These are dislocations that cannot be reduced (put back in place) or chronic shoulder instability with multiple recurrent dislocations. The Latarjet procedure, performed by Dr. James Mazzara, shoulder surgeon, is becoming the preferred method of treatment for patients in the Manchester, South Windsor, Enfield, Glastonbury and surrounding Hartford communities.
What happens during Open Latarjet surgery?
“Open” surgery simply means Dr. Mazzara will perform Latarjet with an incision on the shoulder, instead of using a smaller incision, a camera and small instruments. Open surgery gives Dr. Mazzara the advantage of seeing the entire area of the shoulder that he needs to repair and complete the surgery. Studies show patients who had the open Latarjet procedure had less recurrent instability and better Rowe (internationally recognized scoring system) scores over a 6-year period.
Typical Open Latarjet procedure includes the following:
- An incision is made in the front of the shoulder
- Dr. Mazzara will remove a piece of coracoid bone, which is part of the scapula or shoulder blade, next to the shoulder socket, or glenoid, with the conjoined tendon.
- The coracoid bone is moved to the front of the glenoid (socket.) This new piece of bone will be held in place with screws.
- This placement of the coracoid acts as a bone block which, combined with the transferred muscles acting as a strut, prevents further dislocation of the joint.
- The conjoined tendon also helps stabilize the shoulder by acting as a sling when the shoulder is abducted and externally rotated.