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Institute of Advanced Orthopedics, MOSC Hospital and Medical College, Kolenchery, Ernakulam, Kerala

Technique video on Arthroscopic Latarjet procedure with metal-free cerclage technique

This video demonstrates the Metal-free cerclage tape technique of Arthroscopic Latarjet procedure for recurrent shoulder dislocation. This procedure is a recent advance in the field of shoulder dislocation surgery and had many advantages over the open technique of Latarjet coracoid transfer.

Advantages of Metal free cerclage tape technique include 1. Less soft tissue dissection 2. Reduced pain 3. Faster recovery 4. safe from head of humerus impingement on the metal screws as in standard Latarjet procedure 5. Minimal scars – better cosmesis 6. Dynamic sling effect of the conjoint tendon as in Latarjet transfer 7. As it is an arthroscopic technique, anterior capsule repair can be done concomitantly providing a smooth surface for the movement of the humeral head, thereby protecting from wear Although the learning curve is steep, this technique is being embraced by Shoulder surgeons all around the world for treating shoulder dislocation when bone loss has set in after many episodes of instability of the shoulder.

Dr Sujit Jos is an Orthopedic surgeon, Prof and Head, Institute of Advanced Orthopedics, MOSC Hospital and Medical College, Kolenchery, Kochi (Ernakulam), Kerala, India. He is specialised in complex Arthroscopic surgeries of the shoulder, knee and hip joints, and primary and revision Joint Replacement surgeries.

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