Treatment of Failed Anterior Instability With Latarjet

Abstract

This chapter examines the factors contributing to the failure of arthroscopic Bankart repair and evaluates the Latarjet procedure as a potential salvage option. While arthroscopic Bankart repair is the preferred treatment for Bankart lesions without significant glenoid bone loss, its higher failure rates compared to traditional open techniques pose challenges, particularly in active patients. Factors influencing failure include inadequate tissue healing, insufficient surgical technique, and patient-specific factors among others. The chapter highlights the importance of assessing glenoid and humeral bone loss, utilizing the Instability Severity Index Score (ISIS) to guide surgical decisions. The Latarjet procedure demonstrates promising results, offering a low recurrence rate and additional stability benefits, making it a viable option for managing a prior failed anterior shoulder stabilization procedure.