AANA19 Shoulder Access Pass-Scope vs. Open Latarjet - Featured Lecture-Dr. Hannan Mullett, M.D.

Scope vs. Open Latarjet - Featured Lecture-Dr. Hannan Mullett, M.D.

Video Transcription

Video Summary

The speaker begins by thanking Dr. Kelly and Dr. McIntyre for the invitation and hospitality. In Ireland, where collision sports like rugby, Gaelic football, and hurling are popular, the presenter discusses the increasing use of the LATICHE procedure for severe shoulder injuries. They argue that open LATICHE has shown better results than arthroscopic and open Bankart procedures in terms of recurrent dislocation, instability, and return to play. However, proponents of arthroscopic LATICHE claim it has advantages such as better graph placement, easier conversion to open, quicker rehab, and better cosmesis. The speaker presents a meta-analysis of 896 patients showing trends towards better outcomes in the open LATICHE group, including less persistent apprehension and lower revision and neurological complication rates. They also discuss favorable graph positioning, operative time, costs, and cosmesis of the open technique, concluding that it is a reliable and cost-effective option.

Asset Caption

General Scientific Session: Shoulder Instability 5.2.2019

Keywords

LATICHE procedure

shoulder injuries

open LATICHE

arthroscopic LATICHE

recurrent dislocation