This operation is performed to stabilise a shoulder where bone damage has occurred after traumatic shoulder dislocation(s). It is performed under general anaesthesia and nerve block as a day case, or with overnight stay. An incision is made over the front of your shoulder. Your coracoid process is carefully cut from your shoulder blade. A split through muscle and capsule allows access to your shoulder joint. Your area of glenoid bone loss is prepared for the bone graft. Your coracoid graft and its attached tendons is passed through the muscle split and screwed into place using two screws into your shoulder blade. This restores the bone loss and provides a muscle-sling at the front. Your wound is closed with dissolvable stitches. The schematic below illustrates the key steps:
Schematic of Latarjet procedure. Completed procedure shown in 2 images on right – coracoid bone graft fixed to front of glenoid (socket) to reconstruct bone loss. Attached tendons work as a hammock for the humeral head to reduce further the dislocation risk
An Eden-Hybinette differs in that we use a bone block taken from your iliac crest (hip bone) rather than from the coracoid. The bone block is fixed in the same way as the Latarjet graft and both operations work well.
You will come out of your sling between two and four weeks and increase to full range of movement exercises by six weeks. Strengthening will begin at about three months. All restrictions will be removed by six months.
In general you can expect to return to:
Office work after two to four weeks (in a sling)
Light physical work after eight to twelve weeks
Heavy labour may take 16-24 weeks
Contact sport usually takes six months
Driving - It will probably take six to eight weeks for you to be ready
By six months, 95% of patients trust their shoulder
You will be seen at two weeks after your operation. You will need follow up x-rays at six weeks and three months to assess healing of your graft.
Shoulder surgery is generally very safe. Specific risks of Latarjet stabilization surgery include:
Bleeding that needs a reoperation – rare (less than 1%)
Persistent stiffness (5%), but this rarely needs surgery
Screws in the joint requiring removal – very rare
Failure of bony union of the graft (up to 10%)
- It is important that your repair is protected during the early stages, hence the restrictions you’ll be given
- Stable non-bony healing may occur occasionally, this is fine
- Rarely, the graft displaces and revision surgery is needed
Re-dislocation/on-going instability symptoms
Most studies report failure rates below 5% for this surgery with excellent long-term outcomes and low rates of symptomatic arthritis
If you do develop recurrent instability, revision surgery may be required
Occasionally (5%) patients notice on-going pain in their shoulder
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
BMI The Princess Margaret Hospital
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