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Surgical Treatment of a Failed Latarjet Procedure Using a Tricortical Iliac Crest Autograft

February 10, 2018

Contributors: Cosma Calderaro, MD; Andrea Ferretti, MD; Edoardo Gaj, MD; Riccardo Maria Lanzetti, MD; Lorenzo Proietti, MD; Antonio Vadala, MD; Angelo De Carli, MD; Angelo De Carli, MD

Keywords: Bony Procedure

In 1954, Latarjet introduced a coracoid bone transfer procedure for the anteroinferior glenoid margin to treat patients with recurrent anterior shoulder instability and glenoid bone loss. The Latarjet procedure (via an open or arthroscopic approach) is popular worldwide and associated with a very high rate of success. However, the Latarjet procedure is associated with some complications and failures, including resorption of the coracoid graft, prominence or incorrect drilling of fixation screws, and graft malpositioning. These complications may necessitate revision surgery. The treatment of patients in whom the Latarjet procedure fails may be a challenge. The Eden-Hybinette procedure is commonly reserved for patients in whom the Latarjet procedure fails, resulting in successful outcomes. The Eden-Hybinette procedure involves harvest and placement of a tricortical iliac crest graft on the anterior glenoid to stabilize the shoulder.

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