APEX Shoulder Mastering Surgical Techniques for Clinical Success-Open Latarjet_ Reproducible Technique to Avoid Complications

Open Latarjet_ Reproducible Technique to Avoid Complications

Video Transcription

Video Summary

Dr. Giacomo Giovanni from Concordia Hospital, Rome, presents the open Latarjet technique for treating anterior or post-traumatic shoulder instability, especially with over 20-25% glenoid bone loss. He emphasizes careful patient selection, preferring a mini-open approach through the subscapularis split to preserve anatomy and avoid complications. Key steps include coracoid osteotomy, bone graft fixation with a specialized plate ensuring optimal bone contact and vascularity, and cautious capsular repair. The technique is reproducible, safe, and yields good clinical outcomes even when coracoid resorption occurs, as this reflects normal biological integration rather than complications.

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Giovanni Di Giacomo, MD

Keywords

Latarjet technique

shoulder instability

glenoid bone loss

coracoid osteotomy

mini-open subscapularis approach