The New Full Arthroscopic Revision Technic After Latarjet Procedure

Abstract

Aim of the study is improve the results of revisions after coracoid transfer procedure. The Latarjet procedure is method of choice in case of glenoid bone loss and anterior inferior instability or revision procedures. However, recurrence after this procedure is possible. One of the methods for the revision after Latarjet procedure is Eden-Hybinette technique. The recurrence after this bone grafting procedure is described too. One of the reasons of recurrence is graft resorption and capsular deficiency. Long head of biceps transfer for capsular reinforcement was described by several authors and can improve the results. We describe a full arthroscopic revision technic after Latarjet procedure , which consists of transposition of the long head of the biceps together with bone block through subscapular split. Tips, tricks and step by step technic are presented. The early results of first 3 cases are described. After 3 months bone and tendon healing is confirm on MRI and CT. Full range of motion, absence of apprehension and biceps pain was reached at 6 months. The arthroscopic transposition of bone block together with long head of biceps through the subscapular split like in initial Latarjet procedure can be perspective surgical treatment option for recurrence after coracoid transfer.