A hybrid open-arthroscopic latarjet coracoid bone-block technique using "HyLa" instrumentation

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• The Latarjet coracoid bone-block is a standard treatment for anteroinferior shoulder instability.
• Current surgical options include open and purely arthroscopic techniques.
• The arthroscopic approach offers benefits but has a steep learning curve.

Purpose of the Study:

• To present a hybrid technique for the Latarjet coracoid bone-block procedure.
• To introduce dedicated instrumentation that enhances safety and reproducibility.
• To offer an alternative addressing limitations of the purely arthroscopic method.

Main Methods:

• A hybrid surgical concept utilizing specialized instrumentation.
• The technique allows for an open or arthroscopic approach to the coracoid bone block.
• Instrumentation ensures safety and reproducibility across modalities.

Main Results:

• The hybrid technique provides a safe and reproducible alternative for the Latarjet procedure.
• It allows for concomitant intra-articular surgery when needed.
• This method circumvents some limitations associated with purely arthroscopic Latarjet procedures.

Conclusions:

• The presented hybrid Latarjet technique offers a viable alternative for managing shoulder instability.
• Dedicated instrumentation facilitates a safe and reproducible procedure, adaptable to surgeon preference.
• This approach combines the benefits of open surgery with potential arthroscopic integration.