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Open Latarjet for Traumatic Shoulder Dislocation: A Technical Note
Ahab G Alnemri1, Amar S Vadhera2, Rahul Kumar3
1Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Video Journal of Sports Medicine
|March 26, 2026
Summary
The Latarjet procedure effectively treats shoulder instability with bone loss by augmenting the glenoid. This technique shows favorable outcomes, including reduced recurrence and higher return-to-sport rates compared to other methods.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Surgical Techniques
Background:
- The Latarjet procedure is a surgical technique for symptomatic, recurrent anterior shoulder instability.
- It is particularly indicated for cases with significant glenoid bone loss.
- The standard approach involves a subscapularis split for optimal exposure.
Purpose of the Study:
- To describe the technique and early outcomes of the Latarjet procedure.
- To highlight its efficacy in treating anterior shoulder instability with bone loss.
- To compare its results with alternative stabilization surgeries.
Main Methods:
- Patient positioning in beach-chair position.
- Coracoid bone graft harvesting and preparation.
- Subscapularis split and capsular incision for glenoid access.
- Graft fixation using screws and suture anchors.
- Reinforcement of the glenohumeral ligament complex.
Main Results:
- Favorable early outcomes reported for the Latarjet technique.
- Reduced recurrence of shoulder instability due to glenoid augmentation.
- Lower complication and reoperation rates compared to arthroscopic Bankart.
- Higher return to sport rates observed.
Conclusions:
- The Latarjet technique is a viable option for indicated patients with anterior shoulder instability and bone loss.
- It offers effective glenoid augmentation and stability.
- Consideration of this procedure is recommended for surgeons treating such cases.
