Latarjet Procedure
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.
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.
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
Who Needs This Treatment?
- →Rebuilds the anterior glenoid rim with bone — addressing the root cause of bone-loss instability
- →Triple stabilisation — bony block, conjoined tendon sling, and capsular repair
- →More durable than Bankart repair in high bone-loss and high-risk recurrence cases
- →Preferred for collision athletes and patients after a failed previous stabilisation
- →Excellent long-term stability — over 92% remain stable at 10 years post-surgery
- →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
Common Questions
Frequently Asked
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