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Review
. 2018 Jan;10(1):15-24.
doi: 10.1177/1758573217728716. Epub 2017 Sep 11.

Contraindications and complications of the Latarjet procedure

Peter Domos  1 , Enricomaria Lunini  2 , Gilles Walch  3
Affiliations
Review

Contraindications and complications of the Latarjet procedure

Peter Domos et al. Shoulder Elbow. 2018 Jan.

Abstract

The Latarjet procedure is a well-known, safe and reliable technique to treat primary or recurrent anterior dislocations or subluxations, with or without hyperlaxity, with or without glenoid bone loss. Both the open and the arthroscopic methods produce excellent clinical results, with a low rate of recurrent instability. There have been concerns of a higher surgical complication rate associated with this procedure, however, large reviews reported an overall complication rate in the open Latarjet procedure of 15%. Meticulous surgical technique and a good understanding of the local anatomy can help to avoid the complications but postoperative shoulder arthritis and frequent bone block osteolysis remain unsolved additional challenges, which require further research. There are 2 main factors to further improve the clinical outcome and patient satisfaction: careful patient selection with good surgical indication, and reducing complications with adequate surgical techniques. The aim of this study is to provide the current overview of the contraindications and complications of the Latarjet procedure.

Keywords: Latarjet procedure; anterior instability; complications; contraindications; shoulder; shoulder instability.

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Figures

Figure 1.
Figure 1.
Static anterior instability of the humeral head (HH) and avascular necrosis of HH in contact with bone block. (a) Antero-posterior plain radiograph. (b) Axial computed tomography scan.
Figure 2.
Figure 2.
Inferior static subluxation of the humeral head after Latarjet procedure in a 55-year-old lady.
Figure 3.
Figure 3.
Typical aspect of failure after Latarjet procedure in epileptic patient: large Hill-Sachs lesion and bending of the screws.
See this image and copyright information in PMC

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