Mini-Plate Latarjet Reconstruction of the Anterior Glenoid for Recurrent Shoulder Instability: Surgical Technique
Anterior shoulder instability is an increasing problem, and instability associated with bone loss may be a challenge to manage. Anterior glenoid reconstruction via the Latarjet procedure has become the standard of care for patients with considerable glenoid bone loss because soft-tissue reconstruction often fails in patients with anterior glenoid bone loss that involves 15% or more of the glenoid surface area. Various methods have been developed for bony reconstruction of the glenoid via the Latarjet technique, including use of the coracoid as a free intra-articular graft to exploit the triple blocking effect of the bone graft and conjoined tendon sling.
Di Giacomo et al recently reported early outcomes of patients undergoing Latarjet reconstruction with the use of a mini-plate with screws rather than the more traditional technique of screw fixation alone. This video describes the indications for, workup for, techniques for, and outcomes of Latarjet reconstruction with mini-plate fixation.