Latarjet procedure allows for accurate bone blocking positioning — 5 points

Arthroscopic Latarjet procedure surgery is safe compared with open surgery and the procedure can allow for accurate positioning of the bone block, according to a study published in Journal of Shoulder and Elbow Surgery.

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Researchers prospectively evaluated 105 shoulders in 104 patients that underwent arthroscopic Latarjet procedures. Investigators evaluated the patients the day after surgery with multiplanar bi-dimensional CT scan analysis. The learning curve of the procedure was evaluated by comparing the initial 30 procedures to the final 30 procedures with an interval of 45 procedures between these groups. The final analysis included 95 shoulders.

 

Here are five points:

 

1. Results showed 87 of the 95 shoulders had accurate bone-block positioning on the glenoid as evidenced by sagittal-oblique and coronal-oblique views.

 

2. Investigators found 70 out of the 95 shoulders were accurately positioned by using the circle coronal-oblique global evaluation.

 

3. In seven shoulders, the procedure was performed in the lateralized position, with 11 shoulders in the medialized position.

 

4. The mean angle from the upper screw to the glenoid surface 21 degrees.

 

5. Revision was required in three of the 105 initial shoulders.

 

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