A miniopen technique using a drill guide arthrex and two 4mm cannulated cancellous screws based on the surgical technique of the modified latarjet procedure as described by walch 30 an. There are a few modifications of the original techniques described by latarjet. Arthroscopic latarjet and bankart technique this technique guide, used with the medical devices included herein, is not approved for use in the us or canada. He highlights the options of using an iliac crest autograft, distal tibia allograft, or traditional latarjet technique to correct a glenoid boneloss defect through a subscapularis split. Its highstrength, allsuture design and biomechanical properties make fibertape cerclage an ideal adjunct for stabilization. Herein, we describe the new technique and devices and evaluate its ability to. Arthrex is a world leader in new product development and medical education in orthopedics. In an attempt to make the arthroscopic latarjet procedure safer and to reduce complications associated with the traditional screw fixation, we have developed a novel surgical technique and fixation method involving a guided surgical approach for graft positioning and the use of specific suture buttons for fixation. A total of 334 studies were subsequently excluded because they were on an irrelevant topic, used an arthroscopic technique, or were not. It helps keep the head of the humerus from slipping out of the glenoid. Romeo thoroughly describes relevant anatomy and demonstrates techniques for obtaining excellent glenoid exposure, both with and without the coracoid in place. Schmieding shared his concept at a recent arthrexhosted event at its headquarters in naples, fla. Shoulder surgery videos bangor me acl reconstruction.
Clinical and radiological outcome after miniopen latarjet technique. A 5cm skin incision is made, starting at the tip of the coracoid process and extending inferiorly. The increase in bone area by securing the coracoid to the glenoid and resultant soft tissue sling from tendon attachments on the coracoid leads to a stabilized glenohumeral joint. A custom distal tibia allograft cutting device arthrex, naples, fl is used to perform necessary cuts of the.
Latarjetcoracoid process transfer for glenoid deficiency. Amc will determine the level of acuity and proceed with scheduling from there. Pascal boileau, and contains a summary of techniques and opinions based upon his training and expertise. In my experience, they invest in their employees and offer the best tools the best. Arthrex congruent arc latarjet through subscapularis split. Arthroscopic bristow acta of shoulder and elbow surgery. A free inside look at arthrex offices and culture posted anonymously by employees. Latarjet procedure for shoulder instability arctic. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a. Anatomical glenoid reconstruction using fresh osteochondral. With a corporate mission of helping surgeons treat their patients better, arthrex has pioneered the field of arthroscopy and developed more than 1,000 innovative products and surgical. Also interacting with the staff at medinc and at the hospitals i helped cover.
Reinhold schmieding, founder and president of orthopedic device manufacturer arthrex, inc. In certain patients, the possibility of failure after a latarjet procedure is greater than others. Univers ii total shoulder system university of washington. These surgeons visited collier county from all over the world to learn more about cuttingedge products and related surgical techniques in minimally invasive orthopaedic surgery at. The glenoid bone loss set helps surgeons address the complex issue of. The coracoid is then marked with a surgical pen arrow, and a line. Surgical technique position the patient in the beach chair or lateral decubitus position under a general anesthesia supple mented with a scalene block. Darrach as a shoehorn to gently guide the humerus out of the glenoid. A guided surgical approach and novel fixation method for. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a coracoid osteotomy. Surgical technique arthrex pages 1 28 text version. Videos surgical technique 569 brostrom repair with internal brace 2.
Trauma is a leading cause of shoulder injury in young athletes and older populations. The latarjet procedure is a common method for treating recurrent glenohumeral joint dislocation associated with a bony defect in the anterior glenoid. Pdf contraindications and complications of the latarjet procedure. Arthrex animation of the latarjet technique for anterior stabilisation. A metaanalysis of a single incision versus double incision surgical technique. Patients guide to shoulder replacement surgery with the.
Arthroscopic latarjet procedure combined with bankart. Major factors associated with failure of bankarts surgery are. Miscellaneous arthrex esutures the suture superstore. Bruising hematoma is a risk associated with any surgical procedure. An anterior inferior portal created just superior to the lateral subscapularis tendon, using a threaded 7 or 8. This technique provides a simple, reproducible, minimally invasive technique for acute acromioclavicular joint stabilization which enables a rapid return to activity for the acute injury. However, depending on the case, some surgical procedures for the treatment of recurrent anterior. The original search provided a total of 344 studies. Latarjet technique for treatment of anterior shoulder instability with.
If an acute injury or illness should occur please call the arthrex medical center amc to notify us about the nature of the injury. Sign up for whats new vet systems stay up to date with the latest techniques and innovations sign up sign up. He offers comprehensive treatment for knee problems which include knee pain, injuries and fractures. Miniopen latarjet with graft fixation with arthrex miniplate provides satisfactory. The glenoid bone loss set helps surgeons address the complex. Patel rm, walia p, gottschalk l, kuklis m, miniaci a, jones mh, fening sd. The outcomes and surgical techniques of the latarjet. Jose carlos garcia jr naeonsanta catarina hospital. Dr thompson is an orthopedic surgeon in ellsworth, augusta and bangor, me. Acta of shoulder and elbow surgery volume 1 issue 1 octdec 2016 page 2734 jose carlos garcia jr. Latarjetcoracoid process transfer for glenoid deficiency arthrex. Arthrexs medical education faculty educated more than 1,500 surgeons the past nine months.
Thus, a latarjet coracoid process transfer is performed based on preoperative diagnostic imaging and arthroscopic evaluation of the percentage of bone loss. Striving to fulfill their mission to help surgeons treat their patients better and pioneering the field of arthroscopy, arthrex has developed over 11,000. Preparation of allinside hamstring autograft with internal brace graft for acl reconstruction with double suspensory fixation. Implant systems arthrex esutures the suture superstore. Treatment of shoulder instability due to glenoid bone loss can be challenging. Latarjet procedure for shoulder instability procedure modifies your shoulder socket. Pdf the latarjet procedure is a wellknown, safe and reliable. Congruentarc latarjet using the glenoid bone loss set. Helping surgeons treat their patients better arthrex is a global medical device company and leader in new product development and medical education in orthopedics. Recognize the surgical indications and technical pearls for conversion of a failed shoulder arthroplasty to a reverse total shoulder arthroplasty identify the surgical indications and contraindications for the latarjet procedure determine the biomechanical rationale and mechanisms of stability augmentation of the latarjet procedure. Surgical technique arthrex published by guset user, 20160108 20. We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. Congruent arc latarjet the glenoid bone loss set includes unique instrumentation and implants to make the open latarjet technique more consistent and repeatable. Arthrex helping surgeons treat their patients better.
Modified arthroscopic latarjet procedure with coracoid. Arthrex latarjetcoracoid process transfer for glenoid. Click on the link to view the videos of shoulder and knee surgeries performed by dr thompson. Humeral head resection the humerus is dislocated from the glenoid using a flat retractor eg. Headquartered in naples, florida, with offices around the world, arthrex is a medical device company constantly developing industryleading orthopedic products and medical education. Common reconstructive techniques include the latarjet procedure coracoid transfer or glenoid augmentation using autograft iliac crest. Cardiovascular complications, including venous thrombosis, pulmonary embolism, and heart attack cardiac arrest are risks associated with any surgical.
An example of a technique i use in my surgical practice. Perth shoulder and knee surgery dr david colvin 3,843 views. Arthrex is an awesome place to work, the growing campus in naples is really impressive, and they support innovation in their products and in how they work. Distal tibia allograft augmentation for glenoid deficiency. Arthrex latarjet procedure cadaveric demonstration glenoid bone loss katarjet set the glenoid bone loss set helps surgeons address the complex issue of shoulder instability caused by bony pathology such as anterior glenoid bone loss, bony bankart, glenoid fracture or engaging hillsachs lesions. Contraindications and complications of the latarjet procedure. The outcomes and surgical techniques of the latarjet procedure. The latarjet procedure is a wellknown, safe and reliable technique to treat primary or recurrent anterior dislocations or subluxations, with or without hyperlaxity, with or without glenoid bone loss. Videos smithtown, ny woodbury melville, syosset, ny. And the work, selling a great product made work easy and fun. Collisions and falls predispose the bones, muscles, tendons and ligaments. Aaos ases reverse total shoulder and latarjet procedures.
The congruent arc latarjet technique developed by dr. He is the inventor of the wedged profile plate for the latarjet procedure develop by arthrex inc. Best implant choice for coracoid graft fixation during the latarjet. The effects of latarjet reconstruction on glenohumeral. Latarjet procedure shoulder surgeon dr david colvin perth duration. No reruptures, sural nerve injuries, or wound dehiscence. Arthroscopic stabilization of acute acromioclavicular. Normal and pathological anatomy of the shoulder gregory. Meticulous surgical technique and a good understanding of the local. Arthroscopic guided latarjet and bankart surgical technique.
819 533 592 1383 953 646 1021 213 881 1473 834 384 953 458 591 675 259 618 342 1537 763 1256 1055 1321 1471 1157 852 612 162 1189 1568 327 1634 1347 402 768 355 909 558 188 285 1141 360 513 212 839 754 913