Latarjet Procedure
Bone-block stabilization for shoulders that keep dislocating, especially with bone loss.
Overview
Repeated shoulder dislocations can wear away bone from the front of the shoulder socket (glenoid). When enough bone is lost, a soft-tissue labral repair alone is more likely to fail.
The Latarjet procedure transfers a piece of bone from the coracoid process, a small hook of bone at the front of the shoulder blade, along with its attached tendons, to the front of the socket, where it is fixed with screws. This restores the width of the socket and adds a "sling" effect from the transferred tendons that helps keep the shoulder in place.
The Latarjet is used for significant glenoid bone loss, after a failed arthroscopic stabilization, and in some high-risk contact athletes.
Benefits
- Low rates of repeat dislocation in appropriate patients
- Restores lost bone at the front of the socket
- An option after failed soft-tissue repair
Who is a Candidate?
Latarjet Procedure may be appropriate for patients who meet certain criteria. Ideal candidates include:
- Recurrent shoulder dislocations with significant glenoid bone loss
- Failed prior arthroscopic Bankart repair
- Selected high-risk contact and collision athletes
Recovery & Rehabilitation
Patients wear a sling for several weeks, followed by staged physical therapy. Return to non-contact activities is usually around three to four months, and to contact sports around four to six months once strength and motion return and the bone block has healed.
Frequently Asked Questions
How is the Latarjet different from a Bankart repair?
A Bankart repair reattaches the torn labrum with sutures and is best when little bone is missing. The Latarjet adds bone to the socket and is preferred when bone loss is significant or a prior repair has failed.
What if a Latarjet is not an option?
When the coracoid has already been used or bone loss is severe, the socket can be rebuilt with a distal tibia allograft (DTA).
Latarjet Procedure in NYC, Brooklyn & Long Island
Dr. Tej Joshi, a fellowship-trained NYU Langone shoulder and elbow surgeon, evaluates and treats Latarjet Procedure at three offices.
Long Island (Nassau County)
Lake Success & North Shore Nassau — 1999 Marcus Avenue
Shoulder & Elbow Specialist on Long IslandFridaysBrooklyn
Bay Ridge, Brooklyn — 6740 Fourth Avenue
Shoulder & Elbow Specialist in BrooklynMondaysManhattan / NYC
Manhattan — 333 East 38th Street
Shoulder & Elbow Specialist in NYCReady to Take the Next Step?
Schedule a consultation with Dr. Joshi to discuss if latarjet procedure is right for you.
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