Abstract
First described almost 70 years ago, the Latarjet procedure today is a standard tool for the treatment of anteroinferior shoulder instability, especially in cases of recurrence after failed capsulolabral repairs and cases with relevant glenoid bone loss. Like many other surgeries, the Latarjet procedure has developed from a primary open procedure to a more minimally invasive or even arthroscopic surgery. Initially seen as something far too difficult and almost crazy, in our institution, with advances since 2007, the all-arthroscopic Latarjet procedure has become an indispensable treatment option for (recurrent) anterior shoulder instability with many referrals by other surgeons. In this article we share our experience with this procedure throughout the years, showing that in trained hands the all-arthroscopic Latarjet procedure is a safe and effective surgery for a difficult and highly demanding patient population.
Zusammenfassung
Die vor fast 70 Jahren erstmals beschriebene Operation nach Latarjet ist heute ein Standardverfahren zur Behandlung der anteroinferioren Schulterinstabilität, insbesondere bei Rezidiven nach fehlgeschlagenen kapsulolabralen Rekonstruktionen und Fällen mit relevantem Knochenverlust des Glenoids. Wie viele andere Operationen hat auch das Latarjet-Verfahren eine Entwicklung von einem primär offenen Verfahren zu einem eher minimal-invasiven oder sogar rein arthroskopischen Eingriff durchlaufen. Nachdem die rein arthroskopische Latarjet-Operation in den Anfängen zunächst als ein viel zu kompliziertes und im Grunde technisch unmögliches Operationsverfahren angesehen wurde, ist diese Operation in arthroskopischer Durchführung in der Einrichtung der Autoren seit 2007 zu einem unverzichtbaren Behandlungs-Tool für (rezidivierende) vordere Schulterinstabilitäten geworden, für die die Autoren von anderen Kollegen viele Zuweisungen zur Versorgung erhalten. Mit diesem Artikel möchten die Autoren ihre langjährigen Erfahrungen hierzu mit der Leserschaft teilen und zeigen, dass die rein arthroskopische Latarjet-Operation in geschulten, erfahrenen Händen eine sichere und effiziente Operation für eine schwierige und sehr anspruchsvolle Patientengruppe ist.
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T. Vogelsang, J. Pallmann, S. Dugaro, A. Alimy and J. Agneskirchner declare that they have no competing interests.
For this article no studies with human participants or animals were performed by any of the authors. All studies mentioned were in accordance with the ethical standards indicated in each case.
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Vogelsang, T., Pallmann, J., Dugaro, S. et al. Arthroscopic Latarjet procedure. Obere Extremität 17, 250–258 (2022). https://doi.org/10.1007/s11678-022-00716-6
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DOI: https://doi.org/10.1007/s11678-022-00716-6