A minimally invasive surgical procedure can be performed to restabilize the shoulder joint. This arthroscopic technique involves a small camera (arthroscope) and specialized surgical instruments to evaluate the damaged tissue in the shoulder joint. Special surgical anchors secured within the bone are implemented to fasten the healthy tissues (labrum and capsule) to the glenoid socket of the scapula.
Open Shoulder Stabilization
Dr. Patel may prefer an open surgical approach over an arthroscopic approach for patients with recurrent or chronic shoulder dislocations, high-risk contact athletes, hyper-laxity (“loose jointed”) disorders, or those with a failed shoulder joint reduction. An open shoulder stabilization implements a slightly larger incision which enables Dr. Patel to visualize the entire shoulder joint while conducting the necessary revisions for a robust repair.
Another effective surgical approach for improving shoulder instability is a capsular shift. This open surgical approach involves splitting the shoulder joint capsule and suturing the overlapping tissues. The tightening of these tissues reinforces and reduces the overall volume of the shoulder joint capsule.
Developed by Dr. Michel Latarjet in 1954, the open Latarjet procedure deepens the glenoid socket by restoring the glenoid bone loss, rearranges the surrounding tendons into a sling-like formation, and then anchors them to the anterior shoulder. This procedure is typically reserved for those patients with recurrent dislocations and glenoid bone loss, high-risk athletes, or failed prior shoulder stabilization surgeries. Patients that have elected for the open Latarjet procedure have been shown to have better Rowe scores (an internationally recognized scoring system) and shoulder stability over a 6-year period.
Distal Tibial Allograft Glenoid Reconstruction
Damage to the bony rim of the glenoid socket can add to any existing shoulder instability and prolong this condition. In a distal tibial allograft glenoid reconstruction, the distal portion of the tibia (shin bone) is obtained from a cadaver tissue bank and precisely shaped to the patient’s specific joint defect. The introduction of this individualized anatomical bone and cartilage graft into the shoulder can aid in restoring the surrounding bone and articular cartilage to restore shoulder stability. This surgical technique is reserved for patients with large joint defects, glenoid bone loss that is greater than 20-25%, or those who have failed previous joint revision procedures including the Latarjet procedure.