All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical Note

Intraoperative vertical coracoid graft fractures during the Latarjet procedure are well-described complications, which typically have a poor prognosis or may necessitate further iliac crest bone grafting for stabilization. The vertical split coracoid fractures are reasoned to be caused by excessive...

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Main Authors: Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S., Pramod Kumar Mohan, M.S., Ortho., Pavan Krishna, M.S., Ortho., Ajit Jangale, M.S., M.R.C.S., Syed Kareemulla, M.S., Ortho., Naresh Goud, D. Ortho., D.N.B. Ortho., Sreejith Thampy, M.S., Ortho.
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628723002645
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author Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
Pramod Kumar Mohan, M.S., Ortho.
Pavan Krishna, M.S., Ortho.
Ajit Jangale, M.S., M.R.C.S.
Syed Kareemulla, M.S., Ortho.
Naresh Goud, D. Ortho., D.N.B. Ortho.
Sreejith Thampy, M.S., Ortho.
author_facet Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
Pramod Kumar Mohan, M.S., Ortho.
Pavan Krishna, M.S., Ortho.
Ajit Jangale, M.S., M.R.C.S.
Syed Kareemulla, M.S., Ortho.
Naresh Goud, D. Ortho., D.N.B. Ortho.
Sreejith Thampy, M.S., Ortho.
author_sort Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
collection DOAJ
description Intraoperative vertical coracoid graft fractures during the Latarjet procedure are well-described complications, which typically have a poor prognosis or may necessitate further iliac crest bone grafting for stabilization. The vertical split coracoid fractures are reasoned to be caused by excessive tightening of the screws, poor bone quality, especially in females and the smaller dimension of the coracoid graft. In this technical note, we propose an arthroscopic salvage technique for salvaging the fractured coracoid graft and to avoid the need for additional bone graft, thereby reducing morbidity to the patient. We use two double-loaded, all-suture anchors (Stryker, India) on either side of the split coracoid graft, and double-pulley configuration of suture tightening is done, providing compression and stability to the fractured graft.
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spelling doaj.art-a829ae8318e24e629cd56292e0de938c2024-01-24T05:20:36ZengElsevierArthroscopy Techniques2212-62872024-01-01131102808All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical NoteAyyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.0Pramod Kumar Mohan, M.S., Ortho.1Pavan Krishna, M.S., Ortho.2Ajit Jangale, M.S., M.R.C.S.3Syed Kareemulla, M.S., Ortho.4Naresh Goud, D. Ortho., D.N.B. Ortho.5Sreejith Thampy, M.S., Ortho.6Bangalore Shoulder Institute, Bangalore, IndiaAddress correspondence to Pramod Kumar Mohan, M.S., Ortho, 40,36th Cross, 23rd Main Road, 4th T Block East, Jayanagar, Bangalore, 560041, Karnataka, India.; Bangalore Shoulder Institute, Bangalore, IndiaBangalore Shoulder Institute, Bangalore, IndiaBangalore Shoulder Institute, Bangalore, IndiaBangalore Shoulder Institute, Bangalore, IndiaBangalore Shoulder Institute, Bangalore, IndiaBangalore Shoulder Institute, Bangalore, IndiaIntraoperative vertical coracoid graft fractures during the Latarjet procedure are well-described complications, which typically have a poor prognosis or may necessitate further iliac crest bone grafting for stabilization. The vertical split coracoid fractures are reasoned to be caused by excessive tightening of the screws, poor bone quality, especially in females and the smaller dimension of the coracoid graft. In this technical note, we propose an arthroscopic salvage technique for salvaging the fractured coracoid graft and to avoid the need for additional bone graft, thereby reducing morbidity to the patient. We use two double-loaded, all-suture anchors (Stryker, India) on either side of the split coracoid graft, and double-pulley configuration of suture tightening is done, providing compression and stability to the fractured graft.http://www.sciencedirect.com/science/article/pii/S2212628723002645
spellingShingle Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
Pramod Kumar Mohan, M.S., Ortho.
Pavan Krishna, M.S., Ortho.
Ajit Jangale, M.S., M.R.C.S.
Syed Kareemulla, M.S., Ortho.
Naresh Goud, D. Ortho., D.N.B. Ortho.
Sreejith Thampy, M.S., Ortho.
All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical Note
Arthroscopy Techniques
title All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical Note
title_full All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical Note
title_fullStr All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical Note
title_full_unstemmed All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical Note
title_short All Arthroscopic Salvage Technique for Intraoperative Vertical Split Coracoid Graft Fracture in Latarjet Procedure—Technical Note
title_sort all arthroscopic salvage technique for intraoperative vertical split coracoid graft fracture in latarjet procedure technical note
url http://www.sciencedirect.com/science/article/pii/S2212628723002645
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