Latarjet procedure may be reliable in stabilizing shoulder dislocation with bone loss
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Key takeaways:
- The Latarjet procedure may be warranted for treatment of patients with recurrent instability or larger bone loss.
- However, surgeons should be cautious not to cause iatrogenic problems with the procedure.
KOLOA, Hawaii — In his presentation at Orthopedics Today Hawaii, Anthony A. Romeo, MD, said an open Bankart repair may not be enough for treatment of a second shoulder dislocation with 6% glenoid bone loss in a high school linebacker.
Although many surgeons would perform either an arthroscopic stabilization with or without remplissage for such a patient, Romeo said a Latarjet procedure may be warranted if the patient has recurrent instability or more bone loss. The procedure can also be performed arthroscopically with distal tibial allograft, according to Romeo.
“[The Latarjet] procedure has stood the test of time of being reliable in stabilizing these high-risk patients,” Romeo said in his presentation.
However, he said surgeons must be aware of potential complications with the Latarjet procedure, which can lead to iatrogenic problems if surgeons are not careful.
Romeo cautioned that surgeons should “have a good team of people helping you. [Latarjet] is not an operation to just show up and do it. You have to have a lot of skills.”
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Romeo AA. Open stabilization is “best.” Presented at: Orthopedics Today Hawaii; Jan. 12-16, 2025; Koloa, Hawaii.
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