2021 Annual Meeting Shoulder Access Pass-Arthroscopic Laterjet a Reality Check

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This presentation reviews coracoid transfer (Latarjet) procedures for anterior glenoid bone loss, comparing open and arthroscopic techniques. Graft positioning is critical: ideally 50% below the glenoid equator and aligned with subchondral bone. Arthroscopic approaches face challenges due to portal constraints; however, the button fixation technique shows less variability in graft placement compared to screw fixation. Graft healing rates are similar between open and arthroscopic methods, though button fixation may take longer to fuse. Complications occur in both, with about 24% complication rate reported, primarily coracoid fractures. The arthroscopic learning curve improves outcomes after 30 cases. Overall, both methods yield comparable results.

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Dr. William Ciccone

Keywords

coracoid transfer

Latarjet procedure

anterior glenoid bone loss

arthroscopic vs open technique

graft fixation methods