The Laterjet procedure, is a surgical technique employed to treat recurrent shoulder instability, specifically addressing cases where the labrum and associated ligaments are damaged or inadequate in providing stability to the joint. This procedure aims to restore stability and function to the shoulder, allowing individuals to engage in activities without the fear of dislocation or subluxation.

Understanding Shoulder Instability:

Shoulder instability occurs when the ball-and-socket joint of the shoulder becomes excessively mobile, leading to partial or complete dislocation. This can result from traumatic events, repeated dislocations, or congenital factors. Traditional treatment methods, such as physical therapy or minor surgeries, may not suffice for cases with severe instability or repeated dislocations.

The Laterjet Procedure:

The Laterjet procedure involves the transfer of a portion of the coracoid process, a bony prominence in the shoulder blade, to the front of the shoulder socket (glenoid). This transferred bone acts as a stabilizing structure, preventing the humeral head (ball) from moving excessively within the socket during shoulder movements. The procedure is usually performed under general anesthesia and involves an open surgical approach.

Procedure Steps:

Preparation: The surgical team positions the patient and administers anesthesia to ensure comfort during the procedure.

Bone Transfer: A segment of the coracoid process is carefully detached along with the attached tendons. This bone is then positioned on the front of the glenoid.

Fixation: The transferred bone is secured using screws or pins to ensure stability and proper healing.

Recovery and Rehabilitation: Following the procedure, a comprehensive rehabilitation program is essential to regain shoulder strength, flexibility, and stability. Physical therapy plays a significant role in ensuring optimal recovery.

Benefits of the Laterjet Procedure:

Enhanced Stability: The primary goal of the Laterjet procedure is to provide robust stability to the shoulder joint, reducing the risk of recurrent dislocations.

Long-Term Results: This surgical technique addresses severe cases of shoulder instability, offering a durable solution to individuals who have experienced repeated dislocations.

Return to Activity: The Laterjet procedure allows patients to regain confidence in their shoulder's stability, enabling them to participate in sports and activities they may have previously avoided.

Post-Procedure Considerations:

While the Laterjet procedure has demonstrated success in stabilizing the shoulder, it's essential to recognize that recovery time may vary based on individual factors, the extent of the instability, and adherence to the rehabilitation plan. Patients should closely follow Dr. Fahad post-operative instructions and commit to the prescribed rehabilitation exercises for the best outcome.

In summary, the Laterjet procedure is a surgical option designed to address recurrent shoulder instability by enhancing stability through the transfer of a bone fragment. This procedure provides a long-lasting solution for individuals seeking to regain stability, functionality, and the ability to pursue active lives without the worry of shoulder dislocations. If you are considering the Laterjet procedure, consult Dr. Fahad to determine the most appropriate treatment plan for your unique condition.