Specialized Toolkit Series: Shoulder Instability-Open Latarjet

Video Transcription

Video Summary

Dr. Giovanni Giacomo discusses the Latarjet procedure for shoulder instability, emphasizing the concept of on- and off-track lesions to guide treatment choices. He highlights the importance of understanding shoulder anatomy to avoid complications, especially nerve injuries. The surgery involves a delta pectoral approach, careful preparation of the coracoid graft, and precise placement on the glenoid to restore bone loss and optimize biomechanics. Tools like self-retractors and specialized plates facilitate exposure and fixation. Postoperative capsular repair is common. Dr. Giacomo stresses matching biomechanics with biology by positioning the graft where bone loss exists to promote healing and function.

Asset Caption

Giovanni Di Giacomo, M.D.

Keywords

Latarjet procedure

shoulder instability

on- and off-track lesions

coracoid graft

delta pectoral approach