Arthroscopic Glenoid Reconstruction, Bone Blocks and Transfers in the Management of Complex Shoulder Instability With Bone Loss: Advanced Concepts and Surgical Techniques: Interactive and Case -Based (AANA22)-Latarjet is the Definitive Solution

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Video Summary

The speaker discusses shoulder instability treatments, emphasizing that bone loss is a key factor in recurrent dislocations. Despite advances, recurrence rates remain high, especially in small glenoids of contact athletes. The Latarjet procedure, which transfers bone and a conjoint tendon to stabilize the shoulder, offers a triple-blocking effect effective regardless of bone loss severity. Long-term studies show Latarjet leads to lower recurrence and higher patient satisfaction compared to soft tissue repair. However, it’s more technically demanding with potential complications. The speaker advises against soft tissue stabilization followed by Latarjet, recommending Latarjet as the primary approach for better outcomes.

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Rachel M. Frank, M.D.

Keywords

shoulder instability

bone loss

Latarjet procedure

recurrent dislocations

contact athletes