What is the Latarjet procedure?
The Latarjet procedure is a shoulder stabilisation operation used to treat recurrent shoulder dislocation, particularly when there is bone loss in the front of the shoulder socket.
It is usually performed under general anaesthesia, often combined with a regional nerve block to help control pain after surgery.
Why is it done?
This procedure is recommended for patients with recurrent anterior shoulder instability, especially when previous soft tissue repairs have failed or when there is significant bone loss of the glenoid (shoulder socket).
It is commonly advised for individuals who experience frequent dislocations, participate in contact sports, or have a high risk of further instability.
What does it involve?
During the procedure, a small piece of bone called the coracoid process is taken from the shoulder blade and moved to the front of the glenoid. It is fixed in place with screws to make the socket larger and more stable.
The attached tendon is also repositioned to create a sling effect, which helps keep the shoulder in place during movement, particularly when the arm is raised or rotated.
The operation is usually performed using an open surgical technique, although arthroscopic (keyhole) surgery may be used in some specialised centres.
Preparation for Latarjet procedure
Patients will have a clinical assessment and imaging tests, often including a CT scan to assess bone loss.
Before surgery, patients are typically advised to:
- Avoid eating or drinking for several hours beforehand.
- Stop certain medications, such as blood thinners, if instructed.
- Arrange for post-operative support at home.
The surgeon will explain the risks, benefits, and expected outcomes.
Recovery after the procedure
After surgery, the arm is placed in a sling for a few weeks to allow healing. Pain and swelling are common at first and are managed with medication.
A structured physiotherapy programme is essential to restore movement and strength. Recovery progresses gradually, starting with gentle movements and advancing to strengthening exercises.
Most patients return to normal daily activities within a few weeks, although return to sports usually takes three to six months.
Alternative treatments
Alternative treatments depend on the severity of the condition:
- Physiotherapy in mild cases
- Arthroscopic Bankart repair when there is no significant bone loss
- Remplissage procedure in selected cases
- Other bone graft procedures, such as the Eden-Hybinette procedure, in more complex cases
More advanced approaches include arthroscopic Latarjet surgery and the use of 3D surgical planning to improve accuracy.
