Name:
Latarjet Procedure
Description:
Latarjet Procedure
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/593907fd-18d1-466c-87e8-948f78fe4422/videoscrubberimages/Scrubber_1.jpg
Duration:
T00H05M00S
Embed URL:
https://stream.cadmore.media/player/593907fd-18d1-466c-87e8-948f78fe4422
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/593907fd-18d1-466c-87e8-948f78fe4422/Latarjet procedure- Dr Dipit Sahu%2c www.mumbaishoulder.com.mp4?sv=2019-02-02&sr=c&sig=KjJ7JcDpPDUeS1K9Hgp6mOmHr5JAlsiuh1UrETBMBMM%3D&st=2024-11-24T03%3A12%3A15Z&se=2024-11-24T05%3A17%3A15Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
Hello, everyone. This will be a virtual demonstration of the Latarjet procedure for restraint and stability of shoulder. Michele Latarjet and Gilles Walch of France who was the inventor of the world for the latarjet procedure. Around 4 to 5 centimeters of incision is made from the tip of the coracoid vertically downwards.
Tissues are dissected neatly to expose the telltale pectoral. The synthetic wound retracted laterally along with the deltoid and pec major is retracted medially until the pectoral interval is open with the help of mastoid retaining retractors, the clavi-pectoral fascia is then divided to expose the coracoid.
Bent hole is placed over the coracoid to expose the CA ligament. The CA ligament is then divided.
Coracoacromial channel, which is found below. The coracoacromial is also divided. We then expose the pec minor insertion of the coracoid. This insertion is going to be released from bone with the help of electric cautery Bovie. The conjoined tendon remains attached to the coracoid.
On the surface of the coracoid is cleared of all the soft tissue attachments. A mop is placed under the coracoid to protect the brachial plexus, which is below it. The horizontal part of the coracoid is then osteotomised with the help of a saw or in hospital to obtain a 2 to 2.5 centimeters in length of the coracoid.
Finally all the normal soft tissue attachment or CH ligament attachment is then removed from the coracoid.
With the help of scalpel, we removed all the soft tissues which are found on the surface of the coracoid, a spike of remaining bone is often found, which is removed with the help of a power saw to reveal a flat under surface. The hard cortex is also removed with the help of a saw to expose the more cancellous bone, which will help in healing with the glenoid.
When we got out. To holes are then made on the on the surface of the coracoid with the help of 3.2. Drill bit. These two holes should be at least a centimeter apart and within the limits of the bone.
These walls are marked on the upper surface with the help of cautery for later identification.