Arthroscopic guided latarjet and bankart surgical technique. The outcomes and surgical techniques of the latarjet procedure. Mark provencher and anthony romeo, is the first comprehensive resource that helps you apply emerging research to effectively manage this condition using todays best surgical and nonsurgical approaches. Jose carlos garcia jr naeonsanta catarina hospital. Now presented in full colour with all illustrations redrawn to add detail and clarity and to bring all the information fully up to date. The procedure was originally described by latarjet in 1954 and subsequently modified by helfet in 1958. Thus, a latarjet coracoid process transfer is performed based on preoperative diagnostic imaging and arthroscopic evaluation of the percentage of bone loss. Jul 04, 2017 shoulder arthroscopic latarjet bristow procedure. Intraoperative complications such as graft malpositioning.
Arthroscopic coracoid transfer through a subscapularis split. Scores of 27 64% of the patients were excellent, 9 22% were good, 4 9. The bristow latarjet technique is a reliable technique, with few complications and with an excellent rate of recurrence in treatment of chronic shoulder instability as reported in literature. Although a reliable and effective surgical technique for treatment of recurrent shoulder instability, there was a substantial complication and reoperation rate 30% and 7%, respectively following bristowlatarjet. Surgical techniques in sports medicine ebook, 2007.
In conclusion, the bristow latarjet procedure may be a quite safe open surgical treatment for recurrent anterior glenohumeral instability, with the imperative prerequisites that the surgeon is familiar with the technique and surgical anatomy of the region. Arthroscopic latarjet and bankart technique this technique guide, used with the medical devices included herein, is not approved for use in the us or canada. Prom as instructed restrictionsexercise progression. Ch17 the latarjet procedure technique and fixation constructs. The bristowlatarjet procedure is a wellknown surgical technique designed to treat shoulder instability. Latarjetcoracoid process transfer for glenoid deficiency. Studies have shown that the congruent arc latarjet procedure is better able to reconstruct larger defects than the classic latarjet, but there is a lack of information on the limitations of both methods. Arthroscopic bristowlatarjet combined with bankart repair restores shoulder stability in patients with glenoid. Latarjetbristow procedure performed with bioabsorbable. Numerous and frequentlyupdated resource results are available from this search. Arthroscopic latarjet for shoulder bmi healthcare uk. What is the recovery and rehabilitation after a latarjet procedure. The modern version of the original technique prevents further episodes of dislocation in 9899% of patients and has a very low complication rate.
Perth shoulder and knee surgery dr david colvin 3,546 views. Mark r hutchinson, md university of illinois at chicago college of medicine description. The corcoacromial ligament and the pectoralis minor attachment are divided, where as coracobrachialis and the short head. The latarjet procedure is a popular technique with the aim of the reconstruction of glenoid cavity bone defects in patients with chronic anterior shoulder instability. It is particularly useful for anterior instability with associated glenoid bone loss. Favorito shoulder doc narrated arthroscopic latarjet. Most of the reported complications associated with this procedure can be avoided with proper patient selection and a systematic surgical technique. The bristow latarjet procedure is a wellknown surgical technique designed to treat shoulder instability. Latarjet operation for shoulder reconstruction allan young. The essential feature of this procedure was the transplantation of the coracoid process to the neck of the scapula through the subscapularis tendon. Apr 19, 2018 technical aspects of the bristowlatarjet procedure. Depuy synthes mitek sports medicine offers the bristow latarjet. The modern version of the original technique prevents further episodes of dislocation in 9899% of patients and has a. Oclcs webjunction has pulled together information and resources to assist library staff as they consider how to handle.
The latarjet procedure is a commonly used procedure for chronic. Bristowlatarjet procedure with a bankart repair and to report the early clinical and radiologic results. There are a number of potential complications that can be associated with the latarjet procedure, however the majority of these can be avoided with a meticulous and systematic surgical technique. Twelve latarjet bristow procedures were performed for recurrent anterior instability using two 4. Evaluation of functional outcomes and the authors 2015. A comprehensively updated text takes account of new developments in surgical techniques and equipment. Surgeons should be aware that the procedure is technically difficult and potentially. Directions for verifying surgical procedures in the surgical procedure log book. To evaluate the functional outcomes of the bristowlatarjet procedure in patients with recurrent anterior glenohumeral instability. The effect of capsular repair, bone block healing, and position on the results of the bristowlatarjet procedure study iii. There are a number of potential complications that can be associated with the latarjet procedure, however the majority of these can be avoided with a meticulous and. Once the surgeon is ready to proceed with the latarjet procedure, the. Arthroscopic latarjet for recurrent shoulder instability. The miniplate surgical technique chapter august 2011 with 39 reads.
Despite excellent clinical results, the complication rates are reported between 15 and 30 %. A score of more than 6 points corresponded to a recurrence risk of 70% with arthroscopic surgery. Surgical techniques in sports medicine book depository. For more educational videos from nyu langone orthopedics, visit. The bristowlatarjet procedure is a popular surgical technique that involves transferring. Shoulder latarjet procedure one ashford hospital kent. It was first described by a french surgeon, michel latarjet, in 1954. The allarthroscopic latarjet al procedure was introduced to manage recurrent shoulder instability. This book offers 66 chapters on the full gamut of surgical techniques in sports medicine including for the shoulder, knee, elbow, ankle, and hip.
Surgical technique a deltopectoral approach is used to expose the coracoid process. The bristowlatarjet procedure is a very good surgical treatment for recurrent anteriorinferior instability of the glenohumeral joint. A guided surgical approach optimizes graft positioning accuracy. Reliable information about the coronavirus covid19 is available from the world health organization current situation, international travel. Latarjet with cortical button fixation is associated with an increase of. Miniopen latarjet procedure for recurrent anterior. Record the surgical procedures in which you have performed in the role of the first or second scrub or in the observation role definitions below. The latarjet procedure is a safe and reliable technique for treating recurrent anterior instability. Longterm results of the latarjet procedure for the.
Arthroscopic bankart repair abr 35% longterm recurrence rate arthroscopic bristowlatarjet procedure ablp excellent mediumterm outcomes complex and demanding procedure with long learning phase should be performed by expert surgeons. An arthroscopic latarjet is a procedure to treat anterior shoulder instability. We proposed using bioabsorbable screws for fixation of the coracoid graft to avoid the potential complications associated with metallic hardware. Patient age at time of first dislocation, injury mechanism, and number of recurring dislocations before surgery were. This procedure is mainly performed when there is some bone loss from the front of the glenoid as a result of a bony bankart lesion or repeated dislocations wearing away the front of the glenoid. Many authors consider this to be the same surgical procedure, naming it the bristowlatarjet technique, 17 while others make a greater differentiation between them. Arthroscopic or keyhole surgery is a minimally invasive surgical technique that does not require a large incision carried out using specialised tools. Key points boxes throughout provide hints and tips to reinforce the main aspects of each technique. The advantages of an arthroscopic latarjet over the open technique includes improved cosmesis, reduced pain and quicker recovery. Alternative management of the capsule in the bristowlatarjet. Pascal boileau, and contains a summary of techniques and opinions based upon his training and expertise.
Often a soft tissue repair is not effective especially when there is some bone loss from the front of the glenoid, and in these cases a boneblock stabilisation procedure known as the latarjet procedure is required. Each chapter is further subdivided into sections on the history of the specific surgical. Herein, we describe the new technique and devices and evaluate. Ch18 technique of arthroscopic bristowbankart procedure. A guided surgical approach and novel fixation method for. The arthroscopic bristowlatarjetbankart procedure is reproducible and safe. It also allows the surgeon to deal with other problems in the shoulder through the same keyhole incisions arthroscopic. Read these instructions prior to use of the bristow latarjet instability shoulder set. Arthroscopic bankartbristowlatarjet procedure arthroscopy journal. The purpose of this surgical technique was to illustrate an alternative. The latarjet operation, also known as the latarjetbristow procedure, is a surgical procedure used to treat recurrent shoulder dislocations, typically caused by bone loss or a fracture of the glenoid.
Latarjet technique for treatment of anterior shoulder instability with. Ice and modalities to reduce pain and inflammation. The latarjet operation, also known as the latarjet bristow procedure, is a surgical procedure used to treat recurrent shoulder dislocations, typically caused by bone loss or a fracture of the glenoid. Surgical management of recurrent shoulder instability rsi due to bone loss. Aspetar sports medicine journal open latarjet procedure. The latarjet procedure 1, first described in 1958 and used to address anteroinferior shoulder instability, involves using coracoid transfer to stabilize the shoulder by the static action of the transferred bone block and by the dynamic action of the attached conjoined tendon sling short head of biceps and coracobrachialis. Pdf the bristowlatarjet procedure, a historical note on. Please note that the observation role does not count towards the 120 surgical procedures minimum requirement. Complications of the latarjet procedure springerlink. This surgical technique was prepared with the guidance of prof. Although latarjet, 1 a french surgeon, was the first to describe the coracoid process transfer technique for recurrent anterior shoulder instability in 1954, in 1958 helfet 2 published his results using a similar procedure that he attributed to his mentor, rowley bristow. The latarjet operation was first described by a french surgeon dr michel latarjet and has been used very successfully to reconstruct shoulders with recurrent anterior instability. English saying in this third edition of surgical anatomy and technique. Each chapter is further subdivided into sections on the history of the specific surgical technique, indications and contraindications, technical alternatives and pitfalls, rehabilitation.
The latarjet is a very effective and robust method to prevent further shoulder dislocations. Arthroscopic latarjet procedure with cortical button fixation. Surgical procedure log book new england institute of. Jcm free fulltext relationship between the thickness. A 5 cm skin incision is made starting at the tip of the coracoid process and extending inferiorly, through the deltopectoral. It is imperative that the surgeon and operating room staff are fully conversant with the appropriate surgical technique for the use of the bristow latarjet instability shoulder set.
A guided surgical approach and novel fixation method for arthroscopic latarjet. Pdf the bristowlatarjet procedure, a historical note on a. The latarjet procedure is an operation performed either arthroscopically or open for recurrent anterior shoulder instability, in the setting of glenoid bone loss. The essential feature of this procedure was the transplantation of the coracoid process to the neck of. Arthroscopic latarjet procedure shoulder pain exercise. A pocket manual, we are very pleased to add three new chapters. Our results resembles with existing data in the literature 6,7. Mini open latarjet technique 3 1 2 5 4 6 prepare the glenoid neck with a burr make sure, the bone graft is positioned properly on the. Ch19 open bony augmentation of glenoid bone loss illiac crest and allograft surgical technique.
The journal of arthroscopic and related surgery, vol 26, no 11. This procedure was first described in 1954 by latarjet for the treatment of recurrent dislocation of the shoulder. Jun 15, 2015 in conclusion, the bristow latarjet procedure may be a quite safe open surgical treatment for recurrent anterior glenohumeral instability, with the imperative prerequisites that the surgeon is familiar with the technique and surgical anatomy of the region. Miniopen latarjet procedure for recurrent anterior shoulder. The latarjetbristow procedure has been shown to be a safe and reliable method of treating recurrent anterior instability. The surgical images and line drawings found in each chapter are useful and clear. Complications and reoperations after bristowlatarjet. Arthrex latarjet procedure cadaveric demonstration. The aim of this study was to assess the early radiologic healing of the graft using bioabsorbable screws and. Thus, a latarjetcoracoid process transfer is performed based on preoperative diagnostic imaging and arthroscopic evaluation of the percentage of bone loss. There are a few modifications of the original techniques described by latarjet. Although a reliable and effective surgical technique for treatment of recurrent shoulder instability, there was a substantial complication and reoperation rate 30% and 7%, respectively following bristow latarjet. The sling effect, a dynamic effect created by the transfer of the conjoint tendon, provides.
The arthroscopic latarjet procedure is the same procedure but performed through keyhole incisions using very specialised instruments. The increase in bone area by securing the coracoid to the glenoid and resultant soft tissue sling from tendon attachments on the coracoid leads to a stabilized glenohumeral joint. Many authors consider this to be the same surgical procedure, naming it the bristow latarjet technique, 17 while others make a greater differentiation between them. Arthroscopic bristow acta of shoulder and elbow surgery. Charles eggert, md postoperative protocol phase i maximum protection week 0 to 6 goals. Open latarjet technique for anterior bone loss and. The procedure will leave you with 24 minor scars on the back, side and front of your shoulder. Our study aimed to report the outcomes of al procedures with the rowe, university of californialos angeles ucla, simple shoulder test sst scores, and range of motion rom in external rotation at a minimum followup of 2 years. The latarjet procedure is the most popular and highly effective, transferring the distal coracoid into the bony defect. Laith jazrawi presents his approach to anterior shoulder instability using the latarjet procedure coracoid process transfer. Bristowlatarjet instability shoulder system instruments. The procedure was first described by french surgeon dr. Pdf the bristowlatarjet procedure is a wellknown surgical technique designed. In this procedure, the coracoid process is transferred to the glenoid rim, to serve as.
Intraoperative complications such as graft malpositioning, neurovascular injury, and graft. In conclusion, the bristowlatarjet procedure may be a quite safe open surgical treatment for recurrent anterior glenohumeral instability, with the imperative prerequisites that the surgeon is familiar with the technique and surgical anatomy of the region. In an attempt to make the arthroscopic latarjet procedure safer and to reduce complications associated with the traditional screw fixation, we have developed a novel surgical technique and fixation method involving a guided surgical approach for graft positioning and the use of specific suture buttons for fixation. Ch16 open bony augmentation of glenoid bone loss the latarjet and variants surgical technique.
At this time, it does not look evident that the arthroscopic technique produces better results than open surgery, although it surely provides better protection to the deltoid muscle. Hovelius l, sandstrom b, olofsson a, svensson o, rahme h. It must not be used for multidirectional instability or psychogenic habitual. The bristow latarjet procedure is a very good surgical treatment for recurrent anteriorinferior instability of the glenohumeral joint. Open latarjet a reliable, successful method to prevent. Latarjet procedure shoulder surgeon dr david colvin perth duration. Journal of the american medical association jama show more. Acta of shoulder and elbow surgery volume 1 issue 1 octdec 2016 page 2734 jose carlos garcia jr. A deltopectoral approach is used to expose the coracoid process. The clinical and surgical focus is pragmatic and makes this an exceedingly useful book and an excellent reference for sports medicine surgeons at any level. Latarjetbristow procedure for recurrent anterior instability.