title: Latarjet procedure: is the coracoid enough to restore the glenoid surface?
abstract: The aim of this study was to establish whether anterior glenoid bone loss in patients with large glenoid rim defects can be restored with a coracoid graft (Latarjet procedure).
  
  
  
  A total of 143 consecutive patients with chronic anterior shoulder instability and glenoid bone deficiency were treated in 2013. A pre-operative computed tomography (CT) scan using the PICO method was obtained to estimate anterior glenoid rim erosion. The 23 patients with anterior glenoid deficiency exceeding 20 % were included in the study. A post-operative CT scan was obtained to establish whether coracoid transfer had fully restored the glenoid surface.
  
  
  
  Mean bone loss was 26 ± 3.9 % of the glenoid surface (range 20-34 %) compared with the contralateral glenoid. Mean coracoid dimensions were 26.3 ± 2.9 mm × 7.6 ± 0.65 mm. The graft successfully restored the glenoid surface in all patients (mean filling, 102.4 ± 0.8 %).
  
  
  
  The Latarjet procedure is a valuable approach to treat patients with chronic shoulder instability and glenoid deficiency.
  
  
  
  Coracoid transfer restored the glenoid surface even in patients with large defects. The Eden-Hybinette technique seems to be more appropriate for revision surgery and for patients with a failed Latarjet procedure.
authors.affiliation: Unit of Shoulder and Elbow Surgery-D. Cervesi Hospital, Via L.V. Beethoven 46, Cattolica, RN, Italy. palpaolo@me.com.
authors.forename: Paolo
authors.identifier: 0000-0002-4303-5102
authors.initials: P
authors.lastname: Paladini
authors.affiliation: 321/1/19, Medicos Agencies, Opp. Civil Hospital, Rohtak, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Singla
authors.affiliation: Unit of Shoulder and Elbow Surgery-D. Cervesi Hospital, Via L.V. Beethoven 46, Cattolica, RN, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Merolla
authors.affiliation: Unit of Shoulder and Elbow Surgery-D. Cervesi Hospital, Via L.V. Beethoven 46, Cattolica, RN, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Porcellini
mesh_terms: D001178:Arthroplasty; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D011184:Postoperative Period; D012540:Scapula / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D034941:Upper Extremity / Q000601:surgery*
keywords: CT scan; Glenoid bone loss; Latarjet procedure; Shoulder instability