The Latarjet procedure is a surgical technique used to treat shoulder instability, often resulting from recurrent shoulder dislocations. This procedure involves transferring a piece of bone, along with the attached tendon, from the shoulder blade (coracoid process) to the front of the shoulder joint. The transferred bone and tendon help to increase the size of the glenoid (the socket part of the shoulder joint), providing additional stability to the shoulder
The Latarjet procedure is typically recommended for individuals with recurrent shoulder dislocations, particularly when there is significant bone loss on the glenoid or a Hill-Sachs lesion on the humeral head (the ball part of the shoulder joint). This condition can result from sports injuries, accidents, or other trauma that damages the stabilizing structures of the shoulder. It can also occur in individuals with congenital or acquired conditions that predispose them to shoulder instability.
Surgery, such as the Latarjet procedure, is often necessary when conservative treatments like physical therapy and bracing fail to provide adequate stability and prevent further dislocations. The decision to perform surgery is based on factors such as the severity and frequency of dislocations, the presence of bone defects, the patient's activity level, and their overall health and treatment goals. The Latarjet procedure is considered when there is significant bone loss or other structural damage that cannot be adequately addressed with less invasive methods.
The Latarjet procedure involves the surgical transfer of the coracoid process from the scapula (shoulder blade) to the glenoid of the shoulder joint. The bone graft is fixed to the front of the glenoid using screws, and the attached tendon (conjoint tendon) provides additional support. This combined effect increases the glenoid's depth and stability, helping to prevent future dislocations. The procedure can be performed using an open approach or arthroscopically, depending on the surgeon's preference and the specific case. .
Recovery after the Latarjet procedure involves a structured rehabilitation program tailored to the individual. Initially, the focus is on protecting the surgical repair, managing pain and swelling, and gradually restoring range of motion. As healing progresses, strengthening exercises are introduced to build stability and function in the shoulder. Physical therapy plays a critical role in achieving a successful outcome, and patients must adhere to their rehabilitation program and follow-up appointments to monitor healing and address any concerns. Full recovery and return to sports or strenuous activities can take several months, depending on the individual's progress and the complexity of the initial condition.
