2021 Annual Meeting Shoulder Access Pass-I Cracked My Latarjet Graft

Video Transcription

Video Summary

The speaker discusses intraoperative complications of coracoid transfer surgery, focusing on graft fracture risks. Different coracoid transfer types—Traditional Latter-Jay, Congruent-Arc, and Bristow—vary in graft surface area and fixation, affecting fracture likelihood. The Traditional Latter-Jay offers larger bone contact, reducing fracture risk, while the Congruent-Arc’s smaller graft may increase it, particularly in females with thinner coracoids. Emphasis is placed on careful graft harvest, preparation, and fixation techniques to avoid fracture. Bailout options include single screw fixation, suture anchors, buttress plates, transosseous buttons, local autografts, or allografts. Proper technique and contingency planning are key to managing complications.

Asset Caption

Dr. Frank Cordasco

Keywords

coracoid transfer surgery

intraoperative complications

graft fracture risk

Traditional Latter-Jay technique

bailout fixation methods