Vol. 11, Issue 2 (2025)

Background: Shoulder glenohumeral anterior instability is commonly encoutred clinical diagnosis in Orthopedics, particularly among young active patients. Recurrent instability or dislocation episodes happen due to Bankart tear i.e. antero-inferior capsulolabral tears includes cases both having scapular glenoid osseous loss or without glenoid osseous loss. Conservative management and surgical Bankart lesion repair using arthroscopic procedure for recurrent shoulder dislocations and instability is associated with high rates of recurrence, particularly in the setting of osseous loss of glenoid and Hill Sach lesion involving humeral head osseous defect. Coracoid process transfer to the antero-inferior area of glenoid, specially the coracoid transfer Latarjet procedure, is the accepted standard therapy for recurrent shoulder dislocations anteriorly in the presence of bony defects in excess of 25%-30% of the bony arc formed by scapular glenoid anteriorly.
Method: In our study we explore the coracoid transfer Latarjet surgery done through the standard deltopectoral approach. Coracoid process alongwith the attached conjoint tendon (biceps and coracobrachialis) and coracoacromial ligament is osteotomised and transferred to the anterior area of glenoid and instrumentation for bony union done with screws and suture anchors. Joint capsulolabral repair is than done.
Results: We performed 20 cases of Latarjet procedure and there was no recurrence reported within 02 years post-operative reviews of the patients.
Conclusion: The coracoid transfer Latarjet surgery is a reliable and predictable option often used as a last resort when other managements have failed showing presence of osseous defects in excess of 25% to 30% of the antero-inferior or anterior scapular glenoid.