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February 19, 2016
Contributors: Mandeep Virk, MD; Saleh Aiyash, MA; Brian J Cole, MD, MBA, FAAOS; Nikhil N Verma, MD; Anthony A Romeo, MD, FAAOS; Rachel M Frank, MD; Rachel M Frank, MD
The importance of anterior glenoid bone loss in the setting of both primary and recurrent anterior glenohumeral instability has become increasingly recognized. The coracoid transfer procedure, or Latarjet, is considered the gold standard of anterior glenoid reconstruction, resulting in historically excellent clinical outcomes with low recurrence rates. A variety of surgical techniques have been described for this procedure. The classic technique involves transferring the osteotomized coracoid process to the glenoid, and fixating it such that the lateral surface is parallel and flush with the glenoid. The congruent arc technique involves rotating the coracoid graft 90 degrees longitudinally, and fixating it such that the inferior surface is parallel and flush with the glenoid. Both techniques restore the anterior glenoid rim and thereby function to prevent recurrent instability. The purpose of this video is to describe the surgical technique for anterior shoulder stabilization with the traditional Latarjet technique, with the lateral edge of the coracoid graft flush to the glenoid articular surface.