Summary

We present a fast, easy, accurate, safe arthroscopic ‘LUtarjet’ technique called FEAST that can simplify the arthroscopic Latarjet process with CAL and pect-minor preservation and achieve a satisfactory bone graft positionand satisfactory clinical outcomes.

Abstract

Background

The Latarjet procedure is an effective technique for the treatment of recurrent
anterior shoulder dislocation with glenoid bone loss. However, the inevitable destruction of the coracoacromial arch may result in humeral head translation. The aim of the study is to introduce a modi?ed Latarjet technique with coracoacromial arch and pecteralis minor preservation as well as its clinicaloutcomes.

Methods

We propose a novel individualized ?exible arthroscopic suture button ?xation Latarjet technique called ‘LUtarjet’. Precise measurements of the coracoid process, glenoid de?ciency and osteotomy plane were made preoperatively. Only three arthroscopic portals were needed and limit unique coracoid osteotomy was performed with coracoacromial arch and pecteralis minor preservation. The mini window splitting of the subscapularis was performed from the posterior to the anterior direction and the split window was as small as 8–10 mm in length.

Results

A total of 27 patients (25.6 ± 5.4 years) were included in the study. The average surgical duration was 55.6 ± 6.3 min and the mean follow-up time was 8.1 ± 1.5 months. The functional score was signi?cantly improved at the last follow-up. Radiologic evidence showed that the bone graft healing was placed in the desired position. No complications were found.

Conclusions

We present a fast, easy, accurate, safe arthroscopic ‘LUtarjet’ technique called FEAST that can simplify the arthroscopic Latarjet process with CAL and pect-minor preservation and achieve a satisfactory bone graft positionand satisfactory clinical outcomes.
Level of evidence: IV, case series.