ARTHORSCOPIC LATARJET

Dr. Bishai specializes in an arthroscopic technique called Latarjet surgery. Dr. Bishai performs the Latarjet procedure arthroscopically. He is one of about 10 in North America that regularly does this procedure through the scope with small poke hole incisions versus an large incision. 

 

This procedure involves taking portions of bone from your shoulder blade and transplanting it into the shoulder socket to help stabilize the joint and prevent further dislocations.

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Click here to watch Dr. Bishai discuss the procedural steps for an arthroscopic latarjet procedure in the glenoid.

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Latarjet shoulder reconstruction for recurrent instability.

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The Latarjet procedure is a technique used to restore stability to the shoulder joint. Developed by the French surgeon, Michel Latarjet, in the 1950s, it is commonly performed when there is significant bone loss in the front of the glenoid (the shallow socket in the shoulder blade) from recurrent dislocations.

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In this procedure, the coracoid is moved to the front blade of the glenoid to replace the missing bone and act as a strut to prevent further dislocations.

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Historically, this surgery was the standard treatment for people with shoulder dislocations. However, with the advent of arthroscopic surgical techniques, the Latarjet procedure is reserved for patients who have worn away at least 25% of their shoulder socket or present with multiple issues that require a multifaceted approach. More data is starting to show that even as little as 10% bone loss may need this procedure. In these patients, Latarjet surgery is highly successful at preventing additional dislocations.