Latarjet Procedure for Recurrent Anterior Shoulder Instability.

Area of Science:

• Orthopaedic Surgery
• Sports Medicine
• Shoulder Instability Research

Background:

• The Latarjet procedure is a key surgical treatment for recurrent anterior shoulder instability.
• It is particularly indicated for cases involving significant glenoid bone loss or failed prior repairs.
• Evolving arthroscopic techniques complement traditional open surgery.

Purpose of the Study:

• To review the indications, technique, and outcomes of the Latarjet procedure.
• To highlight the efficacy of the congruent arc modification.
• To assess the procedure's success in restoring shoulder stability and function.

Main Methods:

• The Latarjet procedure involves transferring the coracoid process to the anterior inferior glenoid.
• The congruent arc technique is a specific modification for optimal graft placement.
• Surgical technique includes coracoid preparation, fixation with screws, and capsular repair.

Main Results:

• The congruent arc modification demonstrates favorable outcomes in patients with glenoid bone loss.
• Low redislocation rates (1.1%) and high return-to-sport rates (94.3%) are reported.
• High graft integration (92.1%) and significant improvements in functional scores (Rowe, ASES) are observed.

Conclusions:

• The Latarjet procedure, particularly the congruent arc technique, is highly effective for complex shoulder instability.
• It provides excellent stability and functional recovery, with manageable risks.
• The procedure remains a relevant and successful option in orthopaedic practice.