The Latarjet-Patte Procedure Past, Present, and Future.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Surgery

Background:

• The Latarjet-Patte procedure is an established surgical technique for anterior glenohumeral instability.
• Its use has grown significantly with increasing cases of bone loss in the shoulder.
• It predates arthroscopic techniques but remains a relevant option.

Purpose of the Study:

• To review the history, indications, and outcomes of the Latarjet-Patte procedure.
• To discuss its biomechanical advantages for anterior shoulder instability with bone loss.
• To explore recent technical innovations and future directions.

Main Methods:

• Review of historical data and surgical literature.
• Analysis of outcomes comparing Latarjet-Patte to arthroscopic stabilization.
• Evaluation of biomechanical principles and technical advancements.

Main Results:

• The Latarjet-Patte procedure demonstrates low rates of recurrent instability, especially with glenoid and humeral bone loss.
• It provides a triple-blocking effect (static and dynamic) for enhanced stability.
• Compared to arthroscopic soft-tissue repair, it shows better outcomes in specific bone loss scenarios.

Conclusions:

• The Latarjet-Patte procedure remains a highly effective treatment for anterior glenohumeral instability with significant bone loss.
• Ongoing technical innovations may further improve its efficacy and safety profile.
• Further research is needed to clarify the learning curves and adoption of new techniques.