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A hybrid Latarjet bone graft technique

Published in N°269 - December 2017
Article viewed 278 times

A hybrid Latarjet bone graft technique

By Jean-Charles GRILLO (1), Damien LAMI (2), Pauline MATHON (2) in category TECHNIQUE
1) Centre intercommunal Toulon la Seyne - 83100 Toulon "Unité de Médecine et Traumatologie Sportive" [email protected] / (2) Institut du Mouvement et de l'Appareil locomoteur, Assistance Publique des Hôpitaux de Marseille

Anterior shoulder instability is common, especially in young and active subjects. The open Latarjet procedure is the current gold standard for management of this condition.

Introduction

Anterior shoulder instability is common, especially in young and active subjects [1, 2, 3]. The open Latarjet procedure is the current gold standard for management of this condition [4, 5, 6, 7]. An arthroscopic approach to carrying out this procedure has been developed so that, in particular, the bone block can be positioned more accurately and, if necessary, related soft tissue surgery can be performed during the same intervention [8, 9, 10]. The arthroscopic Latarjet procedure presents a number of technical challenges that have the potential to lead to serious complications, and it has a lengthy learning curve which may prove to be discouraging [11, 12]. This is why we have developed a hybrid operating technique that consists of harvesting and preparation of the bone block in open surgery, followed by the arthroscopic intervention using an instrument set that has been specifically developed for fitting the bone graft. The purpose of this study is to describe our technique and present the results, comparing them to those of the conventional open surgical technique. Our hypothesis was that the efficacy demonstrated by this technique is equivalent to that of the current gold standard.

Materials and methods

Preliminary anatomical study
Prior to launching the...

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