Latarjet Procedure
bone transfer procedure that stabilises the shoulder against recurrent dislocation — particularly when significant bone loss in the socket makes soft-tissue repair alone insufficient
What is Latarjet Procedure?
The Latarjet Procedure treats recurrent shoulder dislocations when there is significant glenoid bone loss or when a previous soft-tissue stabilisation has failed. When bone loss is substantial, labral repair alone cannot prevent further dislocations. The procedure transfers a small bone segment from the coracoid process (part of the shoulder blade) to the front of the glenoid socket. This creates a bone block that prevents the humeral head from slipping out, while the attached tendons provide dynamic stabilisation. It is particularly effective for athletes in contact or overhead sports.
SUITABLE FOR Patients with recurrent shoulder dislocations involving significant glenoid bone loss, failed previous stabilisation surgery, or high-demand sporting activities where soft-tissue-only repair is unlikely to provide lasting stability.
How the Procedure Works
Pre-operative CT / MRI Planning
CT quantifies glenoid bone loss and confirms that bone transfer is required; MRI assesses soft-tissue structures; anaesthesia is administered on the day of surgery.
Surgical Access
A small incision at the front of the shoulder exposes the coracoid process and the front of the glenoid socket.
Coracoid Graft Preparation
— A precisely sized segment of the coracoid process is detached while preserving the attached conjoined tendon, which will provide dynamic stabilisation after transfer.
Glenoid Preparation
The front edge of the glenoid is debrided and shaped to create a flush, stable surface for secure fixation of the bone graft.
Bone Graft Transfer & Screw Fixation
The coracoid graft is positioned at the front of the glenoid to expand the socket and create a bone barrier; it is fixed with specialised surgical screws.
Stability Check & Wound Closure
Joint stability and smooth motion are confirmed; the wound is closed and the arm placed in a sling for the initial healing period.
Outcomes
Who Needs This Treatment?
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Treats instability even when significant glenoid bone loss is present
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Bone block provides a physical barrier preventing further dislocation
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Attached tendons add dynamic, active stabilisation to the joint
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Highly effective for athletes and high-demand shoulder activities
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Lower recurrence rates than soft-tissue repair alone in bone-loss cases
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Structured physiotherapy restores full shoulder strength post-surgery
“The Latarjet procedure is one of the most reliable solutions for patients with significant shoulder bone loss or failed stabilisation. By transferring bone to the front of the socket, we restore the anatomy that dislocations have destroyed — giving athletes a stable, durable shoulder.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Latarjet Procedure Cost in Hyderabad
The cost of the Latarjet Procedure in Hyderabad generally ranges from ₹1,60,000 to ₹3,00,000, with an indicative average cost of around ₹2,30,000. The Latarjet procedure is a shoulder stabilisation surgery that may be considered for selected patients with recurrent anterior shoulder instability, particularly when significant glenoid bone loss is present or when previous stabilisation procedures have failed. The final cost depends on the extent of bone loss, surgical complexity, fixation implants, associated procedures, hospitalisation and rehabilitation.
| Procedure | Approximate Cost Range |
|---|---|
| Latarjet Procedure | ₹1,60,000 – ₹3,00,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. Latarjet is considered for selected cases of shoulder instability, and treatment planning depends on the degree of glenoid bone loss, Hill-Sachs lesion, previous surgery, soft-tissue condition and overall shoulder stability.
Factors Affecting the Cost of Latarjet Procedure
The overall cost of the Latarjet procedure can vary depending on the extent of glenoid bone loss, shoulder anatomy, fixation requirements, previous surgery, associated lesions and postoperative rehabilitation.
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Glenoid bone loss: The amount and location of bone loss at the front of the glenoid can influence surgical planning and the complexity of stabilisation.
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Shoulder instability history: The frequency and severity of previous dislocations or subluxations and any previous stabilisation procedures may affect the treatment approach.
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Fixation implants: The number, type and quality of screws or other fixation devices used to secure the bone graft can influence the implant-related cost.
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Associated bone lesions: The presence and characteristics of a Hill-Sachs lesion or other bone defects may influence surgical planning and whether additional procedures are required.
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Previous shoulder surgery: Scar tissue, altered anatomy or failed previous stabilisation may make the procedure more complex and can increase treatment requirements.
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Preoperative investigations: X-rays, CT scans, MRI and other investigations may be required to evaluate bone loss and plan surgery. These may be billed separately if not included in the package.
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Anaesthesia and hospitalisation: Anaesthesia, operating-room charges, medicines, nursing care and room charges may contribute to the final cost according to the package structure.
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Rehabilitation: Structured postoperative rehabilitation is generally required to protect the repair and gradually restore shoulder movement and strength. Physiotherapy costs may be separate.
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Additional procedures: Arthroscopic assessment, treatment of associated soft-tissue injuries or other procedures may be required in selected cases and can increase the final cost.
Insurance Coverage for Latarjet Procedure
The Latarjet Procedure may be covered by health insurance when medically necessary for recurrent shoulder instability, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm pre-authorisation requirements, implant coverage, package inclusions and applicable out-of-pocket expenses with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with recurrent shoulder instability and associated bone loss and help determine whether the Latarjet procedure is appropriate based on clinical examination, imaging and the overall condition of the shoulder. During the consultation, the doctor may assess: Instability symptoms: The doctor may review recurrent dislocations, subluxations, apprehension during specific shoulder movements, pain and limitations during sports or daily activities. Previous dislocations: The number, frequency and circumstances of previous instability episodes may be discussed to understand the progression of the condition. Previous treatment: Physiotherapy, activity modification, previous Bankart repair or other shoulder stabilisation procedures may be reviewed along with the response to treatment. Glenoid bone loss: CT imaging may be reviewed to assess the extent and location of glenoid bone loss and determine whether a bone-block procedure may be appropriate. Hill-Sachs lesion: Imaging may be assessed for the presence, size and location of a Hill-Sachs lesion or other humeral head bone defect. Shoulder examination: Range of motion, strength, stability, apprehension and other clinical findings may be evaluated to understand the functional condition of the shoulder. Treatment suitability: Based on the overall findings, the doctor may discuss the Latarjet procedure and other appropriate stabilisation options depending on the degree of instability, bone loss and associated shoulder conditions.
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