Double-row fixation of the transferred coracoid process: a rescue technique for intraoperative coracoid fracture during the Latarjet procedure.

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ID: 42762
2019
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Abstract
The Latarjet procedure is the preferred method to treat recurrent anterior shoulder instability with glenoid deficiency. An iatrogenic fracture of the transferred coracoid process is one possible intraoperative complication.We propose a rescue technique using double-row suture bridge fixation. Double-loaded 4.5-mm suture anchors were placed medially in the scapular neck. These sutures were then brought over the top of the coracoid fragment, placed around the bony fragment, and fixated to the glenoid face with knotless suture anchors.Radiologic evidence of bone graft healing was observed in the desired position.We present a salvage procedure that will assist surgeons if an intraoperative fracture of the coracoid bone graft occurs during fixation when performing the Latarjet procedure.
Reference Key
kongmalai2019doublerowjournal Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Kongmalai, Pinkawas;Levine, William N;
Journal journal of shoulder and elbow surgery
Year 2019
DOI
S1058-2746(19)30172-7
URL
Keywords
glenoid bone loss coracoid fracture latarjet complication latarjet procedure coracoid breakage graft fracture intraoperative coracoid process fracture salvage for coracoid fracture

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