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