2021 Annual Meeting Shoulder Access Pass-Surgical Technique Spotlight: Open Latarjet

Surgical Technique Spotlight: Open Latarjet - All My Tricks (demo on cadaver)

Video Transcription

Video Summary

In this detailed surgical presentation, the speaker outlines the step-by-step process of performing an open Bankart procedure with coracoid transfer, focusing on patient positioning, approach, and anatomical landmarks. Key techniques include the use of towels or padded stands for scapula positioning, a delto-pectoral approach, careful identification and preservation of the coracoid and surrounding ligaments, and subperiosteal coracoid osteotomy while protecting nerves like the musculocutaneous. The importance of preparing the graft and glenoid surface, splitting the subscapularis muscle appropriately, and managing the capsule with a precise L-type takedown are emphasized. Fixation is achieved using bicortical solid screws with washers for optimal compression, and postoperative repair options for the capsule are discussed. Throughout, attention to nerve protection, tissue handling, and anatomical precision ensures successful outcomes in shoulder stabilization surgery.

Asset Caption

Dr. Matthew Provencher

Keywords

Open Bankart procedure

Coracoid transfer

Delto-pectoral approach

Subperiosteal coracoid osteotomy

Shoulder stabilization surgery