Treatment of the Failed Latarjet With Distal Tibia Allograft

Abstract

The Latarjet procedure is commonly performed in patients with recurrent shoulder instability and critical glenoid bone loss. While the success rate of the Latarjet procedure is high, failures do occur. Revision surgery can be challenging, and options are limited. Glenoid reconstruction using a distal tibial allograft (DTA) is a viable option to revise a failed Latarjet. Using a DTA bone block technique provides an osteochondral surface with an articular congruency similar to the native glenoid, which effectively restores glenohumeral joint stability and biomechanics. The bony composition, along with technical execution, allows for excellent graft integration with minimal resorption. In this paper, we describe our preferred surgical technique for glenoid reconstruction using a fresh DTA bone block in the setting of a failed Latarjet.