder dislocation in elderly patients].

R Hart1, P Sváb, J Krejzla

  • 1Ortopedicko-traumatologické oddelení Nemocnice Znojmo.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|May 8, 2010
PubMed
Summary

The open Latarjet procedure effectively restores shoulder stability and function in elderly patients with glenoid bone defects and anterior instability. This technique provides a reliable solution when soft-tissue repair is not suitable.

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Area of Science:

  • Orthopedic surgery
  • Shoulder reconstruction
  • Traumatology

Background:

  • Anterior shoulder instability often involves a bony defect of the glenoid.
  • Traditional soft-tissue repairs may be insufficient for significant bone loss.
  • Elderly patients present unique challenges for shoulder reconstruction.

Purpose of the Study:

  • To evaluate the efficacy of an open Latarjet procedure for glenoid bone defects in elderly patients with anterior shoulder instability.
  • To assess functional outcomes and recurrence of instability after the modified Latarjet procedure.

Main Methods:

  • Prospective study of 11 patients (age > 50) with glenoid bone defects and recurrent anterior instability.
  • All patients underwent an open Latarjet procedure.

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Last Updated: Jun 13, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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  • Outcomes were assessed using the Constant-Murley score and range of motion measurements.

    • Main Results:

    • All 11 patients achieved shoulder stability and improved function at a minimum 4-year follow-up.
    • No recurrence of instability was observed.
    • Mean Constant-Murley score improved significantly (56.4 to 81.8), with minimal loss of motion.

    Conclusions:

    • The open Latarjet reconstruction is a successful treatment for glenoid bone defects causing anterior shoulder instability in elderly individuals.
    • This procedure offers a viable alternative to soft-tissue repairs when bone loss is significant.
    • The Latarjet procedure, distinct from the Bristow procedure, addresses the bony defect directly.