Outcome of the Latarjet Procedure in Recurrent Anterior Shoulder Dislocation

EBRAHIM. M ELFKHRI; MOUNIR R. ATIA; Ahmed S Mikael

doi:10.64516/a0d49f79

Authors

EBRAHIM. M. ELFKHRI Orthopedic Surgical Department, Tobruk Medical Center, Tobruk, Libya Author
MOUNIR .R. ATIA Orthopedic Surgical Department, Tobruk Medical Center, Tobruk, Libya Author
Ahmed S. Mikael Al-Manar Al-Satea University, Benghazi, Libya. Author

DOI:

https://doi.org/10.64516/a0d49f79

Keywords:

Latarjet procedure, recurrent anterior shoulder dislocation, glenoid bone loss, shoulder instability, coracoid transfer, functional outcomes, range of motion.

Abstract

Recurrent anterior shoulder dislocation, especially in young, active individuals, is often linked to capsulolabral injury and glenoid bone loss. The Latarjet procedure, which transfers the coracoid to the anterior glenoid, offers mechanical stability and is commonly used when significant bone loss is present.

Objective: This study aimed to evaluate the outcomes of the Latarjet procedure in terms of recurrence rate, range of motion, functional recovery, and graft integration in patients with recurrent anterior shoulder instability and glenoid bone loss.

Methods: A prospective cohort study of 42 male patients (aged 19–36) who underwent the Latarjet procedure at Tobruk Medical Center (2016–2021) assessed outcomes over 6 months to 5 years. Key measures included recurrence, Constant-Murley score, range of motion, VAS pain scores, and radiographic graft evaluation.

Results: The recurrence rate was 2.4%, with one traumatic dislocation 10 months post-op. External rotation deficits occurred in 33% of patients, but most regained full range by 18–24 months. Constant-Murley scores were excellent in 38%, good in 33%, and fair in the rest. Most returned to work within 3–7 months (mean 5 months). Radiographs showed successful graft integration, with optimal outcomes seen when grafts were flush or slightly lateral (1–2 mm) to the glenoid rim. Conclusion: The Latarjet procedure is a reliable treatment for recurrent anterior shoulder instability with glenoid bone loss. It shows low recurrence, improved shoulder function, and few complications when done with proper technique and rehab, supporting its role as a gold standard for high-risk patients.

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