They are growing globally and there are lots of opportunities to work with international colleagues. Arthroscopic guided latarjet and bankart surgical technique. There are a few modifications of the original techniques described by latarjet. The effects of latarjet reconstruction on glenohumeral. Surgical technique arthrex pages 1 28 text version. However, depending on the case, some surgical procedures for the treatment of recurrent anterior. Schmieding shared his concept at a recent arthrexhosted event at its headquarters in naples, fla.
This surgical technique was prepared with the guidance of prof. Perth shoulder and knee surgery dr david colvin 3,843 views. If an acute injury or illness should occur please call the arthrex medical center amc to notify us about the nature of the injury. 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. An anterior inferior portal created just superior to the lateral subscapularis tendon, using a threaded 7 or 8.
Pdf arthroscopic remplissage and open latarjet procedure for. Arthrex helping surgeons treat their patients better. Arthroscopic latarjet procedure combined with bankart. Thus, a latarjet coracoid process transfer is performed based on preoperative diagnostic imaging and arthroscopic evaluation of the percentage of bone loss. 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. The outcomes and surgical techniques of the latarjet. 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. Headquartered in naples, florida, with offices around the world, arthrex is a medical device company constantly developing industryleading orthopedic products and medical education. Cardiovascular complications, including venous thrombosis, pulmonary embolism, and heart attack cardiac arrest are risks associated with any surgical. Congruentarc latarjet using the glenoid bone loss set. Acta of shoulder and elbow surgery volume 1 issue 1 octdec 2016 page 2734 jose carlos garcia jr. No reruptures, sural nerve injuries, or wound dehiscence. Shoulder surgery videos bangor me acl reconstruction.
The modified arthroscopic latarjet procedure may be applied successfully to the treatment of anterior glenohumeral instability, with good patient satisfaction and functional outcome. The congruent arc latarjet technique developed by dr. Trauma is a leading cause of shoulder injury in young athletes and older populations. Aaos ases reverse total shoulder and latarjet procedures. Romeo thoroughly describes relevant anatomy and demonstrates techniques for obtaining excellent glenoid exposure, both with and without the coracoid in place. Pdf the latarjet procedure is a wellknown, safe and reliable.
He is the inventor of the wedged profile plate for the latarjet procedure develop by arthrex inc. The glenoid bone loss set includes unique instrumentation and implants to make the open latarjet technique more consistent and repeatable. Reinhold schmieding, founder and president of orthopedic device manufacturer arthrex, inc. Congruent arc latarjet the glenoid bone loss set includes unique instrumentation and implants to make the open latarjet technique more consistent and repeatable. Its highstrength, allsuture design and biomechanical properties make fibertape cerclage an ideal adjunct for stabilization. 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. Click on the link to view the videos of shoulder and knee surgeries performed by dr thompson. Treatment of shoulder instability due to glenoid bone loss can be challenging. Arthroscopic stabilization of acute acromioclavicular. Jose carlos garcia jr naeonsanta catarina hospital. 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.
Striving to fulfill their mission to help surgeons treat their patients better and pioneering the field of arthroscopy, arthrex has developed over 11,000. An example of a technique i use in my surgical practice. Humeral head resection the humerus is dislocated from the glenoid using a flat retractor eg. Distal tibia allograft augmentation for glenoid deficiency.
Arthrex latarjetcoracoid process transfer for glenoid. Sign up for whats new vet systems stay up to date with the latest techniques and innovations sign up sign up. Anatomical glenoid reconstruction using fresh osteochondral. 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. Arthrex congruent arc latarjet through subscapularis split. The outcomes and surgical techniques of the latarjet procedure. He offers comprehensive treatment for knee problems which include knee pain, injuries and fractures. Collisions and falls predispose the bones, muscles, tendons and ligaments. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a.
Major factors associated with failure of bankarts surgery are. Modified arthroscopic latarjet procedure with coracoid. Arthrexs medical education faculty educated more than 1,500 surgeons the past nine months. Latarjetcoracoid process transfer for glenoid deficiency. A metaanalysis of a single incision versus double incision surgical technique. Latarjet procedure shoulder surgeon dr david colvin perth duration. Pdf contraindications and complications of the latarjet procedure. The glenoid bone loss set helps surgeons address the complex. A total of 334 studies were subsequently excluded because they were on an irrelevant topic, used an arthroscopic technique, or were not. Latarjet procedure for shoulder instability arctic.
The latarjet procedure is a common method for treating recurrent glenohumeral joint dislocation associated with a bony defect in the anterior glenoid. In certain patients, the possibility of failure after a latarjet procedure is greater than others. It helps keep the head of the humerus from slipping out of the glenoid. The coracoid is then marked with a surgical pen arrow, and a line. Arthrex is a world leader in new product development and medical education in orthopedics. A guided surgical approach and novel fixation method for. Univers ii total shoulder system university of washington. The glenoid bone loss set helps surgeons address the complex issue of. Dr thompson is an orthopedic surgeon in ellsworth, augusta and bangor, me. The original search provided a total of 344 studies. 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. Amc will determine the level of acuity and proceed with scheduling from there.
Common reconstructive techniques include the latarjet procedure coracoid transfer or glenoid augmentation using autograft iliac crest. Latarjet procedure for shoulder instability procedure modifies your shoulder socket. Herein, we describe the new technique and devices and evaluate its ability to. Implant systems arthrex esutures the suture superstore. Latarjetcoracoid process transfer for glenoid deficiency arthrex. Latarjet technique for treatment of anterior shoulder instability with. 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. Pars percutaneous achilles repair system achilles jig. Meticulous surgical technique and a good understanding of the local. 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. Best implant choice for coracoid graft fixation during the latarjet. Sven lichtenberg involves dissecting the ca ligament and pectoralis minor from the coracoid and performing a coracoid osteotomy. Preparation of allinside hamstring autograft with internal brace graft for acl reconstruction with double suspensory fixation. Darrach as a shoehorn to gently guide the humerus out of the glenoid.
A 5cm skin incision is made, starting at the tip of the coracoid process and extending inferiorly. Patients guide to shoulder replacement surgery with the. Bruising hematoma is a risk associated with any surgical procedure. Videos surgical technique 569 brostrom repair with internal brace 2. Surgical technique position the patient in the beach chair or lateral decubitus position under a general anesthesia supple mented with a scalene block. Helping surgeons treat their patients better arthrex is a global medical device company and leader in new product development and medical education in orthopedics. 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.
Patel rm, walia p, gottschalk l, kuklis m, miniaci a, jones mh, fening sd. Clinical and radiological outcome after miniopen latarjet technique. 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. Also interacting with the staff at medinc and at the hospitals i helped cover. A free inside look at arthrex offices and culture posted anonymously by employees. And the work, selling a great product made work easy and fun. Pascal boileau, and contains a summary of techniques and opinions based upon his training and expertise. Surgical technique arthrex published by guset user, 20160108 20. Contraindications and complications 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. In my experience, they invest in their employees and offer the best tools the best.
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