Latarjet

When patients experience recurrent instability after failed shoulder arthroscopy, or if bone loss has occurred as a result of recurrent dislocations in the shoulder, a Latarjet procedure may be indicated.

Latarjet is an open procedure for the shoulder where the coracoid process of the shoulder is cut. The bone that is cut is then placed over the front of the shoulder joint and secured with a screw. This piece of bone now acts as a wall in the front of your shoulder that will stabilize the shoulder joint and prevent any instability or dislocation from occurring.

Post Operative Instructions:

SLING/MOVEMENT

  • You may wear the sling as tolerated for comfort. Commonly, patients remove the sling within 3 days.
  • You may move your shoulder in any direction that is comfortable. Do not force the motion though because this will likely cause pain.

ICE

  • An ice machine will be provided to you prior to your surgery. This will help decrease swelling and pain after your surgery. Use the ice machine as much as possible when you get home at intervals of 30 minutes on and off. You should keep the ice machine for approximately two weeks. Do not use the ice machine while you are sleeping.

MEDICATIONS

  • An injection of local anesthesia was injected into your shoulder after the completion of the operation. This medication will wear off in 5 to 6 hours. Therefore, begin taking the pain medication (e.g. Vicodin, Percocet, etc) immediately when you get home. This will prevent you from having severe pain. Take the pain medication every 4 hours until you go to bed.
  • The day after surgery you can take 600 mg of Ibuprofen (Advil/Motrin) every 6 hours to help with inflammation and pain. This medication will help cut down the use of narcotic-based pain medication. However, if you still have pain after taking the Ibuprofen, continue taking the pain medication every 4-6 hours as needed.
  • A sleeping medication (e.g. Ambien) is also provided to help you sleep at night. Take one tablet 30 minutes before you plan to sleep.

DRESSING/BANDAGES

  • Your shoulder dressing is waterproof. You may shower the next day after surgery. Two days after surgery you may remove the entire dressing. Gently wash the wounds with soap and warm water and towel dry. You may then cover the incisions with band-aids until your post op visit.
  • Do not take a bath or submerge your shoulder in water until your incisions are checked at your first post-op visit.

APPOINTMENT

  • Please call the office prior to, or immediately following, your surgery in order to schedule a postoperative appointment. This should be scheduled 7-10 days after surgery. At that visit your stitches will be removed and you will be given a prescription to begin physical therapy.

If you have any questions or concerns, please contact our assistant at (310) 659-2910 extension 3048.

Download the postoperative instructions for your procedure (PDF) 

Recovery Timeline:

Date of surgery: Arrive 1-2 hours prior to surgery, procedure will take approx. 1 hour and recovery time is 1 hour, for immediate post op instructions see above instruction sheet

1 week post op: 1st follow up visit with Dr. Snibbe/Jennifer, stitches will be taken out, x-ray will be taken, continue icing 2-3 times a day (or more if needed), discontinue sling as soon as possible to avoid stiffness, physical therapy prescription will be given, start physical therapy immediately to work on range of motion

4 weeks post op: 2nd follow up visit, new x-ray taken, range of motion and strength test, physical therapy will continue to improve range of motion, mild stiffness is still common, discomfort at night and with certain motions is common at this stage of the rehab process, begin rotator cuff strengthening

8 weeks post op: 3rd follow up visit, new x-ray taken, range of motion and strength testing, if still need additional range of motion or strength training-continue physical therapy to work on rotator cuff strengthening, pain should be mostly resolved at this point

12 weeks post op: 4th follow up visit, range of motion should be full/normal, patients should feel stronger and have very little pain if any, near to full recovery expected at this time


 





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