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Complications of the Latarjet procedure

  • Shoulder Surgery: Complications (X Li, Section Editor)
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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.

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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.

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

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  1. Alps Surgery Institute, Annecy, France

    Ashish Gupta, Ruth Delaney, Kalojan Petkin & Laurent Lafosse

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  1. Ashish Gupta
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  2. Ruth Delaney
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  4. Laurent Lafosse
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Correspondence to Ashish Gupta.

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This article is part of the Topical Collection on Shoulder Surgery: Complications

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Gupta, A., Delaney, R., Petkin, K. et al. Complications of the Latarjet procedure. Curr Rev Musculoskelet Med 8, 59–66 (2015). https://doi.org/10.1007/s12178-015-9258-y

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