AANA Shoulder Arthroscopy - August 2024-Not Everyone Needs a Latarjet!

Not Everyone Needs a Latarjet! - Other Bony Options

Video Transcription

Video Summary

Dr. Matthew Preventcher discusses surgical options for glenoid bone loss in shoulder instability. He emphasizes that bone loss varies, often being partial and attritional in cases over three months. Preferred treatments depend on defect size and patient history. Distal tibial allograft (DTA) is highlighted as an excellent graft option due to its cartilage and cortical bone, showing superior healing and lower resorption compared to Latarjet. Iliac crest autograft and distal clavicle autograft are alternatives for large defects or revisions, though each has limitations. Advances in imaging and arthroscopic techniques improve graft preparation and outcomes. Early grafting is becoming common even for smaller defects.

Asset Caption

Matthew Provencher, MD

Keywords

glenoid bone loss

shoulder instability

distal tibial allograft

Latarjet procedure

arthroscopic grafting