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Latarjet Surgery for Recurrent Shoulder Dislocation
Latarjet Shoulder Surgery is an advanced surgical procedure used to treat recurrent shoulder dislocations and anterior shoulder instability, particularly in patients with significant bone loss from the glenoid socket or those who have experienced failure of previous shoulder stabilization surgeries.
What is the Latarjet Procedure?
The Latarjet procedure involves transferring a small piece of bone from the coracoid process of the shoulder blade (scapula) and attaching it to the front of the glenoid socket using surgical screws.
This bone graft acts as a structural barrier that prevents the humeral head (ball of the shoulder joint) from dislocating. In addition, the attached conjoint tendon provides dynamic muscular support, significantly improving shoulder stability during movement.
Prevents Recurrent Dislocation
Creates a stronger and deeper shoulder socket for long-term stability.
Corrects Bone Loss
Ideal for patients with significant glenoid bone defects.
Enhanced Stability
Provides both structural and muscular support to the shoulder joint.
Sports Recovery
Helps athletes safely return to sports and active lifestyles.
Who is a Candidate for Latarjet Surgery?
- Recurrent shoulder dislocations
- Anterior shoulder instability
- Significant glenoid bone loss
- Failed previous shoulder stabilization surgery
- Athletes involved in contact sports
- Patients with chronic shoulder instability
Surgical Technique
The Latarjet procedure is performed under general anesthesia. The surgeon makes a small incision over the shoulder, harvests a portion of the coracoid process with its attached tendons, and secures it to the front edge of the glenoid using specialized screws.
This increases the depth of the socket and creates a powerful stabilizing effect that significantly reduces the risk of future dislocations.
General Anesthesia
Ensures patient comfort throughout the procedure.
Bone Graft Transfer
Coracoid bone is transferred to strengthen the socket.
Screw Fixation
Specialized screws secure the graft in position.
Dynamic Stability
Tendons provide additional muscular support.
Postoperative Rehabilitation
- Initial shoulder immobilization using a sling
- Controlled passive movement exercises
- Progressive range-of-motion rehabilitation
- Strengthening exercises for shoulder muscles
- Gradual return to daily activities
- Sports-specific rehabilitation when appropriate
Frequently Asked Questions (FAQs)
Here are answers to some of the most common questions about Latarjet Shoulder Surgery.
Q1: Who is a candidate for Latarjet surgery?
Patients with recurrent anterior shoulder dislocations, significant glenoid bone loss, chronic shoulder instability, or failed previous stabilization procedures are ideal candidates.
Q2: What are the risks associated with Latarjet surgery?
Risks include infection, bleeding, nerve injury, graft non-union, graft malunion, hardware-related problems, shoulder stiffness, and persistent instability.
Q3: What is the success rate of Latarjet surgery?
The Latarjet procedure has an excellent success rate, with studies showing over 90% reduction in recurrent shoulder dislocations and significant improvement in shoulder stability.
Q4: How long is the recovery period after Latarjet surgery?
Recovery generally involves wearing a sling for 4â6 weeks, followed by 2â3 months of physiotherapy. Full return to sports and heavy activities may take approximately 6 months.
Q5: Can Latarjet surgery improve shoulder function?
Yes. In addition to preventing dislocation, the procedure improves shoulder strength, rotational movement, stability, and overall function, allowing many patients to return to sports and active lifestyles.
Benefits of Latarjet Surgery
Latarjet Surgery is one of the most reliable and effective procedures for treating recurrent shoulder dislocation and instability, helping patients regain confidence, function, and an active lifestyle.