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Arthroscopy-Assisted Latarjet Procedure With Coracoid Exteriorization
Juha O Ranne1,2, Terho U Kainonen1
1Sports Trauma Research Unit, Hospital Mehiläinen Neo.
Arthroscopy Techniques
|November 10, 2021
Summary
The arthroscopy-assisted Latarjet procedure offers a safe and practical solution for complex shoulder dislocations with bone defects. This technique combines open and arthroscopic benefits for effective glenoid reconstruction.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Complicated glenohumeral joint dislocations often involve anterior glenoid bone defects.
- The Latarjet procedure addresses both soft-tissue and bone deficiencies.
- Arthroscopic Latarjet offers improved visualization and avoids arthrotomy.
Purpose of the Study:
- To present an arthroscopy-assisted Latarjet technique.
- To combine advantages of open and arthroscopic Latarjet procedures.
- To describe a safe and practical surgical approach.
Main Methods:
- Temporarily exteriorizing the coracoid for shaping and glenoid fixation.
- Performing coracoid debridement, glenoid preparation, and subscapular split arthroscopically.
- Fixing the shaped coracoid to the glenoid under arthroscopic visualization.
Main Results:
- The technique allows for arthroscopic control throughout the procedure.
- Coracoid process cutting and fixation are performed under direct arthroscopic visualization.
- Simple instrumentation enhances surgical safety and practicality.
Conclusions:
- The described arthroscopy-assisted Latarjet technique effectively addresses anterior glenoid bone defects.
- This method integrates the benefits of open and arthroscopic approaches.
- The procedure is safe, practical, and utilizes straightforward instrumentation.
