Open Latarjet Procedure

Since the first description of the Latarjet procedure, more than 60 years have elapsed. However, this surgical technique is still widely used today. The bone block attributable to the coracoid process together with the sling effect performed by the conjoined tendon and the repair of the capsule to the sectioned coracoacromial ligaments represent viable surgical options to treat anteroinferior shoulder instability. Patients with an ISIS score over 6 points or >15% glenoid bone loss represent ideal candidate for this procedure. The Latarjet procedure is a complex and demanding technique, and meticulous surgical technique is recommended to avoid possible complications. The arthroscopic-assisted and the all-arthroscopic Latarjet have been proposed in the past decade to reduce the rate of bone block malpositioning, decrease soft-tissue damage associated with open approach, and possibly decrease intraoperative complications. However, open questions remain unanswered as for the indisputable use of arthroscopy to address this procedure.