2021 Annual Meeting Shoulder Access Pass-Questions and Answers II: Anterior Shoulder Instability: Nuts to Bolts?

Questions and Answers II: Anterior Shoulder Instability: Nuts to Bolts?

Video Transcription

Video Summary

The discussion focuses on managing bone loss in shoulder surgery, specifically using congruent angle techniques and screw selection for graft fixation. Dr. Lamplot advises against cannulated screws in thin coracoid bones with significant loss, recommending distal tibia grafts instead. Dr. Arciero shares his approach, emphasizing preoperative CT scan evaluation for coracoid integrity and preferring traditional techniques over congruent arc. He uses three-centimeter grafts fixed with 3.5mm non-cannulated bicortical screws without washers, believing washers may reduce compression and affect stability. Both emphasize tailored approaches for better outcomes in Latarjet procedures.

Asset Caption

Michael Pagnani, MD; Stephen Brockm

Keywords

bone loss management

shoulder surgery

congruent angle technique

screw selection

Latarjet procedure