Arthroscopic Latarjet: A new fixation technique

Sanjay Garude

Lilavati, Saifee & Breach Candy hospitals; Mumbai.

Dau

ntin

g su

rger

yDissection

Specialized equipment

Marking out the defect

Dissecting the coracoid

Osteotomy and subscapularis split

Glenoid neck preparation

Negotiating the coracoid through the subscapularis split

Accurate fixation

Aim of this study

Fine tune the technique

Simplify and design instrumentation for arthroscopic Latarjet which would be

Reusable

Accurate

Predictable

Proportionate

Post op

Study group

31 patients – 30M and 1F.

Average bone loss of 18%.

29 primary surgeries and 2 revisions.

All surgeries in beach chair position, interscalene with GA.

Gravity assisted inflow in all. Average 30 litres.

26 cases had 2 screw fixation.

1 case of neurological injury.

6 patients lost ER between 15 to 20 degrees.

1 case of coracoid nonunion – 1 year post op; asymptomatic.

Advantages

Perfect medio lateral graft placement on the glenoid neck

Accurate screw sizing

Visual assurance of both screws being intraosseous

All equipment are reusable – major cost saving

Instruments proportionate to “Indian” coracoid dimensions

THANK YOU