Modified Latarjet Procedure Without Capsulolabral Repair for Failed Previous Operative Stabilizations Maximiliano Ranalletta, M.D., Agustin Bertona,

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Presentation transcript:

Modified Latarjet Procedure Without Capsulolabral Repair for Failed Previous Operative Stabilizations Maximiliano Ranalletta, M.D., Agustin Bertona, M.D., Ignacio Tanoira, M.D., Gaston Maignon, M.D., Santiago Bongiovanni, M.D., Luciano A. Rossi, M.D. Arthroscopy Techniques Volume 7, Issue 7, Pages e711-e716 (July 2018) DOI: 10.1016/j.eats.2018.03.008 Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 1 Patient is in beach-chair position, right shoulder. A small standard deltopectoral approach is used (black arrow). The skin is incised 5 to 7 cm starting under the tip of the coracoid process extending distally along the deltopectoral interval to the superior aspect of the axillary fold. Arthroscopy Techniques 2018 7, e711-e716DOI: (10.1016/j.eats.2018.03.008) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 2 Patient is in beach-chair position, right shoulder. A 90° angled saw blade is used to perform an osteotomy (white arrow) of the coracoid just anterior to the coracoclavicular ligaments at the coracoid base. Arthroscopy Techniques 2018 7, e711-e716DOI: (10.1016/j.eats.2018.03.008) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 3 Patient is in beach-chair position, right shoulder. (A) The medial cortex of the graft is removed with a saw blade (white arrow). (B) The coracoid drill guide allows us to drill 2 parallel 4-mm holes through the graft (white arrow). (C) The holes are centered on the graft and perpendicular to the prepared surface (white arrow). Arthroscopy Techniques 2018 7, e711-e716DOI: (10.1016/j.eats.2018.03.008) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 4 Patient is in beach-chair position, right shoulder. (A) The anterior glenoid neck is decorticated with a saw blade (white arrow). (B) Two 3.75-mm partially threaded, cannulated, self-tapping, titanium screws are inserted (white arrow). Arthroscopy Techniques 2018 7, e711-e716DOI: (10.1016/j.eats.2018.03.008) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions