Pdf the outcomes and surgical techniques of the latarjet. It is particularly useful for anterior instability with associated glenoid bone loss. However, the arthroscopic technique is relatively complicated with a long learning curve, which leads to complications. This is an enhanced pdf from the journal of bone and joint surgery j bone joint surg am. Evaluate the results and complications of latarjet procedure in patients with anterior recurrent dislocation of the shoulder. The principle of a latarjet procedure is to cut and move the coracoid bone with the conjoined tendon coracobrachialis and short head of biceps to fill in the bony defect in the glenoid to recreate the contour of the golf tee. This procedure is done for recurrent shoulder instability where the instability is associated with bone loss at the front of the glenoid socket. Thus, a latarjetcoracoid process transfer is performed based on preoperative diagnostic imaging and arthroscopic evaluation of the percentage of bone loss. Arthroscopic latarjet procedure shoulder pain exercise.
Despite some limitations in the free edition of this app, including a maximum file size of 2. The torn tissue is identified then suture anchors or bioabsorbable tacks are used to repair the torn tissue back to its anatomic location figure 4. Aspetar sports medicine journal open latarjet procedure. What is the recovery and rehabilitation after a latarjet procedure. The arthroscopic latarjet procedure, which involves transferring the coracoid bone with its attached conjoint tendon to the glenoid using arthroscopic technique, has been shown as a reliable and safe treatment option for recurrent anterior shoulder instability 16. Patients older than 18 years who had undergone a primary latarjet procedure for shoulder instability with at least 2 years of followup were included. This is an enhanced pdf from the journal of bone and joint surgery. However, the arthroscopic technique is relatively complicated with a long learning curve, which leads to. To evaluate the reproducibility and safety of a novel arthroscopic technique combining a bristowlatarjet procedure with a bankart repair and to report the early clinical and radiologic results. Evaluation of the results and complications of the. Pdf the bristowlatarjet procedure is a wellknown surgical technique designed to treat shoulder instability. Latarjetcoracoid process transfer for glenoid deficiency arthrex.
Bankart versus latarjet operation as a revision procedure. I can use my left hand almost as good as my right but i cant cut my food, wash my hair, etc. The treatment of anterior shoulder instability with transfer of the coracoid and attached conjoint tendon such as the latarjet procedure has provided reliable results. Latarjet and reverse shoulder replacement from the leading experts in the u. The transfer of the coracoid bone block to the anterior glenoid provides stability via the triple blocking effect.
We describe our indications and surgical technique for the. Latarjetcoracoid process transfer for glenoid deficiency. The session moves on to demonstrate how to perform this demanding procedure, how to avoid complications, and how to safely. Arthroscopic bristow acta of shoulder and elbow surgery. Join us in our new, stateoftheart learning center to gain handson, individualized instruction for these two challenging and controversial procedures. Glorion anterior instability of the shoulder longterm results of. The advantage of the open technique is that it allows for a more rigid. Mini open latarjet technique 3 1 2 5 4 6 prepare the glenoid neck with a burr make sure, the bone graft is positioned properly on the glenoid rim remove the tcdc and apply the second screw over the guide wire the plate ensures a proper contact area between coracoid and glenoid. The advantages of an arthroscopic latarjet over the open technique includes improved cosmesis, reduced pain and quicker recovery. Congruent arc latarjet through subscapularis split. The congruent arc latarjet technique developed by dr. The outcomes and surgical techniques of the latarjet. Current indications and techniques in open latarjet vumedi.
Open latarjet technique for anterior bone loss and instability feat. The increase in bone area by securing the coracoid to the glenoid and resultant soft tissue sling from tendon attachments on the coracoid leads to a stabilized glenohumeral joint. A 5cm skin incision is made, starting at the tip of the coracoid process and extending inferiorly. It also allows the surgeon to deal with other problems in the shoulder through the same keyhole incisions arthroscopic. Ohio states latarjet anterior shoulder stabilization rehabilitation guideline is to be utilized following open anterior shoulder stabilization procedures. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a coracoid osteotomy. Coracoid graft osteolysis after the latarjet procedure for. The indication for revision surgery was recurrent dislocation or subluxation. Latarjet french technique there are a few modifications of the original techniques described by latarjet. The procedure was first described by french surgeon dr. The latarjet operation, also known as the latarjetbristow procedure, is a surgical procedure used to treat recurrent shoulder dislocations, typically caused by bone loss or a fracture of the glenoid. Clinicians believe that the stabilizing mechanism of this procedure is the sling effect of the subscapularis4,16,17 or conjoint tendon7,11 or the boneblock effect.
This oftenupdated app combines a large number of pdf files from your android device, as well as many other useful features. In 19 consecutive patients, a polymethyl methacrylate mold was used to shape a single graft from a freshfrozen femoral head to press. During the procedure the anterior coracoid is harvested and attached. Acta of shoulder and elbow surgery volume 1 issue 1 octdec 2016 page 2734 jose carlos garcia jr. Latarjet procedure surgery shoulder hubby works from home as it is impossible to do things by myself. An arthroscopic bankart operation is the most common operative procedure to treat shoulder instability. Pdf the bristowlatarjet procedure, a historical note on a. Basic functionality is available without a fee, while an adfree experience can be had with inapp purchases. In 12 patients, the surgery involved their dominant side 46. Technical guide and tips on the allarthroscopic latarjet procedure. This session will include an arthroscopic and an open latarjet technique demonstration performedby pascal boileau, m. The authors declare that they have no conflicts of interest concerning this article.
The glenoid bone loss set includes unique instrumentation and implants to make the open latarjet technique more consistent and repeatable. Jose carlos garcia jr naeonsanta catarina hospital. Longterm results of the latarjet procedure for the. Fiftyone patients 52 shoulders with anterior recurrent dislocation, surgically treated by latarjet procedure, were analyzed retrospectively. The pdf of the article you requested follows this cover page. It can also be used as a salvage procedure in revision cases. L hovelius, l korner, b lundberg, c akermark, p herberts, t wredmark and e berg technical aspects of the bristowlatarjet procedure the coracoid transfer for recurrent dislocation of the shoulder. Aaos ases reverse total shoulder and latarjet procedures. Glenoid bone loss prevalence, etiology, classification, and history burkhart and debeer arthroscopy 20005 o 21 of 194 patients with significant glenoid bone loss. Common reconstructive techniques include the latarjet procedure coracoid transfer or glenoid augmentation using autograft iliac crest. Since december 2003, over 450 arthroscopic latarjet procedures have been performed by the senior author. To determine the optimal position and orientation of the coracoid bone graft for the latarjet procedure for recurrent instability in patients with recurrent anterior instability and high degrees of glenoid bone loss.
The latarjet procedure 1, first described in 1958 and used to address anteroinferior shoulder instability, involves using coracoid transfer to stabilize the shoulder by the static action of the transferred bone block and by the dynamic action of the attached conjoined tendon sling short head of biceps and coracobrachialis. Most of the reported complications associated with this procedure can be avoided with proper patient selection and a systematic surgical technique. The latarjet procedure is a safe and reliable technique for treating recurrent anterior instability. Open latarjet surgery is a good option for failed arthroscopic bankart repair. The coracoid transfer for recurrent dislocation of the. A computer search of electronic medical files at our hospital. Surgical technique although the technique does include arthroscopic portions, the majority of the coracoid preparation is done extraar. Open latarjet procedure for failed arthroscopic bankart. This analogy is used because the articular surface of the round humeral head upper most part of. Current indications and techniques in open latarjet.
This technique eliminates the need for a lateral percutaneous portal, consequently minimizing operative time and postoperative morbidity. Arthroscopic doublepulley remplissage using a 2portal. For more educational videos from nyu langone orthopedics, visit. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a. Rehabilitation guidelines for open latarjet anterior shoulder stabilization the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee.
Technical guide and tips on the allarthroscopic latarjet. Arthroscopic bristowlatarjet procedure using suture endobutton technique. The arthroscopic latarjet procedure, which involves transferring the coracoid bone with its attached conjoint tendon to the glenoid using arthroscopic technique, has been shown as a reliable and safe treatment option for recurrent anterior shoulder instability 1,2,3,4,5,6. Recurrence rates of instability are acceptable and reoperation rates were low. The outcomes and surgical techniques of the latarjet procedure.
Glenoid bone loss management cdr provencher mt aossm specialty day 20 naval med center san diego 2. There are a few modifications of the original techniques described by latarjet. The principle of a latarjet procedure is to cut and move the coracoid bone with. The bony prominence at the front of the shoulder coracoid is. Clinical outcomes and radiologic assessment of a modified.
The glenoid bone loss set helps surgeons address the complex issue of shoulder instability caused by bony pathology such as anterior glenoid bone loss, bony bankart, glenoid fracture or engaging hillsachs lesions. The open latarjet procedure has proven to be an effective procedure in the treatment of anterior shoulder instability, particularly in patients with glenoid bone loss andor an engaging hillsachs lesion. Latarjet technique for treatment of anterior shoulder instability with. Pdf to determine the optimal position and orientation of the coracoid bone graft for the latarjet procedure for recurrent instability in patients with. Rehabilitation guidelines for open latarjet anterior. Laith jazrawi presents his approach to anterior shoulder instability using the latarjet procedure coracoid process transfer. Coracoid transfer, particularly the latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the. I recently had the latarjet procedure on april th, 2018 and wanted to know how your recovery process is going and how your shoulder felt a month or two after surgery and when you started to feel it coming back to normal. How to combine pdf files into one document lifewire. Pdf miniopen latarjet procedure for recurrent anterior. Please consult referring surgeon for operative note. The open technique involves a small incision in the front of the shoulder.