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Management of Failed Latarjet Procedure: Fresh Osteochondral Distal Tibia Allograft for Anatomic Glenoid Reconstruction

March 01, 2017

Contributors: Jorge Chahla Jr, MD; Rachel M Frank, MD; Justin J Mitchell, MD; BURU GILBERT MOATSHE; George Sanchez, BS; CAPT (Ret) Matthew T. Provencher, MD MC USNR; CAPT (Ret) Matthew T. Provencher, MD MC USNR

The Latarjet procedure often is indicated in patients with moderate glenoid bone loss in whom arthroscopic shoulder stabilization fails. Although the Latarjet procedure is a very successful procedure, it has been reported to fail in patients with osteolysis or nonunion of the coracoid graft and in patients with hardware complications such as loosening, breakage, or prominence of fixation screws. This video reviews the key points and pearls and pitfalls associated with the management of a failed Latarjet procedure via fresh osteochondral distal tibia allograft. Possible complications, including damage to the musculocutaneous and axillary nerves, also are discussed to help viewers best manage a necessary revision Latarjet procedure.

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