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Latarjet surgery should generally not be done in patients with glenoid bone loss less than 15%, unless there are exceptional circumstances. very common complications are 1. neuropraxia 2 .noise from shoulder 3. arthritis ⚠️ Why Latarjet Is Not Recommended for less than 15% Bone Loss: 1. Overtreatment Risk Latarjet is a non-anatomic bone-block procedure. Using it in patients with minimal bone loss can result in unnecessary surgical morbidity. 2. Better Options Available For less than 15% glenoid bone loss, patients with recurrent instability are better managed with: Bankart repair arthroscopic or open Remplissage if Hill-Sachs lesion is engaging arthroscopic bone block procedure Capsular shift in cases of hyperlaxity 3. Potential Complications Coracoid transfer can lead to: Hardware issues Non-union or malunion Arthritis due to overcorrection Neurovascular complications ✅ When Latarjet Is Indicated: Glenoid bone loss less than 15–20% Failed previous Bankart repairs Contact or high-demand athletes Engaging Hill-Sachs lesion with subcritical glenoid loss 🔍 Bottom Line: “Latarjet is a powerful tool — but should be reserved for the right indication. Using it in patients with minimal bone loss is like using a sledgehammer to crack a nut.” — Dr. Prathmesh Jain, Shoulder Surgeon, Advance Hospitals #latarjet #bankart Some Surgeons Still Recommend Open Latarjet Because They Don’t Do Arthroscopy Not all shoulder dislocations need open surgery. But unfortunately, some surgeons may suggest open Latarjet simply because they are not trained in advanced arthroscopic techniques. 🤔 Why Does This Happen? 1. Lack of Arthroscopy Skills Arthroscopic (keyhole) surgery requires special training and experience. Not every orthopedic surgeon is comfortable with it. 2. Easy to Recommend What You Know If a surgeon only does open surgery, they might recommend Latarjet — even in cases where simple arthroscopic Bankart repair would be better. 3. Patients May Not Know Their Options Many patients trust their doctor without knowing that minimally invasive options even exist. ✅ What You Should Ask Your Surgeon: How much bone loss do I have? Is this surgery possible through arthroscopy? Are you trained in both arthroscopic and open shoulder surgeries? Can I get a second opinion from an arthroscopy specialist? ✨ The Right Surgery = Better Results For most first-time shoulder dislocations and mild bone loss, arthroscopic Bankart repair is the gold standard. Open Latarjet should be done only when truly needed, such as: Large bone loss Failed previous surgeries High-demand contact sports players 👨⚕️ Message from the Experts: “Choose a surgeon who offers you what’s best for your shoulder, not just what they know how to do.”