Shoulder

Latarjet

The Latarjet procedure, named after French surgeon Michel Latarjet, is a surgical technique used to treat shoulder instability, particularly recurrent dislocations. It involves transferring a piece of bone with attached muscle (coracoid process and conjoint tendon) from the scapula to the front of the glenoid (shoulder socket) to provide additional stability. The transferred bone acts as a barrier to prevent the humeral head from slipping out of the socket. This procedure is often considered when traditional treatments, such as physical therapy or arthroscopic procedures, are insufficient to address recurrent shoulder dislocations. The Latarjet procedure is a complex surgery performed by orthopedic surgeons with expertise in shoulder reconstruction, and its success depends on various factors, including patient selection, surgical technique, and postoperative rehabilitation.

Key things to know before the surgery

Before considering Latarjet surgery, individuals should be aware of key factors to ensure informed decision-making. Latarjet surgery is primarily indicated for addressing recurrent shoulder instability, and individuals should undergo a comprehensive evaluation by an orthopedic surgeon to determine the necessity of the procedure. This evaluation includes assessing the severity of shoulder instability, the presence of a Bankart lesion, and the suitability of the patient for the surgery. Understanding the nature of the shoulder injury, the surgical procedure, and potential alternatives is crucial. Individuals considering Latarjet surgery should discuss with their surgeon the expected outcomes, potential risks, and the postoperative recovery process, including rehabilitation. Realistic expectations about the recovery timeline and the commitment required for postoperative rehabilitation are vital. Latarjet surgery is a specialized procedure, and individuals should actively participate in preoperative discussions with the healthcare team, ensuring a comprehensive understanding of the procedure and its implications for a well-informed and successful surgical journey.

Surgery Overview

Latarjet surgery is a complex procedure performed to address recurrent shoulder instability by enhancing the stability of the glenohumeral joint. Typically conducted under general anesthesia, the surgeon makes a small incision to access the shoulder joint. The coracoid process, a bony prominence on the scapula, along with the attached conjoint tendon, is carefully detached and then transferred to the front of the glenoid (shoulder socket). This transferred bone is secured with screws to act as a stabilizing barrier, preventing the humeral head from dislocating during arm movements. The surgery may also involve addressing associated soft tissue injuries. Latarjet surgery is often performed arthroscopically, utilizing minimally invasive techniques with the assistance of a camera for visualization. Postoperatively, patients undergo a structured rehabilitation program to regain strength, stability, and range of motion in the shoulder, contributing to the success of the procedure.

After Surgery

After undergoing Latarjet surgery, attentive postoperative care is crucial for a successful recovery. Patients should diligently follow the surgeon's instructions, including prescribed medications, wound care, and scheduled follow-up appointments. Managing postoperative pain and swelling may involve medication and the use of ice. Adherence to the prescribed rehabilitation program is essential, involving a gradual progression of exercises to regain strength, stability, and range of motion in the shoulder. Physical therapy plays a central role in guiding patients through the recovery process. It's imperative to follow any restrictions on shoulder movement outlined by the healthcare team and avoid activities that may strain the healing joint. Regular monitoring for signs of infection, implant stability, or unusual pain is important, and any concerns should be promptly communicated to the healthcare provider. Successful recovery after Latarjet surgery requires active participation in rehabilitation, patience, and clear communication with the healthcare team to address any questions or uncertainties throughout the postoperative period.