Open Latarjet - Dr Dipit Sahu (2)

Description

This transcript details a surgical procedure involving a 33-year-old patient with recurrent left shoulder dislocation. Initially, the presenter, Dipit Sahu, highlights the patient's history of six dislocations over the past two years and presents imaging findings, including x-rays and MRI results that indicate significant shoulder joint issues, such as a Hill-Sachs lesion and glenoid bone loss. The patient is scheduled for an open Latarjet procedure, aimed at addressing the instability of the shoulder.



As the surgery progresses, the presenter discusses various anatomical structures encountered, such as the deltopectoral groove, pectoralis muscle, coracoid process, and the subscapularis. He explains the dissection techniques used to access these areas and the importance of careful handling to avoid nerve damage.



The procedure includes the removal of the coracoid process, which is essential for stabilization, followed by meticulous preparation of the surface to ensure proper fit and anchoring under the glenoid cavity. Throughout the surgery, dialogue among the surgical team emphasizes clarity and teamwork, alongside an explanation of surgical techniques, the rationale behind them, and considerations for post-operative care and rehabilitation.



The transcript covers various surgical stages, technical details of screw placements for securing the coracoid, and discusses both their immediate and long-term implications, underlining the importance of minimizing complications, maintaining range of motion, and optimal integration of the surgical hardware. Questions from the audience indicate active involvement and learning from the presented case.

DOI: 10.1302/3114-230051

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