Video Gallery

Anterior Shoulder Stabilization with Latarjet: Surgical Technique

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 patients with primary or recurrent anterior glenohumeral instability has been increasingly recognized. The coracoid transfer procedure, or the Latarjet procedure, is considered the preferred method for anterior glenoid reconstruction, resulting in historically excellent clinical outcomes with low recurrence rates. Various surgical techniques have been described for the Latarjet procedure. The classic technique involves transfer of the osteotomized coracoid process to the glenoid and fixation so the lateral surface is parallel and flush with the glenoid. The congruent arc technique involves rotation of the coracoid graft 90° longitudinally and fixation so the inferior surface is parallel and flush with the glenoid. Both techniques restore the anterior glenoid rim and, thereby, prevent recurrent instability. This video describes the surgical technique for anterior shoulder stabilization via the traditional Latarjet procedure, with the lateral edge of the coracoid graft flush to the glenoid articular surface.