Double-row fixation of the transferred coracoid process: a rescue technique for intraoperative coracoid fracture during the Latarjet procedure.

Affiliation

Department of Orthopedics, Faculty of Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand. Electronic address: [Email]

Abstract

BACKGROUND : The Latarjet procedure is the preferred method to treat recurrent anterior shoulder instability with glenoid deficiency. An iatrogenic fracture of the transferred coracoid process is one possible intraoperative complication.
METHODS : We propose a rescue technique using double-row suture bridge fixation. Double-loaded 4.5-mm suture anchors were placed medially in the scapular neck. These sutures were then brought over the top of the coracoid fragment, placed around the bony fragment, and fixated to the glenoid face with knotless suture anchors.
RESULTS : Radiologic evidence of bone graft healing was observed in the desired position.
CONCLUSIONS : We present a salvage procedure that will assist surgeons if an intraoperative fracture of the coracoid bone graft occurs during fixation when performing the Latarjet procedure.

Keywords

Coracoid fracture,Latarjet complication,Latarjet procedure,coracoid breakage,glenoid bone loss,graft fracture,intraoperative coracoid process fracture,salvage for coracoid fracture,