Tel:01706 869025
emma.shires2@circlehealthpartners.co.uk
www.fixmyshoulder.co.uk
Mr Robin Seagger
MBBS MSc FRCS
Consultant Orthopaedic Surgeon
Shoulders Elbows and Sports Injuries
Latarjet Procedure
Aim:
To prevent further anterior dislocation of the shoulder joint once erosion or fracture of the socket has occurred
Surgery type:
Open
Anaesthetic:
General (asleep) usually with a nerve block
Objective:
Open incision at the front of the shoulder- deltopectoral approach
A bone graft of the coracoid process is harvested with a saw/bone chisel
The graft is normally 2-3cm with the large conjoined tendon attached to the tip
A split is made in the subscapularis muscle/tendon at the front of the shoulder
The bone at the front of the deficient socket is prepared to take the bone graft
The graft is rotated and passed through the tendon split
Care is taken to ensure the edge of the graft and joint surface are perfectly aligned
Two screws (occasionally one) are used to fix the graft to the bone socket
The joint capsule is also tightened during the procedure
Further soft tissue tightening may be required for severe damage
Duration:
90-120 minutes
Scars:
1 (8-15cm- patient size dependent- oblique scar on front on the shoulder)
Sling:
Up to max of 6 weeks.
Aim to wean by 4 weeks depending on pain
Sling to be removed for exercise, washing and at rest
Teach axilla hygiene and washing out of sling
Sports:
3 months-non contact sports (cycling, jogging, swimming- breast stroke)
4 months- return to contact
Work:
Sedentary jobs- as pain allows
Manual jobs- return 6-8 weeks and adjust for up to3 months
Driving:
6-8weeks depending on review of bone block on X-rays