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Complications of the Latarjet procedure

  • Ashish Gupta
  • Ruth Delaney
  • Kalojan Petkin
  • Laurent Lafosse
Shoulder Surgery: Complications (X Li, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Shoulder Surgery: Complications

Abstract

The Latarjet procedure is an operation performed either arthroscopically or open for recurrent anterior shoulder instability, in the setting of glenoid bone loss; with good to excellent functional results. Despite excellent clinical results, the complication rates are reported between 15 and 30 %. Intraoperative complications such as graft malpositioning, neurovascular injury, and graft fracture can all be mitigated with meticulous surgical technique and understanding of the local anatomy. Nonunion and screw breakage are intermediate-term complications that occur in less than 5 % of patients. The long-term complications such as graft osteolysis are still an unsolved problem, and future research is required to understand the etiology and best treatment option. Recurrent instability after the Latarjet procedure can be managed with iliac crest bone graft reconstruction of the anterior glenoid. Shoulder arthritis is another complication reported after the Latarjet procedure, which poses additional challenges to both the surgeon and patient.

Keywords

Latarjet Graft osteolysis Dislocation arthropathy Neuropraxia Graft malpositioning Nonunion 

Notes

Compliance with ethics guidelines

Conflict of interest

Ashish Gupta and Kalojan Petkin declare that they have no conflict of interest.

Ruth Delaney has received paid travel accommodations from DePuy/Mitek.

Laurent Lafosse has received consultancy fees, royalty payments, and payment for development of educational presentations and has a patent with DePuy/Mitek.

Human and animal rights and informed consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Ashish Gupta
    • 1
  • Ruth Delaney
    • 1
  • Kalojan Petkin
    • 1
  • Laurent Lafosse
    • 1
  1. 1.Alps Surgery InstituteAnnecyFrance

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