Latarjet & Remplissage Surgery in Mumbai

The Latarjet procedure is a surgical technique used to treat recurrent anterior shoulder dislocation , particularly in cases where there is:

• Significant bone loss from the glenoid (socket)
• Failed previous Bankart repair
• Engaging Hill-Sachs lesion
• High-risk patients like contact sport athletes

What is the Latarjet Procedure?

In this procedure, a piece of bone (the coracoid process) from the shoulder blade is transferred to the front part of the glenoid socket. This serves two main functions:

• Bone Block Effect – The transferred bone increases the surface area of the glenoid, helping to prevent the humeral head from slipping out.
• Sling Effect – The attached tendons act as a sling during shoulder movement, especially when the arm is lifted or rotated.

Key Benefits of Latarjet Surgery

• Prevents further dislocations
• Improves shoulder stability and function
• Ideal for athletes and high-demand patients
• High success rate, even in revision cases
• Long-lasting results

Remplissage Surgery in Mumbai

Remplissage (French for "to fill in") is an arthroscopic procedure used in conjunction with Bankart repair when there is a Hill-Sachs lesion — a dent or defect in the humeral head caused by previous dislocations.

How Remplissage Works

• The Hill-Sachs defect is "filled in" by attaching the infraspinatus tendon and the posterior capsule into the defect.
• This prevents the humeral head from engaging or slipping into the glenoid defect during motion.
• Typically performed arthroscopically, making it a minimally invasive solution.

Key Benefits of Remplissage Surgery

• Enhances shoulder stability
• Reduces recurrence of dislocation
• Minimally invasive
• Can be combined with Bankart or Latarjet procedures
• Short recovery time

Surgical Procedure Overview

Latarjet Surgery (Open or Arthroscopic)

• Performed under general anesthesia
• Small incision (open) or arthroscopic technique
• Coracoid process is cut and secured to the glenoid
• Screws and anchors are used to fix the graft

Remplissage (Arthroscopic)

• Performed through small portals
• Infraspinatus tendon is anchored into the Hill-Sachs defect
• Typically done during the same session as Bankart or Latarjet repair

When Are Latarjet & Remplissage Recommended?

These procedures are recommended for:

• Recurrent shoulder dislocation with bone loss
• Engaging Hill-Sachs lesions visible in imaging
• Failed arthroscopic Bankart repairs
• Contact athletes (e.g., footballers, wrestlers, martial artists)
• Patients with chronic instability or poor soft tissue quality

Latarjet & Remplissage: Combined Approach for Maximum Stability

In some complex cases, both Latarjet and Remplissage surgeries are performed together. This is typically done when:

• There is significant anterior glenoid bone loss
• A large or engaging Hill-Sachs lesion is present
• The patient has failed multiple previous stabilization procedures

If recurrent shoulder dislocations or bone loss are limiting your daily activities or sports performance, Latarjet and Remplissage surgery can provide strong, lasting stability to your shoulder. With expert surgical planning, advanced techniques, and focused rehabilitation, Dr. Chintan Desai helps patients return to an active, confident life.

Book your consultation today with Dr. Chintan Desai, Shoulder Surgeon & Sports Medicine Specialist in Mumbai, and take the first step toward a stable, pain-free shoulder.

FAQs about Latarjet & Remplissage Surgery in Mumbai