APEX Advanced Shoulder Arthroscopy-Online Didactic (August 2021)-The Arthroscopic Latarjet: My Experience

Video Transcription

Video Summary

In this video, Grant Gergues from Rush University Medical Center discusses his experience with the arthroscopic Latter-Jay procedure for instability surgery. He explains that bone loss is an important factor in determining the need for a bony procedure versus arthroscopic repair. Gergues emphasizes that the EC score, or instability index score, is useful in predicting recurrence rates with arthroscopic repair. He describes the Latter-Jay procedure, which involves using the coracoid to increase the arc length of the glenoid and utilizing the subscapularis muscle as a sling to augment the deficient anterior and inferior capsule. Gergues presents evidence showing the effectiveness, reliability, and safety of the arthroscopic Latter-Jay procedure through various studies. He also highlights benefits such as excellent graft position and decreased pain compared to open surgery. In conclusion, Gergues believes that the arthroscopic Latter-Jay procedure is a viable and lasting option for treating instability.

Asset Caption

Grant Garrigues, M.D.

Keywords

arthroscopic Latter-Jay procedure

instability surgery

bone loss

EC score

coracoid