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 in Rome discusses the open Laterjet technique in treating shoulder instability. The main indication for this technique is when there is a bipolar bone loss of 20-25% on the glenoid. Patient selection is crucial, and a mini open Laterjet procedure can yield similar results to arthroscopy. The Pascal-Malhotra score was improved by introducing the evaluation of bipolar bone loss based on the glenoid track concept. The technique involves constructing a bone platform and utilizing the sling effect from the common tendon and the inferior part of the subscapularis. The coracoid integrity and good contact with the glenoid is important. A surgical demonstration is given, highlighting the steps and considerations during the procedure. The biological phenomenon of coracoid resorption is discussed, and the technique is said to be reproducible and hard to make mistakes with. The video concludes with references to related publications by the speaker.

Asset Caption

Giovanni Di Giacomo, MD

Keywords

Laterjet technique

shoulder instability

bipolar bone loss

glenoid track

coracoid resorption