Tips and Tricks for Hardware Removal and Allograft Fixation After a Failed Latarjet Procedure

Abstract Although relatively rare, recurrent anterior shoulder instability requiring revision surgery after a failed Latarjet procedure can result in complications such as graft malposition, graft osteolysis, broken hardware and/or infection. Revision surgery after a failed Latarjet is a challenge due to a combination of technical factors such as alteration of the native anatomic landmarks and neurovascular structures, presence of extensive scar tissue and adhesions, and limited anterior glenoid real estate for a revision bone block. This technique outlines a systematic approach to the failed Latarjet procedure with focus on removal of the prior hardware and graft and thorough preparation of the anterior glenoid for revision anterior stabilization.