Latarjet Procedure - Overview & Image Gallery
The Latarjet operation was first described by a French surgeon Dr Michel Latarjet and has been used very successfully to reconstruct shoulders with recurrent anterior instability. The modern version of the original technique prevents further episodes of dislocation in 98-99% of patients and has a very low complication rate.
The operation is ideally suited for contact athletes, patients with increased shoulder laxity, failed previous shoulder reconstructions or if there is significant bone damage.
Diagrams demonstrating Latarjet procedure
Figure 1: Coracoid bone fixed through a split in subscapularis muscle
Figure 2: Coracoid fixed to the front of glenoid (socket) with two screws.
Figure 3 - Mechanism of action:
Left image – shoulder about to dislocate;
Right image – Latarjet procedure stopping dislocation
Post operative X-rays demonstrating Latarjet procedure
Figure 4: X-ray of shoulder following Latarjet procedure.
Figure 5: X-ray showing good position of graft and screws following Latarjet procedure.
Figure 6: X-ray showing two screws used to fix coracoid bone graft
References
- Young AA, Maia R, Berhout J, Walch G. Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Shoulder Elbow Surg, 2011 Mar;20(2 Suppl):S61-9