Technical guide and tips on the all-arthroscopic Latarjet procedure

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopic Procedures

Background:

• Anterior shoulder instability is common in young athletes, often treated with arthroscopic Bankart repair.
• Bankart repair may be insufficient for cases with poor tissue quality or significant glenoid bone loss.
• Bony reconstruction is indicated for chronic anterior glenoid bone defects.

Purpose of the Study:

• To provide a comprehensive update on the arthroscopic Latarjet procedure.
• To present technical tips for smoother surgery, challenging situation navigation, and complication avoidance.
• To detail advancements in the arthroscopic Latarjet procedure since its description in 2007.

Main Methods:

• Review of technical advancements and surgical evolution of the arthroscopic Latarjet procedure.
• Presentation of surgical technique by a senior author with extensive experience (>450 cases).
• Focus on practical tips for surgeons performing this demanding procedure.

Main Results:

• The arthroscopic Latarjet procedure offers reliable results for anterior shoulder instability with bone loss.
• The procedure has evolved significantly, with ongoing refinements to the surgical technique.
• The article aims to enhance surgeon proficiency and patient outcomes.

Conclusions:

• The arthroscopic Latarjet procedure is a well-defined and effective treatment for anterior shoulder instability with glenoid bone defects.
• Continuous technical refinement is crucial for optimizing outcomes and minimizing complications.
• This updated guide assists surgeons in performing the procedure more effectively.