This 25-year single-center series of 319 Bristow-Latarjet procedures examines how coracoid graft position, healing pattern, and capsular management technique each independently affect recurrence rates and patient-reported outcomes at long-term follow-up.
When performing a Bristow-Latarjet, confirm intraoperatively and on early postoperative imaging that the coracoid is within 9 mm of the glenoid rim and at or below the equator — medial malposition is the single most correctable cause of failure.
Consider adding a horizontal capsular shift in any shoulder with a sulcus sign or visibly redundant capsule, as this alone halved the recurrence rate in this series.
This 25-year single-center series of 319 Bristow-Latarjet procedures examines how coracoid graft position, healing pattern, and capsular management technique each independently affect recurrence rates and patient-reported outcomes at long-term follow-up.
When performing a Bristow-Latarjet, confirm intraoperatively and on early postoperative imaging that the coracoid is within 9 mm of the glenoid rim and at or below the equator — medial malposition is the single most correctable cause of failure.
Consider adding a horizontal capsular shift in any shoulder with a sulcus sign or visibly redundant capsule, as this alone halved the recurrence rate in this series.