Related Experiment Video
Updated: Sep 20, 2025
04:01
The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
Published on: August 8, 2025
77
LUtarjet-limit unique coracoid osteotomy Latarjet (With video)
Zhenhan Deng1, Zeling Long1, Wei Lu1
1Department of Sports Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, Guangdong, 518035, China.
Burns & Trauma
|June 6, 2022
Summary
A novel arthroscopic Latarjet technique, FEAST, preserves the coracoacromial arch for recurrent shoulder dislocations. This method shows promising short-term outcomes with improved function and no complications.
Area of Science:
- Orthopedic Surgery
- Arthroscopic Techniques
- Shoulder Reconstruction
Background:
- The Latarjet procedure effectively treats recurrent anterior shoulder dislocation with glenoid bone loss.
- Coracoacromial arch destruction can lead to humeral head translation post-Latarjet.
- A modified technique preserving the arch is needed to improve outcomes.
Purpose of the Study:
- To introduce a modified, individualized, flexible arthroscopic Latarjet technique (FEAST) that preserves the coracoacromial arch.
- To evaluate the short-term clinical outcomes of this novel technique.
Main Methods:
- The FEAST technique utilizes precise preoperative measurements for individualized coracoid osteotomy.
- It employs three arthroscopic portals and preserves the coracoacromial arch.
- A small, mini-window split of the subscapularis (8-10 mm) is performed.
Main Results:
- Twenty-seven patients (average age 25.6 years) underwent the FEAST procedure.
- Average surgical time was 55.6 minutes with a mean follow-up of 8.1 months.
- Significant functional improvement was observed, with successful bone graft healing and no complications.
Conclusions:
- The FEAST technique is a fast, easy, accurate, and safe arthroscopic Latarjet modification.
- It simplifies the procedure while achieving satisfactory bone graft positioning.
- Satisfactory short-term clinical outcomes were demonstrated.
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