AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Open Latarjet_ Reproducible Technique to Avoid Complications

Open Latarjet_ Reproducible Technique to Avoid Complications

Video Transcription

Video Summary

Dr. Giacomo Giovanni from Concordia Hospital explains the open Latarjet technique for treating shoulder instability with significant glenoid bone loss (20-25%). Key steps include precise patient selection, use of a mini open approach via subscapularis split, careful coracoid graft osteotomy and fixation with a specialized plate, and capsulotomy for joint exposure. The technique relies on bone augmentation, sling effect, and subscapularis integrity for stability. Proper implant placement ensures bone integration and biomechanical success, avoiding complications. Even in minimal glenoid loss, good outcomes are possible despite partial graft resorption. The reproducible method prioritizes safety, biological healing, and surgical precision.

Keywords

Open Latarjet technique

Shoulder instability

Glenoid bone loss

Coracoid graft fixation

Subscapularis split approach