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Latarjet procedure: is the coracoid enough to restore the glenoid surface?

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Abstract

Purpose

The aim of this study was to establish whether anterior glenoid bone loss in patients with large glenoid rim defects can be restored with a coracoid graft (Latarjet procedure).

Methods

A total of 143 consecutive patients with chronic anterior shoulder instability and glenoid bone deficiency were treated in 2013. A pre-operative computed tomography (CT) scan using the PICO method was obtained to estimate anterior glenoid rim erosion. The 23 patients with anterior glenoid deficiency exceeding 20 % were included in the study. A post-operative CT scan was obtained to establish whether coracoid transfer had fully restored the glenoid surface.

Results

Mean bone loss was 26 ± 3.9 % of the glenoid surface (range 20–34 %) compared with the contralateral glenoid. Mean coracoid dimensions were 26.3 ± 2.9 mm × 7.6 ± 0.65 mm. The graft successfully restored the glenoid surface in all patients (mean filling, 102.4 ± 0.8 %).

Discussion

The Latarjet procedure is a valuable approach to treat patients with chronic shoulder instability and glenoid deficiency.

Conclusion

Coracoid transfer restored the glenoid surface even in patients with large defects. The Eden-Hybinette technique seems to be more appropriate for revision surgery and for patients with a failed Latarjet procedure.

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Acknowledgments

The authors acknowledge Word Designs for the language revision (www.silviamodena.com).

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Authors and Affiliations

  1. Unit of Shoulder and Elbow Surgery—D. Cervesi Hospital, Via L.V. Beethoven 46, Cattolica, RN, Italy

    Paolo Paladini, Giovanni Merolla & Giuseppe Porcellini

  2. 321/1/19, Medicos Agencies, Opp. Civil Hospital, Rohtak, India

    Rohit Singla

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  1. Paolo Paladini
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  2. Rohit Singla
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  4. Giuseppe Porcellini
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Correspondence to Paolo Paladini.

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Paladini, P., Singla, R., Merolla, G. et al. Latarjet procedure: is the coracoid enough to restore the glenoid surface?. International Orthopaedics (SICOT) 40, 1675–1681 (2016). https://doi.org/10.1007/s00264-015-3093-z

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  • DOI: https://doi.org/10.1007/s00264-015-3093-z

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