The Latarjet procedure, also known as the Bristow-Latarjet procedure, involves transferring a section of the coracoid bone along with its attached muscles to the front of the shoulder socket (glenoid). This bone graft increases the surface area of the glenoid, preventing further dislocations and providing stability to the shoulder joint. Additionally, the repositioned muscles act as a dynamic stabilizer, further enhancing shoulder stability.

Indications for the Latarjet Procedure

Dr. Prashant Tripathi typically recommends the Latarjet procedure for patients with:

1. Recurrent Shoulder Dislocations: Frequent dislocations despite conservative treatment.
2. Bone Loss: Significant bone loss from the glenoid or humeral head, contributing to instability.
3. Failed Previous Surgeries: Previous surgical interventions that have not resolved the instability.
4. Engaging Hill-Sachs Lesion: A large bony defect on the humeral head that engages with the glenoid rim, causing instability.

The Procedure

The Latarjet procedure involves several critical steps, each performed with precision and care by Dr. Tripathi:

1. Preoperative Assessment: A thorough evaluation, including imaging studies like X-rays, CT scans, or MRIs, to assess the extent of bone loss and plan the surgery.

2. Anesthesia: The patient is placed under general anesthesia to ensure comfort throughout the procedure.

3. Incision and Exposure: A small incision is made over the front of the shoulder to expose the coracoid process and the glenoid.

4. Coracoid Transfer: Dr. Tripathi carefully detaches the coracoid process along with its attached muscles (conjoined tendon) and transfers it to the front of the glenoid.

5. Fixation: The coracoid graft is securely fixed to the glenoid using screws, providing a bony block that prevents further dislocations.

6. Closure: The incision is closed, and the shoulder is bandaged.

Postoperative Care

Dr. Tripathi places significant emphasis on postoperative care to ensure a successful recovery:

1. Immobilization: The shoulder is immobilized in a sling for several weeks to allow for proper healing of the graft.

2. Pain Management: Appropriate pain relief is provided to ensure patient comfort.

3. Physical Therapy: A structured rehabilitation program is initiated to restore shoulder strength and range of motion gradually.

4. Follow-up Appointments: Regular follow-ups with Dr. Tripathi to monitor progress and address any concerns.

Patient Outcomes

Patients who undergo the Latarjet procedure under Dr. Tripathi’s care typically experience excellent outcomes, including:

• Significant reduction in shoulder dislocations
• Improved shoulder stability
• Enhanced strength and function
• Reduced pain and discomfort