J Korean Orthop Assoc.  2024 Apr;59(2):148-153. 10.4055/jkoa.2024.59.2.148.

Latarjet Procedure Screw Guide Designed with a 3.5 mm Locking Compression Plate Piece: Technical Note

• Shin HS
• Cho HL
• Jin HK
• Jang WK

• KMID: 2555527
• DOI: http://doi.org/10.4055/jkoa.2024.59.2.148

Abstract

Traditional soft tissue Bankart repair has high failure rates in the setting of a critical glenoid bone defect in recurrent shoulder dislocation. Hence, coracoid transfer, particularly the Latarjet procedure, can be performed to reduce the recurrence. A commercialized guide can be used during the Latarjet procedure. On the other hand, it is difficult to handle the guide parallel to the glenoid articular surface because of the predetermined fixed direction of the guide, and the guide pin is so thin that it can be broken in the wrong direction of insertion. Screw holes can also be drilled using the free hand technique without a guide, but it is inaccurate in maintaining a parallel direction or constant spacing between the screw holes. This study devised an instrument by cutting a 3.5 mm locking compression plate used in fracture surgeries, and the Latarjet procedure was performed relatively easily.

Keyword

shoulder; recurrent dislocation; bone defect; Latarjet procedure; locking compression plate