2021 Annual Meeting Shoulder Access Pass-Glenoid “Pear Restoration” with the Traditional Latarjet versus Congruent Arc Modification: CT Assessment of Coracoid Morphology for Preoperative Planning

Glenoid “Pear Restoration” with the Traditional Latarjet versus Congruent Arc Modification: CT Assessment of Coracoid Morphology for Preoperative Planning

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Video Transcription

Video Summary

In this video, the speaker presents a study on a CT-based algorithm for preoperative planning for Latter-J, a procedure for critical bone loss. They discuss two major techniques for Latter-J: the classic technique and the congruent arc modification. The purpose of the study was to determine a method of coracoid graft measurement for preoperative templating and to develop a planning algorithm for achieving an on-track shoulder postoperatively. The study analyzed 117 CT scans and found that the classic Latter-J technique reliably restored up to 30% bone loss. However, patients with thin glenoids may be at risk for graft fracture. The speaker emphasizes the importance of considering the amount of bone loss, patient dimensions, and the possibility of achieving an on-track shoulder when choosing a procedure. The limitations of the study are also mentioned.

Asset Caption

Dr. Joseph Lamplot

Keywords

CT-based algorithm

Latter-J procedure

classic technique

congruent arc modification

bone loss