✦ Bone Block Stabilisation

Latarjet Procedure

Q: What distinguishes the Latarjet from Bankart repair?

Bankart repair reattaches the labrum — a soft tissue only procedure. The Latarjet adds a bone block to rebuild the anterior bony socket rim. The Latarjet is selected when bone loss makes labral repair alone insufficient to prevent further dislocations.

Q: What is glenoid bone loss and at what point does it become significant?

Glenoid bone loss is erosion of the front rim of the shoulder socket from repeated dislocations. Beyond 20–25% loss, the socket no longer provides adequate bony containment for the humeral head, making soft tissue stabilisation unreliable.

Q: What complications are associated with the Latarjet procedure?

Potential complications include injury to the musculocutaneous nerve, screw malpositioning, coracoid graft non-union, shoulder stiffness, and hardware prominence. In experienced hands, the complication rate is low and outcomes are reproducibly excellent.

Q: How long does recovery from the Latarjet procedure take?

A sling is worn for 3–4 weeks. Physiotherapy starts early and progresses steadily. Most patients return to contact sport and full overhead physical demands within 5–6 months following a complete rehabilitation programme.

A coracoid bone block is transferred to the front of the shoulder socket to rebuild its bony rim — providing triple-mechanism stability for complex shoulder instability where bone loss or previous repair failure makes soft tissue surgery insufficient.

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>92% SUCCESS RATE

5–6 Months FULL RECOVERY

What is Latarjet Procedure?

The Latarjet procedure addresses shoulder instability driven by significant anterior glenoid bone erosion — a consequence of repeated dislocations wearing away the front rim of the socket. When the bony deficit is too large for soft tissue repair alone to prevent recurrence, a bone transfer is required. The coracoid process, together with its attached conjoined tendon, is detached and fixed to the anterior glenoid with two screws. This produces a triple stabilising effect: bony augmentation of the socket, a dynamic sling from the conjoined tendon that tightens when the arm is at risk of dislocating, and a capsular repair. Dr. Sai Kishan performs the Latarjet procedure at Lux Hospitals for complex instability cases.

Chosen for patients with anterior shoulder instability where glenoid bone loss exceeds 20–25%, where a previous Bankart repair has failed, for high-demand athletes with significant recurrence risk, or when combined bony and soft tissue factors make isolated labral repair unlikely to achieve durable stability.

How the Procedure Works

Anaesthesia & Surgical Access

General or interscalene block; beach-chair position; the shoulder, chest wall, and coracoid region are prepared and draped.

Coracoid Osteotomy

The coracoid process is identified and detached with its conjoined tendon attachment — creating the bone graft with its muscular attachment preserved.

Anterior Glenoid Exposure

The subscapularis is split in line with its fibres; the anterior capsule is opened to expose the glenoid rim and assess the extent of bone loss.

Bone Block Positioning & Fixation

The coracoid graft is positioned flush with the anterior glenoid articular surface and secured with two compression screws in the anatomic position.

Capsular Repair & Closure

The anterior capsule is repaired to the stump of the coracoid; the subscapularis is closed; a sling is applied for 3–4 weeks.

Outcomes

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>92%SUCCESS RATE

5–6 MonthsRETURN TO SPORT

Who Needs This Treatment?

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Rebuilds the anterior glenoid rim with bone — addressing the root cause of bone-loss instability
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Triple stabilisation — bony block, conjoined tendon sling, and capsular repair
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More durable than Bankart repair in high bone-loss and high-risk recurrence cases
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Preferred for collision athletes and patients after a failed previous stabilisation
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Excellent long-term stability — over 92% remain stable at 10 years post-surgery
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Open and arthroscopic Latarjet techniques available based on clinical indications

The Latarjet has now been performed successfully for over 70 years — and its longevity as the gold-standard solution for bone-loss instability is a reflection of how consistently well it works when the indication is correct.

— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery

Latarjet Procedure Cost in Hyderabad

The cost of the Latarjet Procedure in Hyderabad generally ranges from ₹1,60,000 to ₹3,00,000, with an average cost of around ₹2,30,000. The final expense can vary depending on the extent of glenoid bone loss, shoulder instability, surgical complexity, implant requirements, investigations, hospitalisation and rehabilitation needs.

Procedure	Approximate Cost Range
Significant glenoid bone loss	₹1,60,000 – ₹3,00,000

The final cost may vary based on the amount of glenoid bone loss, associated shoulder injuries, fixation implants, surgical technique, hospital stay and any additional procedures required.

Factors Affecting Latarjet Procedure Cost

Several factors can influence the overall cost of a Latarjet procedure, particularly the extent of bone loss, associated shoulder damage and the complexity of surgical stabilisation.

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Extent and location of glenoid bone loss and its effect on shoulder stability
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History and frequency of recurrent shoulder dislocations or instability episodes
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Associated injuries involving the labrum, rotator cuff, humeral head or other shoulder structures
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Pre-operative imaging, including X-rays, CT scans or MRI when required for surgical planning
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Type and number of fixation screws, implants and other surgical materials used
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Surgeon, anaesthesia, operating-room and surgical equipment charges
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Hospitalisation, medications and post-operative monitoring requirements
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Physiotherapy and supervised shoulder rehabilitation following surgery
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Follow-up consultations and any additional treatment required during recovery

Insurance Coverage for Latarjet Procedure

A Latarjet procedure performed for medically necessary recurrent shoulder instability or significant bone loss may be covered under health insurance, subject to the policy terms, network hospital provisions, approved package and applicable exclusions or deductibles. Patients should confirm coverage and pre-authorisation requirements with their insurer before treatment.

Checking your policy coverage
Cashless approval process
Required documentation
Insurance-related queries before the procedure

Dr. Sai Kishan

Orthopaedic & Joint Replacement Surgeon

Consultation with an experienced orthopaedic shoulder specialist is recommended to evaluate recurrent shoulder instability and determine whether a Latarjet procedure is appropriate. At Lux Hospitals, the orthopaedic team can review the patient's symptoms, previous dislocations and imaging findings to develop an appropriate treatment plan. During the consultation, the doctor may assess: History, frequency and circumstances of previous shoulder dislocations or instability episodes Clinical examination of shoulder movement, stability, strength and functional limitations X-rays, CT scans or MRI findings to evaluate glenoid bone loss and associated soft-tissue injuries Extent of bone loss and its significance for selecting the appropriate stabilisation procedure Previous shoulder surgeries and their outcomes, if applicable Expected recovery, immobilisation period, physiotherapy and return-to-activity timeline

Consultation with Dr. Sai Kishan Sirasala Consultation with Dr. Sai Kishan Sirasala

Common Questions

Frequently Asked Questions

What distinguishes the Latarjet from Bankart repair?+

What is glenoid bone loss and at what point does it become significant?+

What complications are associated with the Latarjet procedure?+

How long does recovery from the Latarjet procedure take?+

Not sure which treatment is right for you?

Book a consultation with Dr. Sai Kishan and get a personalised treatment plan.

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