Latarjet Procedure
A surgical procedure to restore shoulder stability using bone transfer techniques
The Latarjet procedure involves transferring a portion of the coracoid bone and its attached tendon to the front of the shoulder joint. This creates a bone block to improve stability and prevent further dislocations.
Common Reasons for Surgery
- Recurrent shoulder dislocations that have not responded to other treatments.
- Bone loss in the shoulder socket (glenoid).
- Chronic instability due to trauma or congenital conditions.
Goals of the Procedure:
- Stabilise the shoulder joint.
- Prevent further dislocations.
- Improve shoulder strength and function.
Preparation for Surgery
Preparation is an essential step to optimise the outcome of the Latarjet procedure.
Steps in Preparation:
- Pre-Surgical Consultations and Imaging:
- Dr Ben McGrath may recommend imaging, such as X-rays, CT scans, or MRIs, to assess bone loss and joint condition.
- Health Optimisation:
- Strengthening exercises or physiotherapy may be suggested to prepare the surrounding muscles.
- Lifestyle adjustments, such as ceasing smoking or maintaining a healthy weight, can support recovery.
- Pre-Surgical Instructions:
- Follow fasting guidelines as provided.
- Discuss medications you are currently taking, as some may need to be adjusted.
What Happens During the Surgery?
The Latarjet procedure is typically performed as an open surgery.
Surgical Steps:
- Anaesthesia:
- The procedure is performed under general anaesthesia.
- Coracoid Transfer:
- A portion of the coracoid bone and its attached tendon is removed and secured to the front of the shoulder socket with screws, creating a bone block.
- Reinforcement:
- The transferred tendon adds further stability to the joint by acting as a dynamic sling.
- Closure:
- The surgical site is closed, and a sterile dressing is applied.
The procedure typically lasts between one and two hours.
Understanding the Risks
While generally safe, the Latarjet procedure carries some risks, as with any surgery.
Common Risks:
- Temporary pain and swelling at the surgical site.
- Stiffness or reduced range of motion during recovery.
Rare but Serious Risks:
- Infection at the surgical site.
- Damage to nearby nerves or blood vessels.
- Recurrence of instability or dislocation.
Dr McGrath will discuss these risks and the steps taken to minimise them during your consultation.
What to Expect After Surgery
Immediate Post-Operative Care:
- The arm is immobilised in a sling to protect the repair.
- Pain management will be addressed with prescribed medications.
Discharge Instructions:
- Follow guidelines on caring for the surgical site and managing the sling.
- Avoid activities that could strain the shoulder during the early recovery period.
Rehabilitation and Recovery
Recovery following the Latarjet procedure typically involves a structured rehabilitation program.
Recovery Timeline:
- Initial Phase (Weeks 0–6):
- Focus on immobilisation and passive range-of-motion exercises guided by a physiotherapist.
- Strengthening Phase (Weeks 6–12):
- Gradual introduction of active motion and light strengthening exercises.
- Functional Recovery (Months 3–6):
- Return to daily activities and sports under the guidance of Dr McGrath and your physiotherapist.
Restrictions:
- Avoid heavy lifting and overhead activities during the early recovery phase.
- Adhere to all rehabilitation protocols to minimise the risk of re-injury.
Long-Term Outcomes
The Latarjet procedure is often recommended to provide lasting stability for patients with significant shoulder bone loss or chronic dislocations.
Expected Improvements:
- Reduced risk of further shoulder dislocations.
- Increased stability and strength of the shoulder joint.
- Improved confidence in shoulder function during daily activities or sports.
Maintenance of Results:
- Participate in ongoing physiotherapy to maintain strength and range of motion.
- Avoid high-risk activities that could strain the repaired shoulder.
- Attend follow-up appointments with Dr McGrath to monitor progress.