✦ Bone-Block Stabilisation

Latarjet Procedure

Q: Why not always use Bankart repair?

Bankart fails when significant bone loss is present. Latarjet's bone augmentation provides reliable stability where soft tissue alone cannot.

Q: Will the transferred bone heal?

Bony union of the coracoid block to the glenoid occurs reliably in over 95% of cases by 3 months with screw fixation.

Q: Can the screws be removed later?

Latarjet screws usually stay permanently. Removal is considered only if they cause irritation or interfere with subsequent shoulder replacement.

Q: Is recurrence really uncommon?

Yes — published recurrent dislocation rates after Latarjet are 1–5%, considerably lower than Bankart repair in high-risk and high-demand groups.

The coracoid bone with its attached tendons is transferred to the front of the shoulder socket — providing triple stability through bone, sling and capsule for high-demand athletes with bone loss.

90–120 min PROCEDURE

1–2 Days HOSPITAL STAY

>95% SUCCESS RATE

6 Months SPORT RETURN

What is Latarjet Procedure?

The Latarjet Procedure is a powerful shoulder stabilisation operation indicated for recurrent shoulder dislocations associated with significant glenoid bone loss, failed previous Bankart repair or in high-demand contact athletes. The coracoid process — a bony projection of the scapula — is detached along with its attached conjoint tendon and transferred to the anterior glenoid neck, where it is fixed with two screws. This creates three simultaneous stabilising effects: bone-block augmentation, conjoint tendon sling effect across the subscapularis and capsular reinforcement. Dr. Hithesh performs the Latarjet in Hyderabad for the most demanding instability scenarios.

Indicated for recurrent shoulder dislocations with significant glenoid bone loss exceeding 20%, failed previous Bankart repair, or high-demand contact athletes where additional bony augmentation beyond labral repair is essential.

How the Procedure Works

Anaesthesia & Approach

General anaesthesia plus interscalene block; a deltopectoral incision exposes the front of the shoulder for direct access.

Coracoid Osteotomy

The coracoid process with its attached conjoint tendon is carefully detached and prepared for transfer to the anterior glenoid.

Glenoid Preparation

The anterior glenoid neck is exposed, decorticated and prepared as a healing bed for the transferred coracoid bone block.

Bone Block Fixation

The coracoid is fixed flush against the anterior glenoid using two carefully placed bicortical compression screws.

Closure & Rehabilitation

Subscapularis is repaired; layers are closed; sling support and structured progressive physiotherapy guide complete shoulder recovery afterwards.

Outcomes

90–120 minDURATION

1–2 DaysHOSPITAL STAY

>95%SUCCESS RATE

6 MonthsSPORT RETURN

Who Needs This Treatment?

→Outstanding stability with very low recurrent dislocation rate over time
→Directly addresses significant glenoid bone loss with bony augmentation
→Triple effect — bone block, conjoint tendon sling and capsular repair
→Ideal solution for high-demand contact athletes and revision instability
→Allows planned safe return to competitive contact sports comfortably
→Long clinical track record with proven outstanding long-term outcomes globally

When the glenoid runs out of bone, soft-tissue repair alone simply isn't enough. The Latarjet's three stabilising effects — bone, sling and capsule — make it the most reliable answer to the most challenging instability cases.

— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why not always use Bankart repair?+

Will the transferred bone heal?+

Can the screws be removed later?+

Is recurrence really uncommon?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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