Advanced Latarjet Surgery in Bangalore
Overcome Recurrent Shoulder Dislocations & Regain Joint Stability
If you experience frequent shoulder dislocations, simple movements can become a source of anxiety. When traditional treatments or standard Bankart repairs fail often due to significant bone loss in the shoulder socket Latarjet Surgery stands as the global gold standard for restoring complete joint stability.
Guided by Dr. Pradyumna R, one of South India's premier fellowship-trained shoulder specialists, our clinic offers advanced, precision-guided open and arthroscopic Latarjet procedures designed to get athletes and active individuals back to their peak performance.
How Latarjet Surgery Fixes Severe Shoulder Instability
When a shoulder repeatedly dislocates, the front edge of the shoulder socket (glenoid bone) often wears away. If bone loss exceeds 20-25%, a standard labral repair (Bankart repair) is highly likely to fail.
The Latarjet procedure fixes this by transferring a small piece of bone from the coracoid process (a nearby part of your shoulder blade) to the front of the socket. This creates a highly stable, "Triple-Lock" Mechanism:
- Bone Block Effect: The transferred bone physically widens the socket, replacing what was lost and blocking the arm bone from slipping out.
- The Conjoint Tendon Sling: The muscles attached to the transferred bone act as a dynamic "sling" that tightens up when you move your arm overhead, bracing the joint.
- Capsule Repair: The shoulder capsule is stitched securely to the new graft, recreating a robust native barrier against future dislocations.
Who is an Ideal Candidate for the Latarjet Procedure?
Latarjet surgery is a highly specialized reconstruction typically recommended for:
- Patients with Significant Bone Loss: Individuals whose imaging (CT/MRI) shows structural bone erosion on the glenoid or a severe "Hill-Sachs" lesion on the humerus.
- Failed Previous Shoulder Surgeries: Patients who have already undergone an arthroscopic Bankart repair but continue to experience instability or dislocations.
- High-Impact Athletes & Contact Sports Players: Rugby players, cricketers, kabaddi players, and swimmers whose joints endure repetitive, high-velocity overhead strain.
- Chronic Subluxation: Individuals whose shoulders dislocate with minimal effort, such as during sleep or simple daily tasks.
Your Journey to Recovery: What to Expect
| Phase | Timeline | Primary Focus | Permitted Activities |
|---|---|---|---|
| Phase 1: Immobilization | Week 1 to Week 4 | Bone graft healing & tissue protection | Rigid shoulder sling; gentle wrist and elbow movements only. |
| Phase 2: Guided Mobility | Week 5 to Week 8 | Restoring passive range of motion | Assisted physical therapy; gradual weaning off the sling. |
| Phase 3: Strengthening | Month 3 to Month 4 | Rebuilding dynamic muscle control | Light resistance training; full active movement without heavy lifting. |
| Phase 4: Sports Return | Month 5 to Month 6+ | Sport-specific agility & power | Full clearance for overhead athletics and heavy manual labor. |
Frequently Asked Questions
What is the cost of Latarjet Surgery in Bangalore?▾
The cost of Latarjet surgery varies based on whether it is performed as an open or arthroscopic procedure, the choice of specialized fixation implants (screws or buttons), and the specific room category chosen at our partner hospitals (like Manipal Hospitals). During your initial consultation, our team will provide a transparent, comprehensive cost breakdown.
Is Latarjet surgery covered by health insurance in India?▾
Yes. Because recurrent shoulder dislocation is a debilitating medical condition that limits joint function, Latarjet surgery is widely recognized and covered by most major corporate health insurance policies, TPAs, and government health schemes. Our dedicated administrative desk assists you with the entire pre-authorization process.
Why choose Latarjet over a standard Bankart repair?▾
A Bankart repair only fixes the soft tissue (labrum). If your shoulder socket has suffered significant bone damage from repeated dislocations, soft tissue alone cannot hold the joint in place. Latarjet fixes the underlying structural bone defect, resulting in a significantly lower recurrence rate (less than 5%) compared to a Bankart repair in patients with bone loss.
Will I lose any shoulder rotation or mobility after the procedure?▾
Most patients regain exceptional, near-normal range of motion. There can occasionally be a very mild, minimal loss of extreme external rotation (turning the arm outward), but this is a deliberate structural trade-off that provides rock-solid stability and prevents further dislocations.
How should I sleep after Latarjet surgery, and when can I drive again?▾
Sleeping can be challenging during the first 4 to 6 weeks. It is highly recommended to sleep in a semi-reclined position (propped up by extra pillows or a wedge pillow) with your prescribed sling left completely on. Placing a small pillow underneath your operated elbow will prevent the shoulder from dropping backward and straining the graft.
As for driving, you can safely return to the wheel once you are entirely out of the sling, have discontinued all narcotic pain medications, and have regained sufficient strength and sudden-reflex control typically between 6 to 8 weeks post-surgery.
As for driving, you can safely return to the wheel once you are entirely out of the sling, have discontinued all narcotic pain medications, and have regained sufficient strength and sudden-reflex control typically between 6 to 8 weeks post-surgery.
What is the difference between a Latarjet procedure and a Remplissage procedure?▾
Both procedures tackle complex dislocations, but they treat different types of bone damage:
Latarjet is a bone graft used to reconstruct the shoulder socket (glenoid) when more than 20% of the front bone has eroded.
Remplissage (French for "to fill") is an arthroscopic soft-tissue procedure used when there is a large dent on the back of the arm bone (humeral head), known as an engaging Hill-Sachs lesion. Instead of moving bone, Remplissage fixes a nearby tendon directly into the bone dent to prevent it from catching.
Dr. Pradyumna will perform advanced pre-operative 3D CT scans to measure your precise structural loss and determine which approach or combination is right for you.
Latarjet is a bone graft used to reconstruct the shoulder socket (glenoid) when more than 20% of the front bone has eroded.
Remplissage (French for "to fill") is an arthroscopic soft-tissue procedure used when there is a large dent on the back of the arm bone (humeral head), known as an engaging Hill-Sachs lesion. Instead of moving bone, Remplissage fixes a nearby tendon directly into the bone dent to prevent it from catching.
Dr. Pradyumna will perform advanced pre-operative 3D CT scans to measure your precise structural loss and determine which approach or combination is right for you.
Does getting a Latarjet procedure prevent long-term shoulder arthritis?▾
Yes, significantly. Every single time a shoulder joint dislocates, the cartilage suffers high-impact micro-trauma, which accelerates wear-and-tear and heavily increases the risk of post-traumatic arthritis. By structurally locking the joint into place and eliminating further subluxation or dislocations, the Latarjet procedure shields the remaining native cartilage, effectively reducing the long-term risk of severe joint degeneration.
Can the bone graft fail to heal, and what happens if my shoulder dislocates again?▾
The Latarjet procedure has an exceptionally high success rate, with recurrent instability rates dropping below 3% to 5% (compared to up to 30% in soft-tissue repairs with severe bone loss).
A rare complication is "non-union," where the transferred coracoid bone fails to fuse perfectly to the socket. This is more common in patients who smoke, use tobacco, or rush their physical therapy. If a re-injury or dislocation does occur due to a fresh, high-velocity trauma, the shoulder can still be safely revised using advanced structural bone allografts or specialized revision fixation systems.
A rare complication is "non-union," where the transferred coracoid bone fails to fuse perfectly to the socket. This is more common in patients who smoke, use tobacco, or rush their physical therapy. If a re-injury or dislocation does occur due to a fresh, high-velocity trauma, the shoulder can still be safely revised using advanced structural bone allografts or specialized revision fixation systems.
Regain Confidence in Your Shoulder Move
With over 15+ years of experience, fellowship training from TUM, Germany, and a record of 5,000+ successful orthopedic procedures, Dr. Pradyumna R provides world-class care right here in Bangalore. Don't let the constant fear of shoulder dislocation hold you back from the lifestyle or sports you love.
Schedule a Consultation with Dr. Pradyumna R
Available at Bangalore Orthopaedic Clinic & Manipal Hospitals.
