Clinical outcomes of primary Latarjet technique in recurrent shoulder dislocation using BioLatarjet® LCS cannulated flat head screws


  • Prashanth B. N. NH Health City Ortho Spine and Trauma Centre, Bommasandra, Bengaluru, Karnataka, India
  • Mahesh M. Junior Consultant, Department of Orthopaedics, NH Health City Ortho Spine and Trauma Centre, Bommasandra, Bengaluru, Karnataka, India



Instability, Primary Latarjet technique, Recurrent dislocation, Shoulder


Background: The Latarjet technique is an effective procedure that reconstructs and augments the glenohumeral joint instability. It improves stability by increasing the glenoid width and using the sling effect. The aim of the study was to assess the functional outcomes of the primary Latarjet treatment with BioLatarjet® LCS cannulated flat head screws in cases of recurrent shoulder dislocation.

Methods: In this retrospective study, 30 patients were treated with the primary Latarjet technique. Rowe score, visual analog scale (VAS), Quebec back pain disability scale (QDS), and, American shoulder and elbow surgeon score (ASES), and range of motion (ROM) were evaluated in the selected population at the time point of 6-week, 3-month, and 6-month after surgery for the determination of the functional outcomes in them.

Results: The results showed that all patients had excellent or good functional outcomes with significant improvements in Rowe score, VAS score, QDS, and ASES scores (p<0.0001). The ROM in patients for forward elevation, cross body adduction, external rotation by side of body/neutral, and internal rotation by side of body/neutral were related to better clinical outcome and less movement of recurrent instability with optimal graft placement.

Conclusions: These findings have clinical significance in that they demonstrate the effectiveness of the Latarjet technique in improving stability without significantly increasing the risk of complications. The BioLatarjet® LCS cannulated flat head screws were found to be safe and efficient for primary Latarjet surgeries, providing appropriate graft healing and a low recurrence of instability, with a good return-to-sports rate.



Hardy A, Sabatier V, Laboudie P, Schoch B, Nourissat G, Valenti P, et al. Outcomes after Latarjet procedure: patients with first-time versus recurrent dislocations. Ame J Sp Med. 2020;48(1):21-6.

Alvi HM, Monroe EJ, Muriuki M, Verma RN, Marra G, Saltzman MD. Latarjet fixation: a cadaveric biomechanical study evaluating cortical and cannulated screw fixation. Orthop J Sp Med. 2016;4(4):2325967116643533.

An VVG, Sivakumar BS, Phan K, Trantalis J. A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair. J Sh Elb Surg. 2016;25(5):853-63.

Dumont GD, Fogerty S, Rosso C, Lafosse L. The arthroscopic Latarjet procedure for anterior shoulder instability: 5-year minimum follow-up. Ame J Sp Med. 2014;42(11):2560-6.

Rattier S, Druel T, Hirakawa Y, Gröger F, van Rooij F, Neyton L. Use of cannulated screws for primary latarjet procedures. Orthop J Sp Med. 2022;10(8):23259671221117802.

Chillemi C, Guerrisi M, Paglialunga C, Salate Santone F, Osimani M. Latarjet procedure for anterior shoulder instability: a 24-year follow-up study. Arch Orthop Tra Surg. 2021;141:189-96.

Hendy BA, Padegimas EM, Kane L, Harper T, Abboud JA, Lazarus MD, et al. Early postoperative complications after Latarjet procedure: a single-institution experience over 10 years. J Sh Elb Surg. 2021;30(6):e300-e8.

McHale KJ, Sanchez G, Lavery KP, Rossy WH, Sanchez A, Ferrari MB, et al. Latarjet technique for treatment of anterior shoulder instability with glenoid bone loss. Arthros Tech. 2017;6(3):e791-e9.

Schmid SL, Farshad M, Catanzaro S, Gerber C. The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair: a retrospective case series of forty-nine consecutive patients. JBJS. 2012;94(11):e75.

Baverel L, Colle PE, Saffarini M, Anthony Odri G, Barth J. Open Latarjet procedures produce better outcomes in competitive athletes compared with recreational athletes: a clinical comparative study of 106 athletes aged under 30 years. Am J Sp Med. 2018;46(6):1408-15.

Godenèche A, Merlini L, Roulet S, Le Chatelier M, Delgrande D, Saffarini M, et al. Screw removal can resolve unexplained anterior pain without recurrence of shoulder instability after open Latarjet procedures. Ame J Sp Med. 2020;48(6):1450-5.

Rossi LA, Bertona A, Tanoira I, Maignon GD, Bongiovanni SL, Ranalletta M. Comparison between modified Latarjet performed as a primary or revision procedure in competitive athletes: a comparative study of 100 patients with a minimum 2-year follow-up. Orthop J Sp Med. 2018;6(12):2325967118817233.

Ernstbrunner L, Waltenspül M, Suter C, El-Nashar R, Scherr J, Wieser K. Primary open latarjet procedure results in functional differences but no structural changes in subscapularis muscle quality vs the healthy contralateral shoulder at long-term follow-up. Am J Sp Med. 2022;50(6):1495-502.

Park I, Lee JH, Hyun HS, Lee TK, Shin SJ. Minimal clinically important differences in Rowe and Western Ontario Shoulder Instability Index scores after arthroscopic repair of anterior shoulder instability. J Sh Elb Surg. 2018;27(4):579-84.

Navabian Ghamsari MH, Goodarzi A, Ziaoddini A, Yazdani M. Low back pain and some related factors among employees in Iran. Inter J Musc Pain Prev. 2019;4(2):180-5.

Minoughan CE, Schumaier AP, Fritch JL, Grawe BM. Correlation of PROMIS physical function upper extremity computer adaptive test with American shoulder and elbow surgeons shoulder assessment form and simple shoulder test in patients with shoulder arthritis. J Sh Elb Surg. 2018;27(4):585-91.

Ballal MM, Chidananda KJC, Kishore M. Functional outcome of open latarjet procedure for recurrent anterior shoulder instability: A prospective study. Inter J Orthop. 2021;7(2):121-7.

Shin JJ, Hamamoto JT, Leroux TS, Saccomanno MF, Jain A, Khair MM, et al. Biomechanical analysis of Latarjet screw fixation: comparison of screw types and fixation methods. Arthroscopy: J Arthrosc Rel Surg. 2017;33(9):1646-53.

Chaudhary D, Goyal A, Joshi D, Jain V, Mohindra M, Mehta N. Clinical and radiological outcome after mini-open Latarjet technique with fixation of coracoid with Arthrex wedge mini-plate. J Clin Orthop Trauma. 2016;7(1):23-9.

Balestro JC, Young A, Maccioni C, Walch G. Graft osteolysis and recurrent instability after the Latarjet procedure performed with bioabsorbable screw fixation. J Sh Elb Surg. 2015;24(5):711-8.






Original Research Articles