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Surgical Technique for the Latarjet Procedure Using Non-Cannulated Screws.

Kristin E Yu1, Richard F Nauert1, Christopher L Camp1

  • 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

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|May 1, 2025
PubMed
Summary

The Latarjet procedure effectively treats anterior glenohumeral instability with bone loss. It offers high return-to-sport rates, especially for athletes, with manageable complication rates.

Keywords:
Latarjetdislocationglenohumeral jointglenoid bone lossshoulder instability

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability

Background:

  • Anterior glenohumeral instability with significant glenoid bone loss presents a surgical challenge.
  • The Latarjet procedure is recognized for its efficacy in addressing this condition through a triple blocking effect.

Purpose of the Study:

  • To detail the indications and surgical technique of the Latarjet procedure.
  • To evaluate the outcomes and complication rates associated with the Latarjet procedure.

Main Methods:

  • The Latarjet procedure involves coracoid bone grafting to the anterior glenoid rim.
  • Key steps include coracoid osteotomy, preparation of the glenoid and graft, screw fixation, and capsulolabral repair.

Main Results:

  • High return-to-sport rates were observed in young athletes and older patients.
  • Reported 90-day complication rates were approximately 9%, with graft or hardware failure in 5%.

Conclusions:

  • The Latarjet procedure is a viable and effective surgical option for specific patients with anterior glenohumeral instability and bone loss.
  • Optimizing outcomes may involve using solid screws, precise anatomic technique, and augmenting capsulolabral repair.