Specialized Toolkit Series: Shoulder Instability-Arthroscopic Latarjet: Technique and Fixation 2024

Arthroscopic Latarjet: Technique and Fixation 2024 – All You Need To Know

Video Transcription

Video Summary

This presentation reviews the arthroscopic Latarjet technique for shoulder stabilization, highlighting nuances of the procedure including patient positioning, tissue clearance, subscapularis splitting, and graft fixation using screws or suture button techniques. Both open and arthroscopic approaches have similar complication rates, with hardware issues like screw loosening prompting reoperations in about 35% of cases. Suture button fixation offers a non-rigid alternative, reducing hardware complications and graft resorption but may lead to delayed bone healing and slightly higher recurrence risk. Overall, arthroscopic Latarjet is feasible with practice, and fixation method choice balances hardware risks against healing and stability outcomes.

Asset Caption

William J. Ciccone II, M.D., FAANA

Keywords

arthroscopic Latarjet

shoulder stabilization

subscapularis splitting

screw fixation

suture button fixation