Surgical Technique for the Latarjet Procedure Using Non-Cannulated Screws

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.