Arthroscopic Latarjet procedure Technique and clinical results after 15 years of experience

First described almost 70 years ago, the Latarjet procedure today is a standard tool for the treatment of anteroinferior shoulder instability, especially in cases of recurrence after failed capsulolabral repairs and cases with relevant glenoid bone loss. Like many other surgeries, the Latarjet procedure has developed from a primary open procedure to a more minimally invasive or even arthroscopic surgery. Initially seen as something far too difficult and almost crazy, in our institution, with advances since 2007, the all-arthroscopic Latarjet procedure has become an indispensable treatment option for (recurrent) anterior shoulder instability with many referrals by other surgeons. In this article we share our experience with this procedure throughout the years, showing that in trained hands the all-arthroscopic Latarjet procedure is a safe and effective surgery for a difficult and highly demanding patient population.