Outcomes of Coracoid Bone Graft Positioning During the Latarjet Procedure with Respect to Surgical Approach

Author(s): Gary L. Ulrich MD and Shariff K. Bishai

The Latarjet procedure represents a successful treatment option for patients with recurrent shoulder instability with glenoid bone loss, and its indications are expanding. One of the most important steps of the Latarjet procedure with respect to outcome is the positioning of the coracoid graft in both the oblique axial and sagittal planes. In the axial plane, a graft placed too medial can result in recurrent instability, whereas a graft placed too lateral can result in development of osteoarthritis. In the sagittal plane, the coracoid graft is ideally positioned in a subequatorial position to best restore stability as a graft positioned too inferior or too superior could result in recurrent instability. In this review, we discuss the outcomes of coracoid graft positioning with respect to surgical approach, including the open, mini-open, arthroscopically assisted, and all-arthroscopic approaches to the Latarjet procedure.