AANA19 Shoulder Access Pass-Master Series_ Evolution of Scope Laterjet-Dr. Ivan H. Wong, M.D.

Master Series_ Evolution of Scope Laterjet-Dr. Ivan H. Wong, M.D.

Video Transcription

Video Summary

The Latarjet procedure, while effective for shoulder instability with bone loss, has significant drawbacks such as high complication rates, nerve injury risk, non-anatomic outcome, and difficult revisions. An alternative is arthroscopic anatomic glenoid reconstruction (AGR), which preserves anatomy, addresses bone loss, allows capsular repair, and reduces complications. Using the "Halifax portal," AGR avoids nerve damage and subscapularis injury, with a manageable learning curve (~9 cases). Clinical outcomes show improved stability without neurovascular issues and cost-effectiveness over Bankart repairs. AGR also facilitates easier revision surgeries post-Latarjet failure, representing a safer, more anatomic approach for treating complex shoulder instability.

Keywords

Latarjet procedure

arthroscopic anatomic glenoid reconstruction

shoulder instability

Halifax portal

capsular repair