How to salvage the fractured coracoid during the Latarjet Procedure? An empirical approach - 30/06/24

Doi : 10.1016/j.otsr.2024.103919

Sanne H. van Spanning ^a,^b,^c, Thibault Lafosse ^a, George S. Athwal ^d, Paul Favorito ^e, Robert J. Meislin ^f, Geoffroi Lallemand ^a, Jérôme Vogels ^g, Laurent Lafosse ^a, Geert Alexander Buijze ^a,^h,^i,^⁎
^a Alps Surgery institute, Hand, Upper Limb, Peripheral Nerve, Brachial Plexus and Microsurgery Unit, Clinique Générale, Annecy, France
^b The Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands
^c Shoulder and Elbow Unit, Joint Research, Department of Orthopaedic Surgery, OLVG hospital, Amsterdam, The Netherlands
^d St. Joseph's Health Care, Western University, Roth McFarlane Hand and Upper Limb Center, London, ON, Canada
^e The Christ Hospital. Division Chief of the Shoulder and Upper Extremity Service in the Department of Orthopedics, Cincinnati, OH, USA
^f Department of Orthopedic Surgery, New York University Langone Health, NY, NY, USA
^g Institut chirurgical de la main et du membre supérieur, 17 avenue Condorcet, 69100 Villeurbanne, France
^h Hand and Upper Extremity Surgery Unit, Department of Orthopaedic Surgery, Lapeyronie Hospital, Montpellier University Medical Center, Montpellier, France
ⁱ Amsterdam University Medical Center, Department of Orthopaedic Surgery, Amsterdam, The Netherlands

^⁎Corresponding author. Department of Orthopaedic Surgery, clinique générale, 4, chemin de la-Tour-la-Reine, 74000 Annecy, France.Department of Orthopaedic Surgery, clinique générale4, chemin de la-Tour-la-ReineAnnecy74000France

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Sunday 30 June 2024

Abstract

The Latarjet procedure is a frequently used stabilization procedure in case of anterior shoulder instability with critical glenoid bone loss and/or off-track Hill Sachs lesions. Although uncommon, intra-operative graft fractures do occur. When confronted with this potentially challenging intra-operative complication, having a secondary solution is paramount to achieve a successful outcome. This technical note provides a treatment algorithm that may function as a useful guideline to assist surgeons that experience this potentially complex unintended event during a Latarjet procedure.