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Arthroscopic Latarjet: A new fixation technique
Sanjay Garude
Lilavati, Saifee & Breach Candy hospitals; Mumbai.
Marking out the defect
Dissecting the coracoid
Osteotomy and subscapularis split
Glenoid neck preparation
Negotiating the coracoid through the subscapularis split
Accurate fixation
Aim of this study
Fine tune the technique
Simplify and design instrumentation for arthroscopic Latarjet which would be
Reusable
Accurate
Predictable
Proportionate
Study group
31 patients – 30M and 1F.
Average bone loss of 18%.
29 primary surgeries and 2 revisions.
All surgeries in beach chair position, interscalene with GA.
Gravity assisted inflow in all. Average 30 litres.
26 cases had 2 screw fixation.
1 case of neurological injury.
6 patients lost ER between 15 to 20 degrees.
1 case of coracoid nonunion – 1 year post op; asymptomatic.