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Updated: Jul 10, 2025

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Recurrent Instability after the Latarjet Procedure.

Khalid Alkhelaifi1, Osama Z Alzobi, Shady A Mahmoud

  • 1From the Orthopaedic Surgeon, Aspetar-Qatar Orthopaedic and Sports Medicine Hospital, Qatar (Dr. Alkhelaifi and Dr. Zikria), and the Department of Orthopeadic (Dr. Alzobi and Dr. Mahmoud), Hamad General Hospital, Qatar.

Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
|November 27, 2023
PubMed
Summary
This summary is machine-generated.

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The Latarjet procedure can fail, leading to recurrent instability. Management options include bone grafting or soft-tissue repairs to address complications and restore shoulder stability.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability

Background:

  • The Latarjet procedure is a common surgical treatment for chronic shoulder instability with bone loss.
  • While effective, it has a significant complication rate (15-30%), including recurrent instability.
  • Complications can necessitate revision surgery, requiring careful management strategies.

Approach:

  • This review comprehensively examines the causes of Latarjet procedure failure.
  • It details various revision strategies, including glenoid bone grafting (autograft and allograft options).
  • Soft-tissue procedures are also discussed as alternatives for specific patient profiles.

Key Points:

  • Recurrent instability is a primary concern after Latarjet, but other complications like infection and nerve injury also occur.

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  • Bone grafting options include iliac crest, distal clavicle, and osteochondral tibial allografts.
  • Fresh lateral distal tibial allografts offer osteochondral advantages for bone defects.
  • Soft-tissue procedures are suitable for cases without significant bone loss or for multidirectional instability.

    • Conclusions:

    • Effective management of failed Latarjet procedures requires understanding diverse causes and employing tailored revision techniques.
    • Bone grafting and soft-tissue procedures represent key strategies for restoring shoulder stability.
    • Optimizing outcomes involves selecting the appropriate revision approach based on the specific failure mode and patient factors.