Open Latarjet Reconstruction: Tips for Success

Abstract

The Latarjet coracoid transfer is a key procedure for reducing anterior shoulder instability in patients with glenoid bone loss. New evidence suggests that subcritical glenoid bone loss, particularly in revision situations, portends an increased risk of recurrent instability. High recurrent instability rates associated with nonoperative management and revision soft tissue stabilization make the Latarjet and other bony stability procedures a must in an orthopaedic surgeons repertoire of recurrent anterior instability management. The long-term outcomes of the Latarjet surpass revision stabilization by soft-tissue correction in those with significant glenoid loss. Despite the promising outcomes of the Latarjet, the complication rate remains high. We present a practical guide to the open Latarjet procedure, addressing many of technical challenges to aid the reader in future decision-making regarding indications, approach, exposure, surgical technique, and rehabilitation.